When you’ve been wading through root canals, extractions, restorations and even implants, your perceptions change

When you’ve been wading through root canals, extractions, restorations and even implants, your perceptions change; what’s totally commonplace to a dentist can be mysterious and even frightening to a patient. Take, for example, a dental veneer procedure — you’ve done this dozens, if not hundreds of times, but it’s likely the patient you’re performing each…

The impression is no longer the only communication tool – Dentistry in the digital age

In the past I’ve used this blog to talk about the huge importance of dentist-patient communication. As important as the patient-practitioner relationship is, the dentist-dental lab relationship is often overlooked. Today I’m going to take a look at how modern technology can enhance communication between the dentist and the dental lab. Until very recent advances…

Fixing quick-fix dentistry

Quick-fix dentistry is becoming more popular, especially on the back of six month smiles, television coverage, and ‘one day’ implants. Unfortunately the patient’s desires and expectations can outrun the capacity of modern quick-fix dentistry. Absent an overall comprehensive care plan, there is the distinct chance of overlooking other things which may be affected; the quick-fix…

“Chipped porcelain is problem, this is a disaster” – The ethics of rubber

Yesterday I was talking about the ethical problems of being asked to replace a functioning, healthy tooth restoration. Today I’d like to talk about the ethical obligations involved in ensuring proper isolation. Specifically, using a rubber dam. I think this subject is important enough to merit its own discussion. Even today there are dentists who,…

Fixing it even if it isn’t broken – An ethical debate

Let’s just image, for an example, a patient requests that a functional and non-defective amalgam restoration be replaced. Let’s go even further, suggesting that even after the clinician, doing his full and ethical duty, has disclosed and explained all of the potential consequences to alternative restorations. The patient digs their heels in, and persists in…

Getting to grips with the explosive demand for quality veneers

We’ve talked before about the increasing importance placed on veneers, and the explosive demand for veneers in recent years. A patient today isn’t just looking for a healthy and functional restorative solution: They also want an aesthetically pleasing result. All-ceramic veneers, being both biocompatible and aesthetically pleasing, are rapidly growing in popularity. IPS e.max allows…

The ethics of aesthetics, Part 3 – The trouble with selling

Cosmetic dentistry’s rise to public awareness carries a delicate question about ‘selling.’ As we established ealier, the private dentist must operate as a business, and will often use aesthetic dissatisfaction as the genesis of a treatment plan. We also established that this is acceptable behaviour in today’s age of demand for aesthetic treatments. However, we…

The ethics of aesthetics, Part 2 – Informed consent

Combine more cosmetic dentistry awareness with increased media attention, and we find clinicians treating and managing many requests for personal image enhancement. Previously, patients wouldn’t ask for the treatments, or maybe even the requests were ignored. To some patients today aesthetics are of such importance that —even if clinically unnecessary— these procedures can no longer…