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Module 10: Meaningful patient involvement
Published in Raj Rattan, Ruth Chambers, Gill Wakley, Clinical Governance in General Dental Practice, 2017
Raj Rattan, Ruth Chambers, Gill Wakley
This mechanism of patient-led decision making can also operate in the opposite direction. For example, a patient may insist on cosmetic dentistry which, whilst it may satisfy the patient’s desires, may leave the clinician with an ethical dilemma if it is the clinician’s view that the procedure is too invasive to be justified for cosmetic reasons alone. (The distinction is made here that cosmetic dentistry differs from aesthetic dentistry in that the latter includes a functional element to the decision-making process.) This is a scenario that more and more clinicians are dealing with as the public becomes more aware of and better informed about aesthetic solutions.
Cosmetic Dentistry
Published in M. Sandra Wood, Internet Guide to Cosmetic Surgery for Women, 2013
Cosmetic dentistry is an area that has gained prominence recently, partly due to its use in TV programs such as Extreme Makeover and The Swan, where dental work is done along with other cosmetic procedures. The American Academy of Cosmetic Dentistry, founded in 1984, offers accreditation and fellowship programs that provide “postgraduate and certification in cosmetic dentistry to both dentists and laboratory technicians.” As new techniques and methods for improving the appearance of teeth continue to be developed, this dental specialization seems poised to increase in popularity.
Body dysmorphic disorder: a guide to identification and management for the orthodontic team
Published in Journal of Orthodontics, 2018
Adina Rosten, Susan Cunningham, J. Tim Newton
Veale et al. conducted a systematic review which showed that BDD had different estimated weighted prevalence in different settings (Veale et al. 2016). For example, whilst the weighted prevalence of BDD in adults in the community was estimated to be 1.9%, the figure for adult psychiatric inpatients was much higher at 7.4%. Interestingly and more importantly for orthodontists, they found that the weighted prevalence was 5.2% in orthodontics/cosmetic dentistry settings with prevalence ranging from 4.2 to 7.5%. They also found that the estimated weighted prevalence was higher amongst women, at 7.9%, than amongst men, at 2.5% (Veale et al. 2016). These figures are significantly higher than those for the general population, confirming that orthodontists need to be aware of the disorder and know the signs so that they can detect it and refer the patient for the relevant help. Unfortunately, there are only three published empirical studies, which discuss prevalence rate in dental settings, two of which are specific for orthodontics and one of which relates to cosmetic dentistry. This means it is difficult to establish (a) how reliable this data is and (b) whether prevalence varies between orthodontic clinics and cosmetic dentistry clinics. At first glance, it appears that BDD is more common amongst patients seeking orthodontic treatment with prevalence of 7.5 and 5.2% compared with 4.1% for those seeking cosmetic dental treatment. However, further studies are required to ascertain whether this is indeed the case.
Allergy to acrylate in composite in an orthodontic patient: a case report
Published in Journal of Orthodontics, 2018
Sophy K. Barber, Harmeet K. Dhaliwal
The increasing frequency of acrylate allergies has a potentially wider impact on dentistry. Concerns about the safety of amalgam as a dental material, combined with the Minamata Treaty 2013 commitment to reducing mercury in the environment, has increased pressure to seek alternative dental materials (British Dental Association 2017), many of which are acrylate-based. Adhesive bonding is central to minimally invasive restorative techniques. Cosmetic dentistry, orthodontics and laboratory-made prostheses are all heavily reliant on acrylate-containing materials. Biocompatibility issues with acrylates may present complications for treatment planning individual cases and with the provision of dental services as a whole.
Continued professional development
Published in Journal of Orthodontics, 2018
This review outlines the features of body dysmorphic disorder (BDD) including its prevalence and management by clinicians. The prevalence of BDD amongst patients attending for orthodontic and cosmetic dentistry is suggested to be: 1.4–3.3%4.2–7.5%10.1–12.7%14.3–17.1%; or18.9–21.3%