Treatment Planning for Successful Whitening
Linda Greenwall in Tooth Whitening Techniques, 2017
Although tooth whitening is an elective esthetic treatment, it also has essential therapeutic benefits; these are discussed in Chapter 24. Before undertaking any esthetic treatment, it is essential that excellent and clear communication be established with the patient. It is essential for the dentist to understand exactly what the patient is requesting, in order to understand the patient’s concerns about his or her tooth discoloration and esthetic needs. Beauty is an abstract and subjective concept, but an essential and ineradicable part of human nature (Etcoff 1999). Culture, age, gender, and time can influence perception of beauty. Because of this subjectivity, it is extremely important to establish good communication between the dentist and patient early, so that both can work toward the same goals. Excellent communication leads to treatment acceptance (Jameson 1994). To provide informed consent, the patient needs to understand the benefits and risks and advantages and disadvantages of treatment; the issues associated with not going ahead with treatment; and the importance of each treatment option that is available. Risks and benefits of the treatment need to be discussed before it commences. This is particularly important when the patient’s expectations exceed the reality of what is possible to achieve. Studies have shown significant differences between dentists’ and patients’ preferences for esthetic dentistry (Brisman 1980).
Module 10: Meaningful patient involvement
Raj Rattan, Ruth Chambers, Gill Wakley in Clinical Governance in General Dental Practice, 2017
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
M. Sandra Wood in Internet Guide to Cosmetic Surgery for Women, 2013
This refreshingly candid site was created by a patient who has undergone cosmetic surgery herself, and includes everything from over-the-counter whitening products (e.g., Crest Whitestrips), to professional whitening systems and laser whitening. Other cosmetic dentistry topics listed include orthodontics, porcelain crowns and veneers, bonding, and gum surgery. Average prices for dental procedures are given. You can access this information by going directly to the URL, or go to the main page <http://www.yestheyrefake.net>, select “Facial Procedures,” and then “Cosmetic Dentistry.”
A three-year randomized clinical trial evaluating direct posterior composite restorations placed with three self-etch adhesives
Published in Biomaterial Investigations in Dentistry, 2021
Joseph Sabbagh, Layal El Masri, Jean Claude Fahd, Paul Nahas
This randomized trial was a single-site study conducted at university dental clinics in the Department of Restorative and Aesthetic Dentistry, Faculty of Dental Medicine, Lebanese University, Lebanon. The study was designed according to the Consolidated Standards of Reporting Trials (CONSORT) statement (Figure 1). A consent form and the protocol were submitted, reviewed and approved by the Ethical Committee of the Lebanese University. All procedures were performed according to the ethical standards of the institutional and/or national research committee and world medical association Declaration of Helsinki [16]. Selected patients were assessed for eligibility for participation, using the following inclusion criteria: (1) teeth with shallow to moderate Class I or II carious lesions, (2) a good periodontal status, (3) the absence of pulp pathology, (4) the absence of restorations on selected teeth, (5) the absence of parafunctional habits, (6) the included teeth were vital. Patients were healthy, physically and mentally with a non-compromised medical history and with the absence of allergic history to methacrylate. Patients that did not fit any of these criteria were excluded from the study. They were informed with the clinical procedure and signed an informed consent form.
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.
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%
Related Knowledge Centers
- Dentin
- Gingivectomy
- Orthodontics
- Prosthodontics
- Tooth Enamel
- Crown
- Gingival Grafting
- Tooth Whitening
- Gum Depigmentation
- Dental Bonding