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Ethical marketing in ‘aesthetic’ (‘esthetic’) or ‘cosmetic dentistry’ part 3 Martin G D Kelleher Serpil Djemal Nicholas Lewis Dental Update 2025 39:7, 472-486.
Authors
Martin G DKelleher
BDS, MSc, FDS RCPS, FDS RCS
Consultant in Restorative Dentistry, King's College Hospital, London SE5 9RS, UK
This, the third and final article in this series on ethical marketing, makes it clear that cosmetic dentistry is not a guaranteed one-way ticket to happiness for either patients or dentists, but it can be for lawyers. In fact, this area of dentistry is fraught with many dangers for the unwary patient and even for the enthusiastic or experienced dentist. In general, it is not at all wise to raise patient expectations beyond that which is definitely going to be easily achievable in his/her particular case.
Clinical Relevance: If things go wrong with extensive cosmetic dentistry, or are judged as being suboptimal, or unacceptable, by the patient, then that dentist may become liable for all the remakes of that elective cosmetic dentistry for the lifetime of the patient, together with all the associated general and specific damages. This is because, if the elective cosmetic dentistry had not been done, the patient would not have needed to have the remakes. Informed consent is a major issue with cosmetic dentistry, as is avoiding any possible claims for breach of contract, which could be verbal, implied or written.
Article
There is a very real danger, when seeking to promote one's products or services in aesthetic (‘esthetic’) dentistry, to use language or images that are likely to create unrealistic expectations in some patients. For instance, showing the very best case on the practice website or practice brochure will be interpreted, understandably, by patients as signalling that the dentist, or their practice, routinely provides that level of improvement for every single patient. That perception, which may be brought about unintentionally in patients, is potentially fraught with great danger. If anything less than an excellent aesthetic outcome is achieved for the patient who has had his/her expectations heightened by such images, or language, and the patient interprets this as having been achieved for someone else, then this could well be a source of disappointment, complaint or possibly litigation.
Advertising often seeks to attract the attention of potential patients and to convince them to attend that dentist or practice rather than a competitor. The real temptation is to exaggerate a bit and make the aesthetic product or service seem to have benefits that are prettier, more substantial or longer lasting than might actually be the case. Furthermore, an established ploy of some salesmen is to omit ‘extraneous negatives’. In other words, such sales peoples' advice is not to dwell on any potentially negative aspects of the proposed treatment which might reduce the ‘chances of a sale’.
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