Abstract
This article examines whether cosmetic interventions by dentists and plastic surgeons are medically indicated and, hence, qualify as medical interventions proper. Cosmetic interventions (and the business strategies used to market them) are often frowned upon by dentists and physicians. However, if those interventions do not qualify as medical interventions proper, they should not be evaluated using medical-ethical norms. On the other hand, if they are to be considered medical practice proper, the medical-ethical principles of nonmaleficence, beneficence, justice and others hold true for cosmetic interventions as much as they do for other medical and dental interventions. It is concluded that most cosmetic interventions do not qualify as medical interventions proper because they do not restore or maintain the patient's health (defined as the patient's integrity) by any objective standards. Rather, cosmetic interventions are intended to enhance a person's physical appearance; more specifically, they intend to fulfill the client's subjective perception of an enhanced appearance.
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References
American Academy of Cosmetic Dentistry: 1998, Your Smile Says It All. A Consumer's Guide to Finding the Smile that is Right for You. Madison: American Academy of Cosmetic Dentistry.
American Academy of Cosmetic Surgery: 1998, 1996 National Statistics. Available on-line at http://www.cosmeticsurgeryonline.com/consumer/stats/1996national.html.
American Society of Aesthetic Plastic Surgery: 1998, Mission Statement. Available on-line at: http://www.surgery.org/enhanced/asapsinfo/mission/mission.html.
American Society of Plastic and Reconstructive Surgeons: 1998, National Clearinghouse of Plastic Surgery Statistics. Available on-line at: http://www.plasticsurgery.org/mediactr/stats.htm.
Arens, D.: 1989, ‘The role of bleaching in aesthetics’, Dental Clinics of North America 33(2), pp. 319–336.
Bergen, S.F.: 1989, ‘Preface’, Dental Clinics of North America 33(2), pp. 131–132.
Boxtel, R.H.L.M. van, M.M.H. Kamp and W.J.C. Swildens-Rozendaal: 1998, ‘Wetsvoorstel euthanasie’, Medisch Contact 53(17), pp. 570–579.
Brons, R.: 1996,1 ‘Harmonie van het gelaatsprofiel. Deel I. Inleiding en begripsbepaling’, Ned. Tijdschr. Tandheelkd 103 (augustus), pp. 306–308.
Brons, R.: 1996,2 ‘Harmonie van het gelaatsprofiel. Deel II. De analyse’, Ned. Tijdschr. Tandheelkd 103 (oktober), pp. 396–397.
Brons, R.: 1996,3 ‘Harmonie van het gelaatsprofiel. Deel III. De verticale regels’, Ned. Tijdschr. Tandheelkd 103 (december), pp. 508–510.
Center for Cosmetic Dentistry: 1998, About Us. Available online at: http://www.newsmile.com/aboutus.htm.
Christensen, G.J.: 1994, ‘How ethical are aesthetic dental procedures?’, JADA 125 (November), pp. 1498–1502.
Dobney, N.: 1997, Ever Dreamed of Owning a Killer Smile? Available on-line at: http://www.killersmile.com.
Feilzer, A.J.: 1995, ‘Esthetische tandheelkunde?’, Ned. Tijdschr. Tandheelkd 102 (oktober), p. 399.
Fischer, B.: 1998, Cosmetic Surgery: An Answer for Men and Women. Available on-line at http://www.clark.net/delta/medguide/plastic.html.
Gentry, G.S.: 1998, Greg S. Gentry, DMD, PC. Available on-line at http://drgentry.com.
Gelfant, B.: 1998, Dr. Benjamin Gelfant's Plastic Surgery Site. Available on line at: http://dr-ben-plastic-doc.com/index.html.
Gibson, R.M.: 1989, ‘Smiling and facial exercise’, Dental Clinics of North America 33(2), pp. 139–284.
Gilbert. J.A. and M.E. Waithe: 1994, ‘Esthetic dentistry’, In: B. Weinstein (ed.), Dental Ethics. Philadelphia/London: Lea & Febiger, pp. 195–206.
Goldstein, R.E.: 1976, Esthetics in Dentistry. Philadelphia: J.B. Lippincott Company.
Goldstein, R.E.: 1993, ‘Guest editorial: Esthetic dentistry - A health service?’, J Dent Res March, pp. 641–642.
Goldstein, R.E. and D.A. Garber: 1997, ‘Esthetic dentistry: Our 1997 wish list’, Journal of Esthetic Dentistry 9(1), pp. 1–2.
Haiken, E.: 1997, Venus Envy. A History of Cosmetic Surgery. Baltimore: The Johns Hopkins University Press.
Hyman, D.A.: 1990, ‘Aesthetics and ethics: The implications of cosmetic surgery’, Perspectives in Biology and Medicine 33(2), pp. 190–202.
I.D.E.A.S.: 1998, Cosmeticdentist.com - What's Your Smile Type? Available on-line at: http://www.cosmeticdentist.com/smile-test.htm.
Jameson, C.: 1996, ‘Financing esthetic dentistry: Overcoming the barrier of cost’, Journal of Esthetic Dentistry 8(2), pp. 92–95.
Jensen, U.J.: 1987, Practice & Progress: A Theory for the Modern Health-Care System. Indianapolis: Blackwell Scientific Publishers.
Krott, P.: 1993, ‘Esthetiek???’, Belg. Tijdschr. Tandh. 93(3), pp. 11–17.
Levin, R.P.: 1998, ‘Guest editorial: Doing more with less’, Journal of Esthetic Dentistry 10(2), pp. 50–51.
Murrell, G.A.: 1993, ‘Esthetics and the edentulous patient’, JADA September, pp. 57E–63E.
Nelson, C.: 1998, Caron Nelson, DDS - Home Page. Available on-line at: http://www.great-smile.com.
Ozar, D.T. and D.J. Sokol: 1994, Dental ethics at chairside. Professional principles and practical applications. St. Louis: Mosby.
Parens, E.: 1998, ‘The enhancement project’, Hastings Center Report 28(1) (Special Supplement), pp. S1–S17.
Patzer, G.: 1997, ‘Improving self-esteem by improving physical attractiveness’, Journal of Esthetic Dentistry 9(1), pp. 44–46.
Rieder, C.E.: 1989, ‘The role of operatory and laboratory personnel in patient esthetic consultations’, Dental Clinics of North America 33(2), pp. 275–284.
Sun, G.: 1998, Grace Sun DDS Cosmetic Dentistry - Services and Fees. Available on-line at http://www.sundds.com/services.html.
The Center for Cosmetic and Implant Dentistry: 1998, Cosmetic Dentistry & Smile Design. Available on-line at http://www.smileneauty.com/smile-design.htm.
Turvey, T.A.: 1988, ‘Orthognatic surgery: A significant contribution to facial and dental esthetics’, JAMA September, pp. 49E–55E.
Walters, L. and J.G. Palmers: 1997, The Ethics of Gene Therapy. New York: Oxford University Press.
Weinstein, A.R.: 1988, ‘Anterior composite resins and veneers: Treatment planning, preparation, and finishing’, JADA September, pp. 38E–44E.
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Welie, J.V. “Do You Have a Healthy Smile?”. Med Health Care Philos 2, 169–180 (1999). https://doi.org/10.1023/A:1009997219023
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DOI: https://doi.org/10.1023/A:1009997219023