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cosmetic dentistry_ beauty & science International Edition

I review _ minimally invasive dentistry practice _Introduction The demand for cosmetic dentistry is a growing trendglobally.Increasedmediacoverage,theavailability of free online information and the improved economic statusofthegeneralpublichasledtoadramaticincrease inpatients’aestheticexpectations,desiresanddemands. Today, a glowing, healthy and vibrant smile is no longer the exclusive domain of the rich and famous; hence, many general practitioners are now being forced to incorporatevariousaestheticandcosmeticdentaltreat- ment modalities into their daily practices to meet the growingdemandofpatients. Cosmetic dentistry is a science- based art guided by the desire of the patient. Many young clinicians whoplantoincorporateitintotheir practice are confused about what theyandtheirpatientsactuallywish to achieve. It is to be noted that the treatment modalities of any health care service should be aimed at the establishment of health and the conservation of the human body with its natural function and aes- thetics. However, it is worrying to note that the treatment philosophy and technique adopted by many cosmetic dentists around the world tendtowardsmacro-invasiveproto- cols,andmillionsofhealthyteethare aggressively prepared each year for thesakeofcreatingbeautifulsmiles. The practice philosophy adopted by the clinic and the professional team members generally guides the overall output of the practice. Minimally invasive cos- meticdentistry(MiCD),adonoharmpracticephilosophy, hasfourfundamentalcomponents:levelofcare,quality of operator (dentist), protocol adopted and technology selected, which must all be respected in daily clinical practice. Adopting this holistic medical science practice philosophy is not an easy task, as it requires a change in themindsetofprofessionals. In Parts I and II, I explain MiCD, do no harm cosmetic dentistry,basedonmyVedicSmileconcept,whichIhave beenpractisingsuccessfullyinNepalforthelast20years, and advocating globally since 2009 as the MiCD global mission. It is to be noted that both parts are based on fundamental science (truth and available evidence), clinical experience and the common sense required in holistic dentistry. Part II of the article will follow in the nextissueofcosmeticdentistry. _Cosmetic dentistry, a global trend The prevalence and severity of dental decay have been declining over the last decades in many developed countries and this trend is shifting towards developing countries as well. With increased media coverage, the availability of free online information, public awareness has fuelled the demand for cosmetic dentistry globally. Now, a glowing, healthy and vibrant smile is no longer the exclusive domain of the rich and famous.1 The pop- ulation of beauty- and oral health-conscious people is increasing every year and data from various sources shows that the coming generations of children, espe- 06 I cosmeticdentistry 1_2015 MiCD: Do no harm cosmetic dentistry—Part I Author_Dr Sushil Koirala, Nepal Fig. 4b Fig. 4a Fig. 2 Fig. 3Fig. 1 CDE0115_06-12_Koirala 26.02.15 10:27 Seite 1 CDE0115_06-12_Koirala 26.02.1510:27 Seite 1

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