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cosmetic dentistry_ beauty & science International Edition

08 I I review _ minimally invasive dentistry practice may not necessarily be beneficial to the health and functionoftheoraltissue. _Practice philosophy in dentistry: The mindset The majority of dental schools around the world fo- cusonteachingknowledgeandskillsindentalmedicine that are based on contemporary dental science and art. Dentalschooleducationdoesnotgivedueconsideration to healthy dental practice philosophy owing to various factors, such as the right to chose one’s practice philo- sophy and the domination of business rather than service-oriented dental practice in the global market. However, quality and healthy clinical practice is always adreamofagoodclinician,andestablishingsuchprac- tice requires an unbiased vision, learning and serving attitudes, and dedication from the dentist. We must understand that science and art in dentistry have no meaningifpractisedbyanunethicaloperator,whodoes not respect the overall health of the patient. Any scien- tificadvancementintechnologyhaspositiveandnega- tivesides;hence,ifnotappliedproperly,itmayadversely affecttheprofessionandmaybecomeathreat. Ibelievethataclinicortreatmentcentremustestab- lish its practice philosophy according to its objectives. Whataclinicianwantsandthekindofservicesheorshe wants to deliver to his or her patients guides the clinic. Practically, the practice philosophy in dentistry can be classifiedintotwodifferentcategories,dependingonthe mindsetoftheoperator. Patient-centred Clinicians with this kind of mindset generally have a do no harm dental practice (Fig. 1). Professional honesty and humanity are the fundamental principles of such a practice. Operators with this mindset enjoy sharing their clinical knowledge and skills with their professional friends and junior colleagues to promote patient-centred clinical practice in society. This group of clinicians firmly believes in the word-of-mouth approach to practice marketing and always thinks of the patient’s long-term health, function and aes- thetics. Clinicians practising do no harm dentistry are generally cheerful, happy and healthy in their pro- fessionallife. Financiallyfocused Clinicians with this kind of mindset practise a finan- ciallyfocuseddentistryandadoptvariouskindsofdirect marketing approaches to sell their dentistry like a com- modity in the market rather than a health care service. Practitioners in this group generally achieve a secure financial position quickly; however, it is frequently seen that they develop chronic stress, burn-out syndrome, depression, frustration and professional guilt, leading to compromised health and happiness in their profes- sionallife. Dentistryandprofessionalstress Dentistry has long been considered a stressful occu- pation.Dentistsperceivedentistryasbeingmorestress- ful than other occupations.3 Dentists have to deal with many significant stressors in their personal and profes- sionallives.4 Thereissomeevidencetosuggestthatden- tists suffer a high level of occupation-related stress.5–9 Astudyhasfoundthat83percentofdentistsperceived dentistry as “very stressful”10 and nearly 60 per cent perceived dentistry as more stressful than other pro- fessions.11 Stress can elicit varying physiological and psychological responses in a person. Professional burn- out is one of the possible consequences of ongoing cosmeticdentistry 1_2015 Fig. 8a Fig. 7a Fig. 8b Fig. 7b Fig. 10a Fig. 9a Fig. 10b Fig. 9b CDE0115_06-12_Koirala 26.02.15 10:27 Seite 3 CDE0115_06-12_Koirala 26.02.1510:27 Seite 3

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