Re: A Disturbing Transition of the Bonded Porcelain Veneer Restoration, Oral Health, April 2005

This article by Dr. Mark Friedman, struck a very responsive chord for me. He is certainly correct that every dental practitioner has “the ethical responsibility to develop and present treatment plans that are based on the clinical conditions presented, patient concerns/ desires and the most current scientific evidence that substantiates a particular approach.”

Over my 40 plus years of practise, I have observed that patients may sometimes be primarily influenced by aesthetic considerations when considering dental treatment.

This type of situation is an important reinforcement of the crucial necessity, and in fact, obligation of the dentist to ensure that the patient has given an informed consent for treatment. That includes patient/dentist discussion (noted in the chart) that clearly explains all the benefits, risks and alternatives, before treatment begins.

Marvin Klotz, DDS, MS, FRCD(C)

Toronto

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