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Message from Donald Hills, DDS


        Editorial






        I HAD TO BUY A SUIT






                                        The girls who grew up    products are sold everywhere for personal use.  Buying
                                        with my daughter are     whitening products is similar to buying a new suit.  At
                                        beginning to marry.      home orthodontics, from a kit purchased in a department
                                        I own a nice tuxedo      store or as seen on TV is something absolutely different.
                                        and, since most of       I simply cannot fathom do it yourself orthodontics.  Mov-
                                        the dress up times in    ing teeth is not like coloring hair or buying a suit.
                                        my life call for black
                                        tie, it is easy for me   Practicing dentistry without a dental license is illegal.
                                        to dress up. One         Mr. Jones cannot perform a whitening procedure, fill-
                                        wedding this summer      ing, extraction or orthodontics on Mr. Smith.  Mr. Jones
                                        was not black tie and    can, however, do whatever he wants to himself.  He can
                                        I was compelled to       bleach his teeth in any manner he wants, he can pull his
                                        wear a suit.  I am not   own tooth, and now he can purchase ortho aligners online
                                        a suit and tie guy.      and play dentist for a fraction of the cost of care by a
                                        The last suit I pur-     licensed professional.
                                        chased was 11 years
        ago, styles have changed significantly since then, I look   I wonder if Mr. Jones, while placing his just purchased
        terrible in my old suit and I was told by my wife to throw   orthodontic aligner, slips on the wet bathroom tile he
        it out.  After visiting eight different stores, I bought a new   recently installed and fractures his arm, would he be able
        suit.                                                    to set and cast the fracture himself?  Is there a possible
                                                                 business model for self-administered orthopedics?   For
        I change my glasses every few years.  I like to shake it up   that matter, dermatology seems pretty straight forward. If
        now and then with a new look.  New glasses are fun but   Mr. Jones doesn’t like that rather ugly mole on his chin,
        every decade or so, as with the new suit, a more radical   could he not simply cut it out and mail it off to a pathol-
        change seems right.  So, I changed my beard.             ogist (perhaps in a foreign country where labor is cheap
                                                                 and pathologists are waiting for self-administered biop-
        Cosmetic dentistry offers our patients a fresh look as   sies) for evaluation.  I imagine these pathologists work
        well.  Cosmetic dental procedures, like my new suit and   real near a call center, where a return call to Mr. Jones
        beard, make us feel good about ourselves.  Unlike chang-  can conveniently take place.
        ing fashionable attire or facial hair architecture, dental
        treatment, with few exceptions, is irreversible.  It is what   We live in a free society with many inalienable rights,
        puts us stratospherically above the tailor and barber.  A   including the right to self-administer one’s healthcare.
        patient’s commitment to removal of enamel is a lifetime   Just because you can, doesn’t mean you should and the
        commitment.  As dentists, we must take great care when   adage buyer beware certainly seems appropriate here.
        our patients request and consent to such treatment.  Cos-
        metic dentistry is not like buying a new suit.           By the way, the contemporary style of a tight, form fitting
                                                                 short European suit does, in fact, work very well for me
        Teeth whitening, after a thorough examination and        and for the first time in decades I do like my new suit.
        cleaning, is a safe, reversible procedure.  Hair coloring
        is also safe, effective and reversible.  A suit purchase,
        although not reversible, is rarely dangerous.  The public
        has embraced whitening.   My wife can color her hair, I
        can spend four days shopping for a suit and whitening





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