Clinical Orthodontic Research, Jacksonville University School of Orthodontics, 2800 University Boulevard N, Jacksonville, FL 32256, USA.
J Med Ethics. 2010 May;36(5):275-8. doi: 10.1136/jme.2009.033761.
The principal objective for most patients seeking orthodontic services is a detectable improvement in their dentofacial appearance. Orthodontic treatment, in the mind of the patient, is something that makes you look better, feel better about yourself, and perhaps enhances your social possibilities, ie, to find a companion or make a positive impression during a job interview. Orthodontics, as a speciality, has collectively advanced the idea that enhanced occlusion (bite) improves the health and longevity of the dentition, and as a result many patients seeking orthodontic services affirm that their secondary goal of treatment is an oral health benefit. It would appear that there is some disparity between the end-user of orthodontic services and the orthodontic provider's perception of what constitutes orthodontic need. The aim of this paper is to examine two contrasting models that characterise how dentists 'sell' orthodontic services to patients and to discuss the conflict between professional ethics, practice management and evidence-based decision-making in orthodontic practice.
大多数寻求正畸服务的患者的主要目标是明显改善其颜面部外观。在患者看来，正畸治疗可以让你变得更漂亮，增强自信，甚至增加社交机会，例如找到伴侣或在面试中留下积极印象。正畸学作为一门专业，已经普遍认为改善咬合（咀嚼）可以提高牙齿的健康和寿命，因此许多寻求正畸服务的患者都肯定了治疗的次要目标是口腔健康获益。正畸服务的最终用户和正畸提供者对正畸需求的看法之间似乎存在一些差异。本文的目的是检查两种截然不同的模型，这些模型描述了牙医向患者“推销”正畸服务的方式，并讨论了在正畸实践中职业道德、实践管理和循证决策之间的冲突。
