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Table 1 Data extraction from retrieved papers

From: Aesthetic dentistry and ethics: a systematic review of marketing practices and overtreatment in cosmetic dental procedures

Study/Source

Authors

Year

Study Type

Participants

Objective

Key Findings

Ethical Considerations

Marketing Practices

Overtreatment Concerns

Impact of Social Media on Aesthetic Dentistry

Abbasi et al

2022

Cross-sectional survey

461 dental practitioners

Investigate the impact of social media on aesthetic dental procedures

90.7% of practitioners noted increased demand for aesthetic procedures due to social media; popular procedures include teeth whitening (54.7%) and veneers (11.9%)

Social media can mislead patients about aesthetic procedures, leading to unrealistic expectations

Use of before-and-after photos for advertising; social media as a platform for education and communication

Risk of unnecessary procedures driven by trends and social media influence [2]

Suggestion for Determining Treatment Strategies in Dental Ethics

Kovács

2023

Theoretical article

N/A

Explore ethical treatment strategies in dentistry

Emphasizes the importance of patient autonomy and informed consent in aesthetic procedures

Ethical dilemmas arise from prioritizing aesthetic outcomes over health

Marketing strategies often focus on aesthetic results, potentially overshadowing health considerations

Overtreatment linked to commercial pressures and patient expectations shaped by social media [4]

Influence of Social Media Towards Aesthetic Dentistry

Ahmad et al

2023

Cross-sectional survey

500 patients

Assess the influence of social media on patients' decisions regarding aesthetic treatments

58.3% of respondents trust dental information from social media; teeth whitening is the most desired treatment

Patients may be influenced by unrealistic beauty standards propagated through social media

Social media as a primary source for dental information; influence of dental clinic accounts on patient choices

Increased demand for cosmetic procedures may lead to unnecessary treatments [14]

Overtreatment as an Ethical Dilemma in Australian Private Dentistry

Holden et al

2020

Qualitative study

20 dental practitioners

Explore overtreatment in private dental practice

Dentists report pressure to provide high-cost treatments, leading to potential overtreatment

The balance between commercialism and professionalism is crucial to prevent overtreatment

Financial incentives may drive unnecessary treatments; marketing strategies often focus on high-value procedures

Overtreatment is a widespread issue, often unmeasured in practice [6]

Knowledge and Attitude Toward Esthetic Dentistry and Smile Perception

Mannaa

2023

Cross-sectional survey

200 dental students

Investigate knowledge and attitudes towards esthetic dentistry among dental students

Positive correlation between academic progression and exposure to esthetic dentistry topics

Awareness of aesthetic standards can influence treatment decisions and patient expectations

Educational institutions play a role in shaping marketing strategies for dental practices

Students may feel pressured to conform to aesthetic standards, leading to overtreatment [15]

Social Media Impact on Students' Decision-Making Regarding Aesthetic Dental Treatments

Freire et al

2024

Cross-sectional survey

504 university students

Assess the influence of social media on students regarding aesthetic dental treatments

37% of respondents indicated that social media influenced their decision to have aesthetic treatment

The role of social media in shaping perceptions of beauty can lead to ethical dilemmas in treatment recommendations

Posts from dental clinics or dentists were the most influential content

Patients may pursue unnecessary treatments based on social media trends [16]

Straight, White Teeth: How Social Media Has Impacted The Beauty Standard In Dentistry

Nayaz & Pieper

2024

Qualitative interviews

Two general dentists and two orthodontists

To explore how social media has influenced beauty standards in dentistry

Social media has created a homogenized beauty standard; dentists feel pressured to conform

Ethical implications of promoting unrealistic beauty standards

Use of social media for marketing and patient engagement

Concerns about the impact of beauty standards on treatment decisions [17]

How much dentists are ethically concerned about overtreatment; a vignette-based survey in Switzerland

Kazemian et al

2015

Vignette-based survey

732 dentists

Investigate dentists' ethical concerns regarding overtreatment in Switzerland

Most dentists perceive overtreatment as ethically unacceptable; concern about the prevalence of unethical behaviors among peers

Highlights the need for ethical guidelines in dental practice to address overtreatment

Not specifically addressed; focuses on ethical behavior rather than marketing

Overtreatment is recognized as a significant issue, with dentists concerned about the ethical implications of unnecessary treatments [18]

Ethics in dentistry

B. Sabarinath, B. Sivapathasundharam

2011

Survey

1128 dental clinics

Assess ethical practices in dental clinics

Identified issues related to advertising, qualifications, and ethical standards in dental practice

Emphasizes the importance of ethical standards and informed consent in practice

Advertising practices may mislead patients regarding qualifications and services

Potential for overtreatment due to misleading advertising and lack of informed consent [19]

Implementation of a medical ethics course in undergraduate dental education and assessment of knowledge and attitudes

Annabelle Tenenbaum et al

2020

Interventional study

299 dental students

Assess the impact of a medical ethics course on students' knowledge and attitudes

Significant improvement in knowledge of ethical principles and legal frameworks post-course

Highlights the importance of ethics education in shaping future dental professionals

Not specifically addressed; however, the course aims to improve ethical decision-making

Overtreatment concerns may arise from lack of knowledge and ethical training [20]

The Top 10 ethical challenges in dental practice in Indian scenario: Dentist perspective

Vanishree M. Kemparaj et al

2018

Qualitative study

20 dental professionals

Identify and rank ethical challenges in dental practice in India

Top challenges include inadequate sterilization, poor knowledge of ethics, and overtreatment

Emphasizes the need for ethical training and awareness among dental practitioners

Advertising practices may contribute to ethical dilemmas in treatment decisions

Overtreatment is identified as a significant issue, often driven by commercial pressures and patient expectations [21]

Qualitative assessment of ethical issues in dental practice: An expert opinion

Vanishree M. Kemparaj et al

2016

Qualitative study

15 bioethicists

Assess ethical issues in dental practice using expert opinions

Identified 18 categories of ethical challenges, including overtreatment and conflict of interest

Highlights the need for ethical standards and training in dental practice

Commercialization of dental practice may lead to ethical dilemmas

Overtreatment is a significant concern, influenced by marketing strategies and patient expectations [11]