ABSTRACT
This chapter examines the role of cosmetic dentistry in creating and exacerbating dental health inequalities. Although there is a long, diverse tradition of humans modifying their bodies and mouth, in cosmetic dentistry, beauty treatments such as teeth whitening and Botox and filler injections are provided as ‘healthcare’. This practice is analysed by following the cosmetic dentistry journey of a patient named Janette, quotes from dentists, patients and members of the public, and excerpts from the key legislation governing UK dentistry: Dentists Act 1984. Through the analysis, it transpires that the institutionally legitimated status of dentists as educated, healthcare professionals produces symbolic power which works towards shaping what is considered a beautiful and even a normal smile. However, this constructed perception of a normal smile is at odds with the diverse smile and face appearances that exist in a plural society. This mismatch fuels demand for cosmetic dentistry and restricts bodily autonomy by constraining choice to a narrow Euro-centric smile ideal. The narrow smile ideal discriminates against people who cannot afford cosmetic dentistry, racialised minorities and people with obvious facial disfigurements. Moreover, the practice of cosmetic dentistry is not a neutral exercise; it does symbolic damage to publicly funded dentistry undermining its value and diverts resources away from its provision, limiting dental access.
