At a recent meeting of the American Academy of Esthetic Dentistry a survey questioned whether aesthetic treatment methods were ethical. The situation typical for that time was used as basis for the survey: "Let's assume that the patient is completely healthy and there are no biological or physical reasons for a therapeutic intervention. Do you, given such circumstances, consider treatments like ceramic veneers, changing tooth color and tooth shape through bonding procedures, bleaching, orthognatic surgery, plastic surgery of the nose, or orthodontic treatments in adults ethical, and would you offer your patients such treatments?".