Sir, I was fascinated to read the numerous ideas proposed by the authors in the article Dental professionalism: definitions and debate (BDJ 2009; 206: 249–253). My compact Oxford English Dictionary defines professionalism as: 'the qualities or typical features of a profession or of professionals, esp. competence, skill etc.'

In the original BDA Articles of Association in 1880, the third paragraph states: 'the objects for which the Association is established are the promotion of dental and allied sciences and the maintenence of honour and the interests of the dental profession by the aid of all of the following...' followed by seven further paragraphs. Interestingly the sixth was '(f) The encouragement of the Dental Benevolent Fund for the relief of decayed or necessitous members of the profession'.

In 1998 when the Representative Board wanted a 'Mission Statement' for our Association, members had forgotten about our Heraldic Coat of Arms granted by Warrant of the Earl Marshal of the College of Arms on 11 April 1930, which reads 'Ars Scientia Mores', and which means to typify the three great objects of the British Dental Association, namely, the promotion of dental art, dental science and of dental ethics. Fortunately they were persuaded to include our motto in the second paragraph!

Where is the emphasis of competence and technical skill in dentistry in the article? Patients trust us to perform highly complicated procedures in a very sensitive part of their body (has he or she got good hands?).

Compassion can lead to emotional involvement which can cause poor dental judgement and further lead to mental health problems for the dentist.

Empathy is a more powerful, objective word, and coupled with altruism covers relationships with patients, staff and colleagues. To summarise a compact description of professionalism:

  • Dentists will exercise due diligence, competence and skill

  • Develop their dental art, dental science and dental ethics

  • Have empathy and altruism with their patients, staff and colleagues.

Political and business inferences should not be part of our professionalism!