Multiple Choice: Chapter 115 Ethical care of patients

Question 1. A 43-year-old male patient asks for a privately paid for gold crown on his upper right lateral incisor. He wants to have it done as within his culture it is symbolic of wealth and good fortune and it would, he says, elevate his social standing. The patient is an irregular attender but his oral and dental health is good with no decay or restorations present. In deciding whether or not to accede to his request which are the competing principles?