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Could one put a lid on "dentist caused cosmetic damage, courts awarded more in damages than the patient will earn in a lifetime" scenarios

I don't see what's wrong with such scenarios. By your reasoning, if someone was retired and a dentist ruined their appearance, the dentist should have to pay nothing at all. Or if the dentist harmed someone with a childhood disease who won't live to their income-earning years. And even if they had income it would be better to harm a poor person than a rich one.

You might argue that if someone stands to make a lot of money from their appearance, the dentist has done additional damage, but that's just an additional amount of harm that is done by something that causes a base amount of harm to everyone, and it wouldn't consider all income, just appearance-based income.