Malpractice claims related to tooth extractions

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http://hdl.handle.net/10138/234617

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Koskela , S , Suomalainen , A , Apajalahti , S & Venta , I 2017 , ' Malpractice claims related to tooth extractions ' , Clinical Oral Investigations , vol. 21 , no. 2 , pp. 519-522 . https://doi.org/10.1007/s00784-016-1896-y

Title: Malpractice claims related to tooth extractions
Author: Koskela, Sanna; Suomalainen, Anni; Apajalahti, Satu; Venta, Irja
Contributor organization: Clinicum
Department of Diagnostics and Therapeutics
University of Helsinki
Department of Oral and Maxillofacial Diseases
HUS Medical Imaging Center
HUS Head and Neck Center
Date: 2017-03
Language: eng
Number of pages: 4
Belongs to series: Clinical Oral Investigations
ISSN: 1432-6981
DOI: https://doi.org/10.1007/s00784-016-1896-y
URI: http://hdl.handle.net/10138/234617
Abstract: The aim of this study was to analyze malpractice claims related to tooth extractions in order to identify areas requiring emphasis and eventually to reduce the number of complications. We compiled a file of all malpractice claims related to tooth extractions (EBA code) between 1997 and 2010 from the Finnish Patient Insurance Centre. We then examined the data with respect to date, tooth, surgery, injury diagnosis, and the authority's decision on the case. The material consisted of 852 completed patient cases. Most of the teeth were third molars (66 %), followed by first molars (8 %), and second molars (7 %). The majority of claims were related to operative extraction (71 %) followed by ordinary extraction (17 %) and apicoectomy of a single-rooted tooth (7 %) or multi-rooted tooth (2 %). The most common diagnosis was injury of the lingual or inferior alveolar nerve. According to the authority's decision, the patient received compensation more often in cases involving a third molar than other teeth (56 vs. 46 %, P <0.05). The removal of a mandibular third molar was the basis for the majority of malpractice claims. To reduce the numbers of lingual and inferior alveolar nerve injuries, the removal of mandibular third molars necessitates recent and high-quality panoramic radiograph, preoperative assessment of the difficulty of removal, and consciousness of the variable anatomical course of the lingual nerve.
Subject: Molar third
Nerve injury
Postoperative complications
Reporting insurance claims
Oral surgery
3RD MOLAR SURGERY
NERVE INJURIES
RISK-FACTORS
ALVEOLAR
313 Dentistry
Peer reviewed: Yes
Usage restriction: openAccess
Self-archived version: publishedVersion


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