Operator-related aspects in endodontic malpractice claims in Finland

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Vehkalahti , M M & Swanljung , O 2017 , ' Operator-related aspects in endodontic malpractice claims in Finland ' , Acta Odontologica Scandinavica , vol. 75 , no. 3 , pp. 155-160 . https://doi.org/10.1080/00016357.2016.1272000

Title: Operator-related aspects in endodontic malpractice claims in Finland
Author: Vehkalahti, Miira M.; Swanljung, Outi
Contributor organization: Miira M Vehkalahti / Principal Investigator
University of Helsinki
Department of Oral and Maxillofacial Diseases
HUS Head and Neck Center
Date: 2017-04
Language: eng
Number of pages: 6
Belongs to series: Acta Odontologica Scandinavica
ISSN: 0001-6357
DOI: https://doi.org/10.1080/00016357.2016.1272000
URI: http://hdl.handle.net/10138/310307
Abstract: Objective: We analyzed operator-related differences in endodontic malpractice claims in Finland.Materials and methods: Data comprised the endodontic malpractice claims handled at the Patient Insurance Centre (PIC) in 2002-2006 and 2011-2013. Two dental advisors at the PIC scrutinized the original documents of the cases (n=1271). The case-related information included patient ' s age and gender, type of tooth, presence of radiographs, and methods of instrumentation and apex location. As injuries, we recorded broken instrument, perforation, injuries due to root canal irrigants/medicaments, and miscellaneous injuries. We categorized the injuries according to the PIC decisions as avoidable, unavoidable, or no injury. Operator-related information included dentist ' s age, gender, specialization, and service sector. We assessed level of patient documentation as adequate, moderate, or poor. Chi-squared tests, t-tests, and logistic regression modelling served in statistical analyses.Results: Patients ' mean age was 44.7 (range 8-85) years, and 71% were women. The private sector constituted 54% of claim cases. Younger patients, female dentists, and general practitioners predominated in the public sector. We found no sector differences in patients' gender, dentists' age, or type of injured tooth. PIC advisors confirmed no injury in 24% of claim cases; the advisors considered 65% of injury cases (n=970) as avoidable and 35% as unavoidable. We found no operator-related differences in these figures. Working methods differed by operator ' s age and gender. Adequate patient documentation predominated in the public sector and among female, younger, or specialized dentists.Conclusions: Operator-related factors had no impact on endodontic malpractice claims.
Subject: Patient insurance
dental malpractice
indemnity of malpractice claims
service sector
avoidable injuries
313 Dentistry
Peer reviewed: Yes
Rights: unspecified
Usage restriction: openAccess
Self-archived version: acceptedVersion

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