Did malpractice claims for failed dental implants decrease after introduction of CBCT in Finland?

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http://hdl.handle.net/10138/324333

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Marinescu-Gava , M , Suomalainen , A , Vehmas , T & Ventä , I 2019 , ' Did malpractice claims for failed dental implants decrease after introduction of CBCT in Finland? ' , Clinical Oral Investigations , vol. 23 , no. 1 , pp. 399-404 . https://doi.org/10.1007/s00784-018-2448-4

Title: Did malpractice claims for failed dental implants decrease after introduction of CBCT in Finland?
Author: Marinescu-Gava, Magdalena; Suomalainen, Anni; Vehmas, Tapio; Ventä, Irja
Contributor organization: Clinicum
Department of Diagnostics and Therapeutics
University of Helsinki
Department of Oral and Maxillofacial Diseases
Oral and Maxillofacial Surgery
HUS Medical Imaging Center
HUS Head and Neck Center
Date: 2019-01
Language: eng
Number of pages: 6
Belongs to series: Clinical Oral Investigations
ISSN: 1432-6981
DOI: https://doi.org/10.1007/s00784-018-2448-4
URI: http://hdl.handle.net/10138/324333
Abstract: ObjectivesTo examine the role of cone beam computed tomography (CBCT) in preventing failures in implant treatment. We hypothesize that the number of malpractice claims related to dental implant treatment would decrease after the first CBCT device came available in 2002 in Finland.Material and methodsData concerning malpractice claims related to dental implant treatment during the years 1997-2011 were collected from the Finnish Patient Insurance Centre (N=330 subjects). We selected the cases that might have benefitted from the use of CBCT examination. These cases (n=131) led to financial compensation due to permanent inferior alveolar nerve injury, improper implant position, or insufficient amount of bone for the implant. The annual total number of inserted dental implants, CBCT devices, and CBCT examinations in Finland were drawn from the national registers and used to estimate the impact of CBCT in preventing treatment failures.ResultsThe most common reason for all failures (n=268 implants) was an improper implant position (46.3%). The most common area of malpractices was upper front teeth (34%). We have noticed a fall in the rate of compensable malpractice cases concerning implant failure, simultaneously with CBCT technology emerging on the market.ConclusionsThere may be an association between the increasing availability of CBCT equipment and the reducing frequency of compensable malpractice claims.Clinical relevanceIt is possible that the use of CBCT may result in fewer compensable malpractice claims.
Subject: BEAM COMPUTED-TOMOGRAPHY
COMPLICATIONS
Cone beam computed tomography
DENTISTRY
Dental implant
INJURIES
Injury
Insurance
Radiology
313 Dentistry
Peer reviewed: Yes
Rights: cc_by
Usage restriction: openAccess
Self-archived version: acceptedVersion


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