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The Incidence and Nature of Claims against Dentists Related to Periodontal Treatment in Israel during the Years 2005–2019

Background: In recent years, worldwide dental malpractice claims have dramatically increased. The purpose of the present study is to analyze periodontal therapy related claims in Israel that led to legal decisions. Methods: This retrospective cohort study includes malpractice claims against dental p...

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Autores principales: Nassar, Dima, Tagger-Green, Nirit, Tal, Haim, Nemcovsky, Carlos, Mijiritsky, Eitan, Beitlitum, Ilan, Barnea, Eitan, Kolerman, Roni
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8070963/
https://www.ncbi.nlm.nih.gov/pubmed/33919971
http://dx.doi.org/10.3390/ijerph18084153
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author Nassar, Dima
Tagger-Green, Nirit
Tal, Haim
Nemcovsky, Carlos
Mijiritsky, Eitan
Beitlitum, Ilan
Barnea, Eitan
Kolerman, Roni
author_facet Nassar, Dima
Tagger-Green, Nirit
Tal, Haim
Nemcovsky, Carlos
Mijiritsky, Eitan
Beitlitum, Ilan
Barnea, Eitan
Kolerman, Roni
author_sort Nassar, Dima
collection PubMed
description Background: In recent years, worldwide dental malpractice claims have dramatically increased. The purpose of the present study is to analyze periodontal therapy related claims in Israel that led to legal decisions. Methods: This retrospective cohort study includes malpractice claims against dental practitioners related to periodontology between 2005 and 2019. Only closed cases where a final decision was made were included. The chi-square test or Fisher exact test for categorical variables were performed and a p value of <0.05 was considered statistically significant. Results: During the study period there were 508 legal claims related to periodontal disease. Most plaintiffs were women (63.4%), and 71.3% of the patients were >35 years old. Most claims (82.8%) were settled out of court and ended in compromise. Claims concerning the treatment of periodontal disease by periodontists accounted only for 4.5% (23/508) of the cases while 95.5% (485/508) of the claims were for complications secondary to another treatment. Prosthodontic treatment was involved with the highest number 54.5%, followed by dental implants 17.7%, and endodontics 11.6%. The allegations were related to pain and distress (84.8%), aggravation of existent periodontal disease (83.3%), tooth loss (78.1%), and violation of autonomy (47%). Conclusions: The main cause for lawsuits was related to aggravation of periodontal disease during prosthetic or implant therapy and related to suspected faulty or inexistent preoperative diagnosis and planning. Practical implications: Periodontal consultation before dental treatment may reduce malpractice risks, adverse events, and un-necessary changes of treatment plans.
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spelling pubmed-80709632021-04-26 The Incidence and Nature of Claims against Dentists Related to Periodontal Treatment in Israel during the Years 2005–2019 Nassar, Dima Tagger-Green, Nirit Tal, Haim Nemcovsky, Carlos Mijiritsky, Eitan Beitlitum, Ilan Barnea, Eitan Kolerman, Roni Int J Environ Res Public Health Article Background: In recent years, worldwide dental malpractice claims have dramatically increased. The purpose of the present study is to analyze periodontal therapy related claims in Israel that led to legal decisions. Methods: This retrospective cohort study includes malpractice claims against dental practitioners related to periodontology between 2005 and 2019. Only closed cases where a final decision was made were included. The chi-square test or Fisher exact test for categorical variables were performed and a p value of <0.05 was considered statistically significant. Results: During the study period there were 508 legal claims related to periodontal disease. Most plaintiffs were women (63.4%), and 71.3% of the patients were >35 years old. Most claims (82.8%) were settled out of court and ended in compromise. Claims concerning the treatment of periodontal disease by periodontists accounted only for 4.5% (23/508) of the cases while 95.5% (485/508) of the claims were for complications secondary to another treatment. Prosthodontic treatment was involved with the highest number 54.5%, followed by dental implants 17.7%, and endodontics 11.6%. The allegations were related to pain and distress (84.8%), aggravation of existent periodontal disease (83.3%), tooth loss (78.1%), and violation of autonomy (47%). Conclusions: The main cause for lawsuits was related to aggravation of periodontal disease during prosthetic or implant therapy and related to suspected faulty or inexistent preoperative diagnosis and planning. Practical implications: Periodontal consultation before dental treatment may reduce malpractice risks, adverse events, and un-necessary changes of treatment plans. MDPI 2021-04-14 /pmc/articles/PMC8070963/ /pubmed/33919971 http://dx.doi.org/10.3390/ijerph18084153 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Nassar, Dima
Tagger-Green, Nirit
Tal, Haim
Nemcovsky, Carlos
Mijiritsky, Eitan
Beitlitum, Ilan
Barnea, Eitan
Kolerman, Roni
The Incidence and Nature of Claims against Dentists Related to Periodontal Treatment in Israel during the Years 2005–2019
title The Incidence and Nature of Claims against Dentists Related to Periodontal Treatment in Israel during the Years 2005–2019
title_full The Incidence and Nature of Claims against Dentists Related to Periodontal Treatment in Israel during the Years 2005–2019
title_fullStr The Incidence and Nature of Claims against Dentists Related to Periodontal Treatment in Israel during the Years 2005–2019
title_full_unstemmed The Incidence and Nature of Claims against Dentists Related to Periodontal Treatment in Israel during the Years 2005–2019
title_short The Incidence and Nature of Claims against Dentists Related to Periodontal Treatment in Israel during the Years 2005–2019
title_sort incidence and nature of claims against dentists related to periodontal treatment in israel during the years 2005–2019
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8070963/
https://www.ncbi.nlm.nih.gov/pubmed/33919971
http://dx.doi.org/10.3390/ijerph18084153
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