Lessons from Medical litigation in oral surgery practice

I have previously touched on, such as in the post How to Improve Your Chances to Win a Dental Malpractice Lawsuit, some of the issues surrounding medical litigation from a dental and oral surgery standpoint. In the article “Medical litigation in oral surgery practice: Lessons learned from 20 lawsuits,” by Hesham F. Marei, currently in Press at the time I have reviewed this, Journal of Forensic and Legal Medicine, 2012, an investigation into lawsuits occurring in an oral surgery setting over three years (2009-2012) in Saudi Arabia is explored. Over 100 lawsuits were looked at with 20 fitting in the inclusion criteria. Marei states: “The most common cause for litigation was oro-antral communication, followed by neurological deficit associated with the surgical removal of wisdom teeth and placement of dental implants. Bleeding after extraction was the third most common cause for … Read more

Taking Advantage of a Discount Dental Plan For Wisdom Teeth Extraction: Aetna Dental Access

Wisdom teeth removal can be expensive for many patients. On top of this many people do not have dental insurance, with many people also not having health insurance. Even if you have both dental insurance and medical (health) insurance many of the costs associated with surgery to remove wisdom teeth will not be covered and you will be responsible for the bill. X-rays and anesthesia can also add to the cost of the surgery. The actual costs of wisdom teeth extraction surgery vary and depend on numerous different factors. I have previously discussed this over at http://www.teethremoval.com/wisdom_teeth_extraction_cost.html. In this post I talk about how an impacted wisdom tooth can cost between $100 to $878 to be removed. Some of this cost depends on the location you live in and the skills and experience of the surgeon. In addition, the cost … Read more

Oklahoma Dentist Disciplinary Database

A lot of media publicity has occurred regarding a case that appeared last month where patients of an oral surgeon in Oklahoma were asked to get tested for HIV and hepatitis after it was found that potentially lax sterilization procedures were used. More on this case is discussed over at Dental Patients Warned of Possible HIV and Hepatitis Exposure Due to Oral Surgeon’s Practices for example. The Tulsa World has been prompted to publish a searchable database of all disciplinary actions taken against dentists, in the state of Oklahoma from January 2000, to January 2013, after the case involving lax sterilization procedures came to light. In that case one patient had four third molars (wisdom teeth) removed and was allegedly given sedation by a dental assistant who should not have been giving sedation. She later developed an infection and liver … Read more

Looking at the Concept of Prevention in Dentistry

An interesting article written by Jay W. Friedman, DDS, MPH, appears in J Evid Base Dent Pract, vol. 12, pp. 53 – 54, 2012. In the article a discussion of three different types of prevention is made. primary prevention secondary prevention tertiary prevention Primary prevention is described as the well known prevention in which one attempts to not have any dental caries, not have any periodontal disease, and not have any loss of teeth. This form of prevention is when one regularly brushes their teeth, flosses, has a dental cleaning, and radiographs performed. The author discusses how typically dentists recommend 6 month intervals between examinations and cleanings. He then says “Patients who form minimal calculus and have no periodontal disease likewise do not need semiannual prophylaxis, or additional service…Lacking evidence of need, this is not prevention but rather FUN (functionally … Read more

Systematic Review of Prophylactic Extraction of Third Molars: From Brazil

Many reviews have been conducted in recent years to determine if healthy third molars (known as wisdom teeth) should be prophylacticly extracted as in removed before causing problems. A new study by Moacir Guilherme da Costa and four other researchers titled “Is there justification for prophylactic extraction of third molars? A systematic review,” appears in Braz Oral Res., (São Paulo) 2013 Mar-Apr;27(2):183-8. The article discusses how in the United States roughly 10 million wisdom teeth are extracted from around 5 million individuals each year. The article discuss how several reasons are usually given for extracting wisdom teeth pericoronitis periodontal defects in the distal region of the second molar caries in the third or second molars different types of odontogenic cysts and tumors crowding of the lower incisors indications for orthodontic, prosthetic or restorative purposes The authors state how the majority … Read more