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

Marinescu-Gava, Magdalena; Suomalainen, Anni; Vehmas, Tapio; Ventä, Irja

doi:10.1007/s00784-018-2448-4

Cited by 8 publications

(5 citation statements)

References 18 publications

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“…The incidence of dental implant‐related nerve injury out of the total dental implants claims in our study is lower than in some other studies 3,14,15 . The studies reported altered sensation in the mandible following implant placement to be 37%, 29.8%, and 26%, respectively.…”

Section: Discussioncontrasting

confidence: 69%

“…At that time point, 76% of the neurosensory deficiencies occurred when the surgeries were planned and performed based on panoramic or periapical radiographs only (without CT scans), whereas neurosensory damage occurred less frequent when surgeries were planned based on CT 16 . A recent study from Finland concluded a fall in the rate of compensable malpractice cases concerning implant failure simultaneously with the use of CBCT radiographs 15 . In a later study, Givol and colleagues reported that long‐term neurosensory changes occurred in 13% of patients 16 .…”

Section: Discussionmentioning

confidence: 99%

“…The incidence of dental implant‐related nerve injury out of the total dental implants claims in our study is lower than in some other studies. 3 , 14 , 15 The studies reported altered sensation in the mandible following implant placement to be 37%, 29.8%, and 26%, respectively. However, the latter study 3 published in 2002 reported the use of cone beam computerized tomography (CBCT) only in three out of 61(5%) reported cases.…”

Section: Discussionmentioning

confidence: 99%

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The nature of malpractice claims related to nerve damage after dental implants insertion in Israel during 2005–2020: A descriptive study

Laviv

Kolerman

Barnea³

et al. 2022

Clin Implant Dent Rel Res

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Introduction Dental implant placement is a routine practice in dentistry, with a possible uncommon risk of neurosensory injury. The present study analyzed all dental implant claims involving sensory nerve disturbances between 2005 and 2020 in Israel. The study was conducted to understand implant risk management better and improve the patient's safety. Materials and methods All legal claims registered by Medical Consultant International (MCI) involving nerve damage claims between 2005 and 2020 were included in the study. The data included demographic details such as age, sex, event date, claim delivery date, and treatment settings. Information on the nerve damage included the damaged nerve, side of injury, and the number of implants performed in the same surgery. Results There were 218 claims regarding nerve damage out of 1154 claims for dental implant therapy. The mean age for nerve damage claims was 54.1 ± 11 years. There were more female than male claims (p = 0.02), with 87% of cases concerning damage to the inferior alveolar nerve (p < 0.0001), out of those molar areas being more frequently involved in nerve damage (64.3%, p < 0.0001). The left side was 1.4 times more frequent than the right side (p = 0.043). The risk for nerve injury was 7.4 times higher when placing multiple implants compared to single dental implant (p < 0.0001). Conclusions Clinicians should be aware that placement of multiple implants, left‐side implant placement, and patient gender may increase risk for a malpractice claim for neurosensory disturbances.

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Section: Discussioncontrasting

confidence: 69%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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The nature of malpractice claims related to nerve damage after dental implants insertion in Israel during 2005–2020: A descriptive study

Laviv

Kolerman

Barnea³

et al. 2022

Clin Implant Dent Rel Res

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“…El estudio de las demandas realizadas por malpraxis en odontología tiene como principal finalidad el establecer sus causas más frecuentes durante el tra-la más riesgosa y proclive a demandas (88,56 %). Esto puede verse influenciado por factores como son la falta de experiencia del operador o el carácter invasivo que caracteriza a dicha etapa, lo que ya ha sido sugerido en la literatura (Marinescu Gava et al, 2018;Perea-Pérez et al, 2011;Pinchi et al, 2014). Los errores asociados a esta fase refieren al compromiso de estructuras circundantes (mayormente lesiones en nervios alveolar inferior y lingual) o errores en la posición o angulación del implante, todos ya descritos como eventos adversos quirúrgicos habituales (Camargo & Van Sickels, 2015;Misch & Wang;Resnik).…”

Section: Discussionunclassified

Demandas por Malpraxis en Distintas Etapas del Tratamiento en Implantología Oral: Una Revisión

Arroyo-Navarrete

Fonseca

2021

Int. J. Odontostomat.

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RESUMEN:Las demandas por malpraxis en odontología se han incrementado en los últimos años, siendo la implantología una de las especialidades más litigadas. Estas demandas en su mayoría se han caracterizado por tener un carácter multifactorial, con errores reportados en cualquiera de sus fases diagnósticas, terapéuticas o de mantenimiento. El propósito de esta revisión fue establecer la etapa del tratamiento implantológico en la que más se realizaron demandas por malpraxis, estableciendo una categorización de los errores detectados y de los daños asociados a cada una de las fases que incluye el tratamiento de rehabilitación mediante implantes dentales. Se realizó una revisión con búsqueda sistemática de los últimos 10 años en las bases Pubmed, Scopus, Web of Science, SciELO, complementada con una búsqueda manual en revistas especializadas y en Google Scholar de artículos a partir de términos clave en idiomas español inglés y portugués. Se identificaron solo 3 artículos que cumplieron los criterios de selección, lo que afirma el concepto de escasa atención hacia esta eventualidad. Las demandas identificadas en esos reportes fueron analizadas sobre cuatro tipos de riesgo en implantología según la etapa del tratamiento en la que aparecen. La etapa quirúrgica fue identificada como la de mayor potencial de riesgo de originar eventos adversos y demandas asociadas. Se sugiere profundizar en los aspectos medicolegales propios y genéricos de la especialidad, como así también en el desarrollo de estrategias que prevengan sus eventos adversos y la judicialización asociada.

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“…A radical turnaround in clinical procedures and in the way of technical preparation of implantation using CAD/CAM methods is worked. They include the authors' own methods [3,[206][207][208]210,212,223,244,245] regarding data acquisition by means of cone-beam computed tomography (CBCT) in planning and performing implant prosthetic treatment and also in endodontics and orthodontics [408][409][410][411][412][413][414][415][416][417][418][419][420][421][422][423][424][425][426][427].…”

Section: General Characteristics Of the Dentistry 40 Stage Of Designmentioning

confidence: 99%

Dentistry 4.0 Concept in the Design and Manufacturing of Prosthetic Dental Restorations

Dobrzański¹,

Dobrzański²

2020

Processes

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The paper is a comprehensive but compact review of the literature on the state of illnesses of the human stomatognathic system, related consequences in the form of dental deficiencies, and the resulting need for prosthetic treatment. Types of prosthetic restorations, including implants, as well as new classes of implantable devices called implant-scaffolds with a porous part integrated with a solid core, as well as biological engineering materials with the use of living cells, have been characterized. A review of works on current trends in the technical development of dental prosthetics aiding, called Dentistry 4.0, analogous to the concept of the highest stage of Industry 4.0 of the industrial revolution, has been presented. Authors’ own augmented holistic model of Industry 4.0 has been developed and presented. The studies on the significance of cone-beam computed tomography (CBCT) in planning prosthetic treatment, as well as in the design and manufacture of prosthetic restorations, have been described. The presented and fully digital approach is a radical turnaround in both clinical procedures and the technologies of implant preparation using computer-aided design and manufacturing methods (CAD/CAM) and additive manufacturing (AM) technologies, including selective laser sintering (SLS). The authors’ research illustrates the practical application of the Dentistry 4.0 approach for several types of prosthetic restorations. The development process of the modern approach is being observed all over the world. The use of the principles of the augmented holistic model of Industry 4.0 in advanced dental engineering indicates a change in the traditional relationship between a dentist and a dental engineer. The overall conclusion demonstrates that it is inevitable and extremely beneficial to implement the idea of Dentistry 4.0 following the assumptions of the authors’ own, holistic Industry 4.0 model.

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

Abstract: It is possible that the use of CBCT may result in fewer compensable malpractice claims.

Cited by 8 publications

References 18 publications

The nature of malpractice claims related to nerve damage after dental implants insertion in Israel during 2005–2020: A descriptive study

The nature of malpractice claims related to nerve damage after dental implants insertion in Israel during 2005–2020: A descriptive study

Demandas por Malpraxis en Distintas Etapas del Tratamiento en Implantología Oral: Una Revisión

Dentistry 4.0 Concept in the Design and Manufacturing of Prosthetic Dental Restorations

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