Givol Navot, Taicher Shlomo, Halamish-Shani Talia, Chaushu Gavriel
Department of Oral & Maxillofacial Surgery, The Chaim Sheba Medical Center, Tel Hashomer, Israel.
Int J Oral Maxillofac Implants. 2002 Mar-Apr;17(2):258-62.
To categorize and review complications related to implant dentistry that have resulted in legal actions.
The records of 61 patients (39 women and 22 men) were retrospectively evaluated according to a structured form. Ages ranged from 28 years to 78 years (mean 49 +/- 12 years). The time lag in months between actual damage and legal action ranged from 0 months to 60 months (mean 12.7 months).
Implant type, length, width, and locations varied widely and had no impact on the liability report. Half of the lawsuits were filed as a result of actual body damage (loss of sensation, oroantral fistula, life-threatening bleeding); 35% of the lawsuits were filed because of late complications; and 15% were related to immediate complications not leading to actual body damage. The dental consultants acknowledged liability in 41 of 61 cases. The clinician's errors that led to the reported complication were classified as preoperative in 39 of 41 cases. The doctor's attitude was considered positive in 40 cases and negative in 17 cases.
Clinicians should report as soon as possible to their insurance companies to get professional help. The main causes for lawsuits are actual body injury and major disappointment. Practitioners should dedicate a significant part of the entire treatment time to preoperative diagnosis and planning.
对导致法律诉讼的种植牙相关并发症进行分类和回顾。
根据结构化表格对61例患者（39名女性和22名男性）的记录进行回顾性评估。年龄范围为28岁至78岁（平均49±12岁）。实际损害与法律诉讼之间的时间间隔（以月为单位）为0个月至60个月（平均12.7个月）。
种植体类型、长度、宽度和位置差异很大，对责任报告没有影响。一半的诉讼是由于实际身体损害（感觉丧失、口腔上颌窦瘘、危及生命的出血）提起的；35%的诉讼是由于晚期并发症提起的；15%与未导致实际身体损害的即刻并发症有关。61例中有41例牙科顾问承认有责任。导致报告并发症的临床医生错误在41例中有39例被归类为术前错误。40例医生态度被认为是积极的，17例被认为是消极的。
临床医生应尽快向保险公司报告以获得专业帮助。诉讼的主要原因是实际身体伤害和重大失望。从业者应在整个治疗时间中拿出很大一部分用于术前诊断和规划。
