Forensic Dentistry Laboratory, Faculty of Medicine, University of Coimbra, Portugal.
Faculty of Medicine, University of Coimbra, Portugal.
Int Dent J. 2021 Oct;71(5):378-383. doi: 10.1016/j.identj.2020.12.014. Epub 2021 Feb 25.
Health professionals should work with the notion of risk involved in the health care process. Dental practice risk is of particular interest because it encompasses both aesthetic and functional components. Focusing on guidelines suggested by the World Health Organization and objectives on patient safety, this study has 2 objectives: to present Portuguese medicolegal data on corporal damage evaluation related to iatrogenic sequelae during dental practice and to present updated evidence on patient safety.
A retrospective study was performed by analysing data from the database of the Laboratory of Forensic Dentistry of the Faculty of Medicine, University of Coimbra, Portugal, from 2013 to 2018.
One hundred seven medicolegal files were selected according to the inclusion and exclusion criteria. Iatrogenic sequelae (73.8%, 79 out of 107) were categorised as risks (60 out of 79) and malpractice (19 out of 79). The risk was associated mostly with mandibular dysfunction and orthodontic treatment (62.2%). Malpractice was mostly associated with neurological deficit and implant rehabilitation (47.4%).
Greater attention to these data by professionals was emphasised, especially when considering patient safety and health care quality. This article presents the Portuguese data on professional liability in the field of dental practice, categorising iatrogenic sequelae into risks and malpractice, as well as the oral rehabilitation procedure and timeline.
健康专业人员应了解医疗保健过程中涉及的风险概念。牙科实践风险尤其值得关注，因为它包含美学和功能两个方面。本研究以世界卫生组织建议的指南和患者安全目标为重点，有两个目的：介绍与牙科实践中医源性后遗症相关的身体损伤评估的葡萄牙法医数据，并提供关于患者安全的最新证据。
通过分析葡萄牙科英布拉大学医学系法医牙科实验室数据库 2013 年至 2018 年的数据，进行了一项回顾性研究。
根据纳入和排除标准，选择了 107 份法医档案。医源性后遗症（73.8%，79/107）被归类为风险（60/79）和医疗事故（19/79）。风险主要与下颌功能障碍和正畸治疗有关（62.2%）。医疗事故主要与神经功能缺损和种植体修复有关（47.4%）。
强调专业人员更加关注这些数据，特别是在考虑患者安全和医疗保健质量时。本文介绍了葡萄牙在牙科实践领域的专业责任数据，将医源性后遗症分为风险和医疗事故，并介绍了口腔修复程序和时间线。
