The Maurice and Gabriela Goldschleger School of Dental Medicine, Tel-Aviv University, Tel-Aviv 6997801, Israel.
General Practitioner, Private Clinic, Tel-Aviv 6100000, Israel.
Int J Environ Res Public Health. 2021 Apr 14;18(8):4153. doi: 10.3390/ijerph18084153.
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.
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 value of <0.05 was considered statistically significant.
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%).
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.
Periodontal consultation before dental treatment may reduce malpractice risks, adverse events, and un-necessary changes of treatment plans.
近年来，全球牙科医疗事故索赔大幅增加。本研究的目的是分析导致法律判决的以色列牙周病治疗相关索赔。
这是一项回顾性队列研究，包括 2005 年至 2019 年期间与牙周病相关的针对牙科医生的医疗事故索赔。仅纳入有最终判决的已结案病例。对分类变量使用卡方检验或 Fisher 精确检验， 检验水准为 0.05。
在研究期间，有 508 起与牙周病相关的法律索赔。大多数原告为女性（63.4%），71.3%的患者年龄>35 岁。大多数索赔（82.8%）通过庭外和解解决并达成妥协。牙周病治疗相关的索赔仅占索赔总数的 4.5%（23/508），而 95.5%（485/508）的索赔是由于其他治疗的并发症引起的。涉及最多的治疗是修复治疗（54.5%），其次是种植治疗（17.7%）和牙髓治疗（11.6%）。指控与疼痛和不适（84.8%）、牙周病恶化（83.3%）、牙齿丧失（78.1%）和侵犯自主权（47%）有关。
诉讼的主要原因与修复或种植治疗期间牙周病恶化以及疑似错误或不存在术前诊断和计划有关。
在牙科治疗前进行牙周咨询可能会降低医疗事故风险、不良事件和不必要的治疗计划变更。
