Analysis of Professional Malpractice Claims in Implant Dentistry in Italy from Insurance Company Technical Reports, 2006 to 2010
Analysis of Professional Malpractice Claims in Implant Dentistry in Italy from Insurance Company Technical Reports, 2006 to 2010
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DOI：
10.11607/jomi.3486
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发表时间：
2014-09-01
影响因子：
2
通讯作者：
Norelli, Gianaristide
中科院分区：
文献类型：
--
作者：
Pinchi, Vilma;Varvara, Giuseppe;Norelli, Gianaristide
目的：本研究的目的是根据医疗事故索赔的保险公司技术报告，分析意大利种植牙科索赔的特点。材料与方法：本研究纳入了2006年至2010年期间121例牙科种植专业医疗事故的技术报告。数据包括病人和牙医的性别和年龄，所声称的疏忽类型，以及因所指控的不当行为而判给的赔偿金。结果：在这项研究中审查的案件中，9.9%诉诸法院。73.6%的患者为女性。大多数技术错误发生在种植体插入过程中（82.6%）。在50.4%的病例中，技术错误涉及周围结构，例如下牙槽神经（32.2%）或舌神经（2.5%）损伤，上颌窦（9.1%）侵入或邻近牙齿的牙髓坏死（6.6%）。在54.5%的病例中，临床记录明显不完整。在9.9%的案件中，在访问之前已经提出了民事诉讼，并从保险专家那里获得了法医学建议。结论：审查的案件总数与上法庭的案件总数之间的差异表明，在意大利，植入不当索赔最常在庭外解决。大量的术中错误和周围结构损伤的高比例表明，种植牙医师将受益于进一步的专门培训。此外，在一半以上的案件中，对任何与专业不当行为有关的索赔进行辩护至关重要的临床文件不完整或不存在。
Purpose: The aim of the study was to analyze the characteristics of implant dentistry claims in Italy based on insurance company technical reports for malpractice claims. Materials and Methods: One hundred twenty-one technical reports of cases of professional malpractice in implant dentistry between 2006 and 2010 were included in the study. Data included the sex and age of the patient and dentist, the kind of negligence claimed, and the damages awarded as a consequence of the alleged misconduct. Results: Of the cases examined in this study, 9.9% went to court. The patients were female in 73.6% of the cases. Most of the technical errors were committed during implant insertion (82.6%). In 50.4% of cases, the technical error involved the surrounding structures, such as damage to the inferior alveolar nerve (32.2%) or the lingual nerve (2.5%), invasion of the maxillary sinus (9.1%), or pulpal dental necrosis in adjacent teeth (6.6%). Incomplete clinical documentation was apparent in 54.5% of cases. In 9.9% of cases, a civil suit had already been filed before a visit, and medicolegal advice from the insurance expert had been procured. Conclusion: The discrepancy between the total number of cases examined and those that went to court indicates that implant malpractice claims in Italy are most often settled out of court. The large number of intraoperative errors seen and the high proportion of injuries to surrounding structures suggest that implant dentists would benefit from further specific training. Also, clinical documentation vital to a defense against any claims relating to professional misconduct was incomplete or absent in more than half of the cases.