Re: How Many Dentists Here Have Been Sued For Malpractise?
- From: "Bill" <dentaldoc@xxxxxxxxxxx>
- Date: 17 Apr 2005 12:18:21 -0700
Bill had written:
| That reminds me of a local case that was in the legal system for
| several years. The lady had a missing condyle. There was NO way to
get
| a consistent, reproducible CR.
|
| - dentaldoc
Roy wrote:
>How did they treat the case? What were the clinical and legal
outcomes?
The case was treated with implants because the patient refused to
consider any sort of removable prosthetics whatsoever (THAT should have
been something of a warning sign). She went from doctor to doctor until
she found a few willing to follow her own treatment plan (you can see
where this is going). Even then, she shifted from one dentist to
another.
Remarkably, the occlusion was workable, as it was built into a position
that was comfortable for her once she settled into it. However, she
kept requesting alterations for esthetics and thus wore out repeated
sets of temporaries, which constantly changed the occlusion.
All these revisions kept the dentists in cash flow, but the patient
could never be satisfied with the esthetics of ANY treatment. My take
on the situation was that she thought the treatment would make her look
20 years old again -- as you see in those smiling dental ads -- but
after each revision, she still looked like a 70-year-old woman (with
white teeth).
Ironically, the legal case hinged on the fact that one of the surgeons
had placed a mandibular implant that partially impinged upon the
inferior alveolar nerve bundle. So she was offered a full settlement
for those implants, and the restorations built thereon, but not on
other treatment unrelated to those actual problems.
She was upset with the partial victory, so she rejected it. She should
have taken it when it was offered. Both dentists who would have paid
for the problems were now off the hook.
The last I heard, she was back to replacing implant restorations again
and again . . .
>I was considering putting a second row of posteriors on one side of
the upper,
>allowing for the shift while keeping the lowers where they belonged. I
wanted a
>confirmed diagnosis before remaking the case. The patient was
satisfied with
>what I had done.
>Roy
A satisfied patient is the key to the case!!
- dentaldoc
.
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