Did malpractice claims for failed dental implants decrease after introduction of CBCT in Finland?

Autor: Magdalena Marinescu Gava, Irja Ventä, Anni Suomalainen, Tapio Vehmas
Přispěvatelé: Clinicum, Department of Diagnostics and Therapeutics, University of Helsinki, Department of Oral and Maxillofacial Diseases, Oral and Maxillofacial Surgery, HUS Medical Imaging Center, HUS Head and Neck Center
Rok vydání: 2018
Předmět:
Zdroj: Clinical Oral Investigations. 23:399-404
ISSN: 1436-3771
1432-6981
DOI: 10.1007/s00784-018-2448-4
Popis: ObjectivesTo examine the role of cone beam computed tomography (CBCT) in preventing failures in implant treatment. We hypothesize that the number of malpractice claims related to dental implant treatment would decrease after the first CBCT device came available in 2002 in Finland.Material and methodsData concerning malpractice claims related to dental implant treatment during the years 1997-2011 were collected from the Finnish Patient Insurance Centre (N=330 subjects). We selected the cases that might have benefitted from the use of CBCT examination. These cases (n=131) led to financial compensation due to permanent inferior alveolar nerve injury, improper implant position, or insufficient amount of bone for the implant. The annual total number of inserted dental implants, CBCT devices, and CBCT examinations in Finland were drawn from the national registers and used to estimate the impact of CBCT in preventing treatment failures.ResultsThe most common reason for all failures (n=268 implants) was an improper implant position (46.3%). The most common area of malpractices was upper front teeth (34%). We have noticed a fall in the rate of compensable malpractice cases concerning implant failure, simultaneously with CBCT technology emerging on the market.ConclusionsThere may be an association between the increasing availability of CBCT equipment and the reducing frequency of compensable malpractice claims.Clinical relevanceIt is possible that the use of CBCT may result in fewer compensable malpractice claims.
Databáze: OpenAIRE