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The Incidence and Nature of Malpractice Claims against Dentists for Orthodontic Treatment with Periodontal Damage in Israel during the Years 2005–2018—A Descriptive Study

Amir Laviv, Eitan Barnea, Nirit Tagger Green, Rana Kadry, Dima Nassar, Meytal Laviv and Roni Kolerman
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Amir Laviv: Department of Oral and Maxillofacial Surgery, the Maurice and Gabriela Goldschleger School of Dental Medicine Tel-Aviv University, Tel-Aviv 6997801, Israel
Eitan Barnea: Prosthodontist, Private Practice, Tel-Aviv 6100000, Israel
Nirit Tagger Green: Department of Periodontology and Implant Dentistry, the Maurice and Gabriela Goldschleger School of Dental Medicine Tel-Aviv University, Tel-Aviv 6997801, Israel
Rana Kadry: Department of Orthodontics, the Maurice and Gabriela Goldschleger School of Dental Medicine Tel-Aviv University, Tel-Aviv 6997801, Israel
Dima Nassar: Private Practice, Tel-Aviv 6100000, Israel
Meytal Laviv: Department of Orthodontics, Hebrew University-Hadassah School of Dental Medicine, Jerusalem 12272, Israel
Roni Kolerman: Department of Periodontology and Implant Dentistry, the Maurice and Gabriela Goldschleger School of Dental Medicine Tel-Aviv University, Tel-Aviv 6997801, Israel

IJERPH, 2020, vol. 17, issue 23, 1-8

Abstract: In recent years, dental malpractice claims have increased dramatically worldwide. The purpose of the present study is to analyze claims related to orthodontic treatment involving periodontal problems that resulted in legal decisions in Israel. This study analyzed legal claims registered by Medical Consultants International (MCI) between 2005 and 2018. Only closed cases of orthodontic claims involving periodontal problems in which a decision was made were included. The parameters studied included patients’ demographic data, the main reasons of the claim, and complications. Statistical significance was found for aesthetic damage, which was more common in claims of females ( p = 0.035) and in older claims ( p = 0.004); tooth damage was more common in claims of older patients ( p = 0.032); violation of autonomy was higher in private practice ( p = 0.047) and in more recent claims ( p = 0.001). As orthodontic treatment is becoming more popular in older patients, and as lawsuit claims become more common in recent years, the orthodontists should always analyze and document the periodontal status of their patients before and during treatment in order to maintain professional practice and avoid future claims.

Keywords: injury; orthodontic treatment; periodontal treatment; malpractice; lawsuit (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
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