La responsabilità professionale in odontoiatria: analisi di una casistica interdipartimentale=Professional responsibility in dentistry: analysis of an interdepartmental case study
Academic Article
Publication Date:
2015
Citation:
La responsabilità professionale in odontoiatria: analisi di una casistica interdipartimentale=Professional responsibility in dentistry: analysis of an interdepartmental case study / P.D. Lorenzo, M. Niola, C. Buccelli, D. Re, A. Cortese, G. Pantaleo, M. Amato. - In: DENTAL CADMOS. - ISSN 0011-8524. - 83:5(2015 May), pp. 324-340. [10.1016/S0011-8524(15)30038-6]
abstract:
Objectives
The increase in charges for professional malpractice in health care, as well as the diffusion of data concerning a different percentage distribution of dental sectors involved in legal disputes, led the authors to conduct a cognitive analysis of the phenomenon through the study of inter-departmental cases of proven dental malpractice in civil law.
Materials and methods
A poliparametric descriptive analysis was conducted on a sample of 436 cases of proven dental malpractice promoted by subjects aged between 14 and 70.
Results
In dentistry, most technical- deontological errors are to be found in the area of prosthetics and implant prosthetics, followed by endodontics and orthodontics. In the majority of cases the lack of health records describing the patient's previous status and the absence of an informed consent to dental treatment were ascertained. The damage involved more frequently dental structures, resulting in permanent damage to person ≤ 4% in more than twothirds of cases, with consequential loss mostly amounting to (97%) ≤ 30,000 euro and often to (62%) ≤ 15,000 euro. In most cases a culpable and unskillful conduct was recognized, followed by imprudence and negligence.
Conclusions
The authors propose to establish a set of behavioral guidelines with an aim to reducing possible charges for professional malpractice, or at least, to substantiating a correct technicaldeontological practice.
The increase in charges for professional malpractice in health care, as well as the diffusion of data concerning a different percentage distribution of dental sectors involved in legal disputes, led the authors to conduct a cognitive analysis of the phenomenon through the study of inter-departmental cases of proven dental malpractice in civil law.
Materials and methods
A poliparametric descriptive analysis was conducted on a sample of 436 cases of proven dental malpractice promoted by subjects aged between 14 and 70.
Results
In dentistry, most technical- deontological errors are to be found in the area of prosthetics and implant prosthetics, followed by endodontics and orthodontics. In the majority of cases the lack of health records describing the patient's previous status and the absence of an informed consent to dental treatment were ascertained. The damage involved more frequently dental structures, resulting in permanent damage to person ≤ 4% in more than twothirds of cases, with consequential loss mostly amounting to (97%) ≤ 30,000 euro and often to (62%) ≤ 15,000 euro. In most cases a culpable and unskillful conduct was recognized, followed by imprudence and negligence.
Conclusions
The authors propose to establish a set of behavioral guidelines with an aim to reducing possible charges for professional malpractice, or at least, to substantiating a correct technicaldeontological practice.
IRIS type:
01 - Articolo su periodico
Keywords:
Forensic dentistry; Informed consent; Legal disputes; Professional ethics; Professional liability
List of contributors:
P.D. Lorenzo, M. Niola, C. Buccelli, D. Re, A. Cortese, G. Pantaleo, M. Amato
Link to information sheet: