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The Australian litigation landscape – oral and maxillofacial surgery and general dentistry (oral surgery procedures): an analysis of litigation cases
Author(s) -
BadenochJones EK,
White BP,
Lynham AJ
Publication year - 2016
Publication title -
australian dental journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.701
H-Index - 71
eISSN - 1834-7819
pISSN - 0045-0421
DOI - 10.1111/adj.12374
Subject(s) - medicine , referral , oral surgeon , oral and maxillofacial surgery , oral surgery , dentistry , medical negligence , thematic analysis , medical record , general surgery , surgery , family medicine , law , qualitative research , social science , sociology , political science
Background There are persistent concerns about litigation in the dental and medical professions. These concerns arise in a setting where general dentists are more frequently undertaking a wider range of oral surgery procedures, potentially increasing legal risk. Methods Judicial cases dealing with medical negligence in the fields of general dentistry (oral surgery procedure) and oral and maxillofacial surgery were located using the three main legal databases. Relevant cases were analysed to determine the procedures involved, the patients’ claims of injury, findings of negligence and damages awarded. A thematic analysis of the cases was undertaken to determine trends. Results Fifteen cases over a 20‐year period were located across almost all Australian jurisdictions (eight cases involved general dentists; seven cases involved oral and maxillofacial surgeons). Eleven of the 15 cases involved determinations of whether or not the practitioner had failed in their duty of care; negligence was found in six cases. Eleven of the 15 cases related to molar extractions (eight specifically to third molar). Conclusions Dental and medical practitioners wanting to manage legal risk should have regard to circumstances arising in judicial cases. Adequate warning of risks is critical, as is offering referral in appropriate cases. Preoperative radiographs, good medical records and processes to ensure appropriate follow‐up are also important.

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