Analysis of Professional Malpractice Claims in Implant Dentistry in Italy from Insurance Company Technical Reports, 2006 to 2010

Pinchi, Vilma; Varvara, Giuseppe; Pradella, Francesco; Focardi, Martina; Donati, Michele D; Norelli, Gian Aristide

doi:10.11607/jomi.3486

Cited by 32 publications

(50 citation statements)

References 17 publications

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“…Other authors suggest improving the mucosal seal around implants, being considered the true entrance door for the microorganisms [64,65]. In addition to this, some scientists believe that a revision of the indications and criteria of modern implantology is needed [66]. Most probably, a multilateral prevention and a structured therapeutic intervention could represent a promising approach.…”

Section: Discussionmentioning

confidence: 99%

Rhamnolipid Coating Reduces Microbial Biofilm Formation on Titanium Implants: an in-vitro Study

Tambone

Bonomi

Ghensi

et al. 2020

Preprint

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Background: Peri-implant mucositis and peri-implantitis are biofilm-related diseases causing major concern in oral implantology, requiring complex anti-infective procedures or implant removal. Microbial biosurfactants emerged as new of anti-biofilm agents for coating implantable devices preserving biocompatibility. This study aimed to assess the efficacy of rhamnolipid biosurfactant R89 (R89BS) to reduce Staphylococcus aureus and Staphylococcus epidermidis biofilm formation on titanium. Methods: R89BS was physically adsorbed on titanium discs (TDs) and the ability of coated TDs to inhibit biofilm formation was evaluated by quantifying biofilm biomass and cell metabolic activity, at different time-points, with respect to uncoated controls. A qualitative analysis of sessile cells was also performed by scanning electron microscopy. Results: R89BS-coated discs showed no cytotoxic effects on normal lung fibroblasts (MRC5). TDs coated with 4 mg/mL R89BS inhibited the biofilm biomass of S. aureus by 98%, 49% and 10% and of S. epidermidis by 53%, 29%, and 10% at 24, 48 and 72 h respectively. A significant reduction of the biofilm metabolic activity was also documented. The same coating applied on three commercial implant surfaces resulted in a biomass inhibition higher than 90% for S. aureus, and up to 75% for S. epidermidis at 24 h. Conclusions: R89BS-coating was effective in reducing Staphylococcus biofilm formation at the titanium implant surface. The anti-biofilm action can be obtained on several different commercially available implant surfaces, independently of their surface morphology.

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Section: Discussionmentioning

confidence: 99%

Rhamnolipid Coating Reduces Microbial Biofilm Formation on Titanium Implants: an in-vitro Study

Tambone

Bonomi

Ghensi

et al. 2020

Preprint

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“…Pinchi et al. stated that in Italy the lack of data on dental litigation occurs because there are no regional institutions, agencies, or disciplinary boards that collect data from civil courts. As in the U.S.A., insurance companies are also reluctant to provide these data to the general public.…”

Section: Discussionmentioning

confidence: 99%

“…Kiani et al (18) reported that in the U.S.A., and in many other countries, dental negligence statistics are available only to insurance companies that do not disclose them publicly, probably for market reasons. Pinchi et al (8) stated that in Italy the lack of data on dental litigation occurs because there are no regional institutions, agencies, or disciplinary boards that collect data from civil courts. As in the U.S.A., insurance companies are also reluctant to provide these data to the general public.…”

Section: Discussionmentioning

confidence: 99%

Analysis of Dental Case Reports in the Context of Court Decisions: Causal Nexus and Aspects of Fault

Loreto¹,

Barros

Rosa

et al. 2019

Journal of Forensic Sciences

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The purpose of expert reports is to support the judge in his decisions, by providing technical information. However, it remains uncertain as to what extent the content of these reports is used, and if they are effectively associated with judicial decisions. The aim of this study was to perform a qualitative analysis of case reports in relation to the judicial decisions rendered in association with these reports, by determining the connection between causal nexus and aspects of fault. The case reports included lawsuits against dentists, issued by the Medical Justice Department of the State Court of Appeals of Rio Grande do Sul, Brazil, between 2010 and 2013. Comparing the percentage of agreement between case report and judicial decision, causal nexus was 79.9% and fault was 86.7%. The high percentages of agreement found in relation to fault and causal nexus highlight the relevance of expert reports in weighing the judge's decision.

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“…The classification of preoperative and intraoperative complications was adapted based on Chee and Jivraj, 6 Chen and Buser, 7 Pi-Anfruns, 8 and Pinchi et al 9 (Table 1). Also, based on Byrne, 10 the following spatial considerations and safety guidelines were followed for the detection of implant malpractice cases:…”

Section: Selection Of the Content For Analysis And Statistical Analysismentioning

confidence: 99%

Dental Malpractice in Implant Dentistry in Saudi Arabia: Preoperative and Intraoperative Complications

Al-Safadi

et al. 2019

ijetst

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Aim: The aim of this study was to detect preoperative and intraoperative dental malpractice in the field of implant dentistry in the Kingdom of Saudi Arabia. Materials and Methods: 115 patients aged ≥ 18 years with at least one professional malpractice in implant dentistry done in dental health premises in Saudi Arabia were included in the study. Clinical and Radiographic examinations were used to detect preoperative complications (poor patient selection, diagnosis, inappropriate treatment planning) and intraoperative complications (damage to adjacent tooth, inferior alveolar nerve damage, sinus penetration, and implant positional failure due to poor surgical execution).The data obtained including age and gender were documented in a patient examination form then statistically analyzed using Chi-Square Test and Spearman’s Correlation Coefficient. Results: More than half of the patients were females (62.6%). The majority of the patients were in the age group 50-60 years (31.3%). Also, the majority of the patients had implants with malpractice placed in the posterior region. Exactly half of the patients had implants with malpractice placed in the maxilla. In addition, exactly half of the patients had technical errors violating the surrounding structures; (39.1%) of the patients had damage to adjacent tooth, (11.3%) had inferior alveolar nerve damage, and (4.3%) had sinus penetration. Conclusion: Patients were equally divided between implant positional failure due to preoperative inappropriate treatment planning and that due to intraoperative poor surgical execution. Solid theoretical knowledge and polished surgical skills are key success factors for accurate implant placement.

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Analysis of Professional Malpractice Claims in Implant Dentistry in Italy from Insurance Company Technical Reports, 2006 to 2010

Cited by 32 publications

References 17 publications

Rhamnolipid Coating Reduces Microbial Biofilm Formation on Titanium Implants: an in-vitro Study

Rhamnolipid Coating Reduces Microbial Biofilm Formation on Titanium Implants: an in-vitro Study

Analysis of Dental Case Reports in the Context of Court Decisions: Causal Nexus and Aspects of Fault

Dental Malpractice in Implant Dentistry in Saudi Arabia: Preoperative and Intraoperative Complications

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