Medicolegal issues of peri‐anaesthetic dental injuries: A 21‐years review of liability lawsuits in France
Background/Aim Peri‐anaesthetic dental injuries (PDI) represent a major source of potential malpractice claims against anesthesiologists. Studies about the medico‐legal aspects of PDI have mainly focused on liability insurance cases thus not encompassing those cases brought to court. The aim of this...
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| Veröffentlicht in: | Dental traumatology 2022-10, Vol.38 (5), p.391-396 |
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| creator | Diakonoff, Hadrien Rocquigny, Gaël Tourtier, Jean‐Pierre Guigon, Aurore |
| description | Background/Aim
Peri‐anaesthetic dental injuries (PDI) represent a major source of potential malpractice claims against anesthesiologists. Studies about the medico‐legal aspects of PDI have mainly focused on liability insurance cases thus not encompassing those cases brought to court. The aim of this study was to assess the medico‐legal issues of PDI‐related liability lawsuits in France.
Material and Methods
A review of judicial decisions pertaining to PDI was conducted on a French legal database, spanning the period between January 2000 and October 2021. Characteristics of decisions, patients and anesthesiologists, peri‐operative care, dental injuries, and convictions were collected when available for analysis.
Results
Twenty‐four judicial decisions fulfilled the inclusion criteria and were analyzed. All cases of dental injuries took place during elective surgery, 16 in the private sector and 8 in the public sector. Most injuries concerned two or more teeth and the most predominant dental injuries were luxation or avulsion (70.8% of cases). Eight cases resulted in a final verdict in favor of the plaintiff, four in the private sector (conviction rate: 25%), and four in the public sector (conviction rate: 50%). The causes of conviction were either a lack of information (5/8), a breach in the standard of care or technical negligence (3/8). The average amount of indemnification for the plaintiff was 3614 Euros (3753 Euros in 2022 inflation‐adjusted Euros) excluding legal fees.
Conclusions
The analysis of PDI‐related liability lawsuits shows that medico‐legal issues differ from those of PDI‐related insurance claims. Avulsion and luxation of multiple anterior teeth during elective surgery appear to be a risk factor for liability lawsuits. In addition, inadequacy of patient information about PDI‐risk seems to be a risk factor for conviction. Lastly, dental injuries are less at risk of civil conviction than other anesthesia‐related damages. |
| doi_str_mv | 10.1111/edt.12770 |
| format | Article |
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Peri‐anaesthetic dental injuries (PDI) represent a major source of potential malpractice claims against anesthesiologists. Studies about the medico‐legal aspects of PDI have mainly focused on liability insurance cases thus not encompassing those cases brought to court. The aim of this study was to assess the medico‐legal issues of PDI‐related liability lawsuits in France.
Material and Methods
A review of judicial decisions pertaining to PDI was conducted on a French legal database, spanning the period between January 2000 and October 2021. Characteristics of decisions, patients and anesthesiologists, peri‐operative care, dental injuries, and convictions were collected when available for analysis.
Results
Twenty‐four judicial decisions fulfilled the inclusion criteria and were analyzed. All cases of dental injuries took place during elective surgery, 16 in the private sector and 8 in the public sector. Most injuries concerned two or more teeth and the most predominant dental injuries were luxation or avulsion (70.8% of cases). Eight cases resulted in a final verdict in favor of the plaintiff, four in the private sector (conviction rate: 25%), and four in the public sector (conviction rate: 50%). The causes of conviction were either a lack of information (5/8), a breach in the standard of care or technical negligence (3/8). The average amount of indemnification for the plaintiff was 3614 Euros (3753 Euros in 2022 inflation‐adjusted Euros) excluding legal fees.
Conclusions
The analysis of PDI‐related liability lawsuits shows that medico‐legal issues differ from those of PDI‐related insurance claims. Avulsion and luxation of multiple anterior teeth during elective surgery appear to be a risk factor for liability lawsuits. In addition, inadequacy of patient information about PDI‐risk seems to be a risk factor for conviction. Lastly, dental injuries are less at risk of civil conviction than other anesthesia‐related damages.</description><identifier>ISSN: 1600-4469</identifier><identifier>EISSN: 1600-9657</identifier><identifier>DOI: 10.1111/edt.12770</identifier><identifier>PMID: 35639817</identifier><language>eng</language><publisher>Denmark: Wiley Subscription Services, Inc</publisher><subject>anaesthetic risk ; Anesthesia ; dental injury ; Elective surgery ; endotracheal intubation ; Fractures ; Iatrogenesis ; Injuries ; Legal medicine ; Liability insurance ; liability lawsuit ; Medical malpractice ; Medical personnel ; mouthguards ; Patients ; Public sector ; Risk factors ; Surgery ; Teeth</subject><ispartof>Dental traumatology, 2022-10, Vol.38 (5), p.391-396</ispartof><rights>2022 The Authors. published by John Wiley & Sons Ltd.</rights><rights>2022 The Authors. Dental Traumatology published by John Wiley & Sons Ltd.</rights><rights>2022. This article is published under http://creativecommons.org/licenses/by-nc/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3880-548b5fc67efa03f551fce34cbd21f6b377118bd84758b9d2c5bf954322c273c63</citedby><cites>FETCH-LOGICAL-c3880-548b5fc67efa03f551fce34cbd21f6b377118bd84758b9d2c5bf954322c273c63</cites><orcidid>0000-0003-1089-3386</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fedt.12770$$EPDF$$P50$$Gwiley$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fedt.12770$$EHTML$$P50$$Gwiley$$Hfree_for_read</linktohtml><link.rule.ids>314,780,784,1416,27923,27924,45573,45574</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35639817$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Diakonoff, Hadrien</creatorcontrib><creatorcontrib>Rocquigny, Gaël</creatorcontrib><creatorcontrib>Tourtier, Jean‐Pierre</creatorcontrib><creatorcontrib>Guigon, Aurore</creatorcontrib><title>Medicolegal issues of peri‐anaesthetic dental injuries: A 21‐years review of liability lawsuits in France</title><title>Dental traumatology</title><addtitle>Dent Traumatol</addtitle><description>Background/Aim
Peri‐anaesthetic dental injuries (PDI) represent a major source of potential malpractice claims against anesthesiologists. Studies about the medico‐legal aspects of PDI have mainly focused on liability insurance cases thus not encompassing those cases brought to court. The aim of this study was to assess the medico‐legal issues of PDI‐related liability lawsuits in France.
Material and Methods
A review of judicial decisions pertaining to PDI was conducted on a French legal database, spanning the period between January 2000 and October 2021. Characteristics of decisions, patients and anesthesiologists, peri‐operative care, dental injuries, and convictions were collected when available for analysis.
Results
Twenty‐four judicial decisions fulfilled the inclusion criteria and were analyzed. All cases of dental injuries took place during elective surgery, 16 in the private sector and 8 in the public sector. Most injuries concerned two or more teeth and the most predominant dental injuries were luxation or avulsion (70.8% of cases). Eight cases resulted in a final verdict in favor of the plaintiff, four in the private sector (conviction rate: 25%), and four in the public sector (conviction rate: 50%). The causes of conviction were either a lack of information (5/8), a breach in the standard of care or technical negligence (3/8). The average amount of indemnification for the plaintiff was 3614 Euros (3753 Euros in 2022 inflation‐adjusted Euros) excluding legal fees.
Conclusions
The analysis of PDI‐related liability lawsuits shows that medico‐legal issues differ from those of PDI‐related insurance claims. Avulsion and luxation of multiple anterior teeth during elective surgery appear to be a risk factor for liability lawsuits. In addition, inadequacy of patient information about PDI‐risk seems to be a risk factor for conviction. Lastly, dental injuries are less at risk of civil conviction than other anesthesia‐related damages.</description><subject>anaesthetic risk</subject><subject>Anesthesia</subject><subject>dental injury</subject><subject>Elective surgery</subject><subject>endotracheal intubation</subject><subject>Fractures</subject><subject>Iatrogenesis</subject><subject>Injuries</subject><subject>Legal medicine</subject><subject>Liability insurance</subject><subject>liability lawsuit</subject><subject>Medical malpractice</subject><subject>Medical personnel</subject><subject>mouthguards</subject><subject>Patients</subject><subject>Public sector</subject><subject>Risk factors</subject><subject>Surgery</subject><subject>Teeth</subject><issn>1600-4469</issn><issn>1600-9657</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>WIN</sourceid><recordid>eNp10T1OBCEYBmBiNP4XXsBMYqPFKj8DzNgZ_xONjdaEYT6UDTuzwoyb7TyCR_AsHsWTyLqrhYk0UDzfG-BFaIfgQ5LWEdTdIaFS4iW0TgTGg1Jwubw457ko19BGjEOMiZAlXkVrjAtWFkSuo-YWamdaD4_aZy7GHmLW2mwMwX2-vulGQ-yeoHMmq6HpZqYZ9sFBPM5OPt4pSWgKOsQswIuDyWzWO10577pp5vUk9q6LaSi7CLoxsIVWrPYRthf7Jnq4OL8_vRrc3F1en57cDAwrCjzgeVFxa4QEqzGznBNrgOWmqimxomJSElJUdZFLXlRlTQ2vbMlzRqmhkhnBNtH-PHcc2uf0pk6NXDTgvW6g7aOiQlJGhchndO8PHbZ9aNLtFJWEESpyxpI6mCsT2hgDWDUObqTDVBGsZiWoVIL6LiHZ3UViX42g_pU_v57A0RxMnIfp_0nq_Ox-HvkFgnOTMw</recordid><startdate>202210</startdate><enddate>202210</enddate><creator>Diakonoff, Hadrien</creator><creator>Rocquigny, Gaël</creator><creator>Tourtier, Jean‐Pierre</creator><creator>Guigon, Aurore</creator><general>Wiley Subscription Services, Inc</general><scope>24P</scope><scope>WIN</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-1089-3386</orcidid></search><sort><creationdate>202210</creationdate><title>Medicolegal issues of peri‐anaesthetic dental injuries: A 21‐years review of liability lawsuits in France</title><author>Diakonoff, Hadrien ; Rocquigny, Gaël ; Tourtier, Jean‐Pierre ; Guigon, Aurore</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3880-548b5fc67efa03f551fce34cbd21f6b377118bd84758b9d2c5bf954322c273c63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>anaesthetic risk</topic><topic>Anesthesia</topic><topic>dental injury</topic><topic>Elective surgery</topic><topic>endotracheal intubation</topic><topic>Fractures</topic><topic>Iatrogenesis</topic><topic>Injuries</topic><topic>Legal medicine</topic><topic>Liability insurance</topic><topic>liability lawsuit</topic><topic>Medical malpractice</topic><topic>Medical personnel</topic><topic>mouthguards</topic><topic>Patients</topic><topic>Public sector</topic><topic>Risk factors</topic><topic>Surgery</topic><topic>Teeth</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Diakonoff, Hadrien</creatorcontrib><creatorcontrib>Rocquigny, Gaël</creatorcontrib><creatorcontrib>Tourtier, Jean‐Pierre</creatorcontrib><creatorcontrib>Guigon, Aurore</creatorcontrib><collection>Wiley-Blackwell Open Access Titles</collection><collection>Wiley Free Content</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Dental traumatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Diakonoff, Hadrien</au><au>Rocquigny, Gaël</au><au>Tourtier, Jean‐Pierre</au><au>Guigon, Aurore</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Medicolegal issues of peri‐anaesthetic dental injuries: A 21‐years review of liability lawsuits in France</atitle><jtitle>Dental traumatology</jtitle><addtitle>Dent Traumatol</addtitle><date>2022-10</date><risdate>2022</risdate><volume>38</volume><issue>5</issue><spage>391</spage><epage>396</epage><pages>391-396</pages><issn>1600-4469</issn><eissn>1600-9657</eissn><abstract>Background/Aim
Peri‐anaesthetic dental injuries (PDI) represent a major source of potential malpractice claims against anesthesiologists. Studies about the medico‐legal aspects of PDI have mainly focused on liability insurance cases thus not encompassing those cases brought to court. The aim of this study was to assess the medico‐legal issues of PDI‐related liability lawsuits in France.
Material and Methods
A review of judicial decisions pertaining to PDI was conducted on a French legal database, spanning the period between January 2000 and October 2021. Characteristics of decisions, patients and anesthesiologists, peri‐operative care, dental injuries, and convictions were collected when available for analysis.
Results
Twenty‐four judicial decisions fulfilled the inclusion criteria and were analyzed. All cases of dental injuries took place during elective surgery, 16 in the private sector and 8 in the public sector. Most injuries concerned two or more teeth and the most predominant dental injuries were luxation or avulsion (70.8% of cases). Eight cases resulted in a final verdict in favor of the plaintiff, four in the private sector (conviction rate: 25%), and four in the public sector (conviction rate: 50%). The causes of conviction were either a lack of information (5/8), a breach in the standard of care or technical negligence (3/8). The average amount of indemnification for the plaintiff was 3614 Euros (3753 Euros in 2022 inflation‐adjusted Euros) excluding legal fees.
Conclusions
The analysis of PDI‐related liability lawsuits shows that medico‐legal issues differ from those of PDI‐related insurance claims. Avulsion and luxation of multiple anterior teeth during elective surgery appear to be a risk factor for liability lawsuits. In addition, inadequacy of patient information about PDI‐risk seems to be a risk factor for conviction. Lastly, dental injuries are less at risk of civil conviction than other anesthesia‐related damages.</abstract><cop>Denmark</cop><pub>Wiley Subscription Services, Inc</pub><pmid>35639817</pmid><doi>10.1111/edt.12770</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0003-1089-3386</orcidid><oa>free_for_read</oa></addata></record> |
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| source | Wiley Online Library All Journals |
| subjects | anaesthetic risk Anesthesia dental injury Elective surgery endotracheal intubation Fractures Iatrogenesis Injuries Legal medicine Liability insurance liability lawsuit Medical malpractice Medical personnel mouthguards Patients Public sector Risk factors Surgery Teeth |
| title | Medicolegal issues of peri‐anaesthetic dental injuries: A 21‐years review of liability lawsuits in France |
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