Medicolegal aspects of altered sensation following implant placement in the mandible.
Int J Oral Maxillofac Implants
; 17(3): 413-5, 2002.
Article
em En
| MEDLINE
| ID: mdl-12074458
ABSTRACT
PURPOSE:
Altered mandibular sensation following implant surgery may result in liability claims. Therefore the authors conducted a retrospective analysis of all liability claims related to persistent altered sensation following placement of mandibular implants reported to the Medical Consultants International (MCI) Company from 1992 to 1999. MATERIALS ANDMETHODS:
Reports related to persistent altered mandibular sensation in 16 patients (12 women and 4 men) who underwent implant surgery in Israel were examined. The MCI files were retrospectively evaluated according to a structured form. The parameters studied included patient age and gender, implant location and length, imaging modality, and the time between actual damage and filing of a claim (ie, letter of demand or lawsuit).RESULTS:
The time in months between actual damage and filing of claim ranged from 0 to 60 months (mean 21.5 months). No cases were found involving transient changes in sensation. The female/male ratio was 31. Implant length was equal to or longer than 13 mm in 6 of 7 implants placed in the molar region. In the premolar area, nerve injury was evident in 6 of 7 cases where implants shorter than 12 mm were used.CONCLUSIONS:
Transient nerve injury rarely results in legal action. Maximum effort should be devoted to accurately determining the appropriate implant length in the mandible.
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Base de dados:
MEDLINE
Assunto principal:
Implantes Dentários
/
Transtornos de Sensação
/
Imperícia
/
Mandíbula
Idioma:
En
Ano de publicação:
2002
Tipo de documento:
Article