Assessment of personal injuries in dentistry and discussion of DPVAT insurance ­ case report

ABSTRACT

Dentists are due to evaluate, in cases of traffic accidents, the sequelae left based on Personal Injury Caused by Motor Vehicle Terrestrial Insurance ­ DPVAT. This case report discusses the DPVAT table invalidity provided by law 6,194/74 and the lack of prediction of, total or partial, personal injuries related to phonetic, masticatory and aesthetic function due to dental losses and bone fractures. A 30-year-old victim of a traffic accident, suffered several bone injuries in face, skull and dental elements, claiming for total insurance payment. It was verified a scar in the right frontal region and in the left malar region. He lost centrals and laterals incisors and canine on the right in maxilla, important mandible deviation in step in canine region on the left, root rot of the first lower molars, septum deviation due to face fractures, but he does not mention pain. In the evaluation of the percentage, according to DPVAT table, it took into account the losses of anterior teeth and mandible fracture, which caused a functional, aesthetic and phonetic sequel. Severe dental losses and fracture sequelae justify a partial payment of insurance, but DPVAT table does not consider the loss of phonetic, aesthetic and masticatory functions that should be better discussed to be included in the table.