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2017 Apr-Jun; Vol 8, No 2:e5 |
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Is The Late Mandibular Fracture From Third Molar Extraction a Risk Towards Malpractice? Case Report with the Analysis of Ethical and Legal Aspects J Oral Maxillofac Res 2017;8(2):e5 doi:10.5037/jomr.2017.8205 |
Is The Late Mandibular Fracture From Third Molar Extraction a Risk Towards Malpractice? Case Report with the Analysis of Ethical and Legal Aspects
1Department of Maxillofacial Surgery, Public Hospital of Urgency, Anapolis, Brazil.
2Department of Maxillofacial Surgery, Paulista University, Goiania, Brazil.
3Department of Maxillofacial Surgery, Hospital Cidade Jardim, Goiania, Brazil.
4Department of Stomatology, Federal University of Parana, Parana, Brazil.
5Legal Odontology, Federal University of Goias, Goiania, Brazil.
Corresponding Author:
Legal Odontology, Universidade Federal de Goias
Av. Universitaria, Esquina com 1ª Avenida s/n, Setor Universitario
74605-220, Goiania, Goias
Brazil
Phone: 00 55 62 3209 6051
E-mail: rhonansilva@gmail.com
ABSTRACT
Objectives: The present study reports a case of late mandibular fracture due to third molar extraction and highlights the inherent clinical, ethical and legal aspects related to this surgical complication.
Material and Methods: A female patient underwent surgical procedure for the extraction of the mandibular right third molar. Two days after the surgery the patient reported pain and altered occlusion in the right side of the mandible. After clinical and radiographic re-examination, the diagnosis of late mandibular fracture was established. A second surgery, under general anaesthesia, was performed for the fixation of the mandibular bone.
Results: The fractured parts were reduced and fixed with locking plate systems and 2 mm screws following load-sharing principles. The masticatory function showed optimal performance within 7 and 21 days after the surgery. Complete bone healing was observed within 1 year of follow-up.
Conclusions: For satisfactory surgical outcomes, adequate surgical planning and techniques must be performed. Signed informed consents explaining the risks and benefits of the treatment must be used to avoid ethical and legal disputes in dentistry.
J Oral Maxillofac Res 2017;8(2):e5
doi: 10.5037/jomr.2017.8205
Accepted for publication: 29 June 2017
Keywords: malpractice; mandibular fracture; oral surgery; third molar; tooth extraction.
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To cite this article: Is The Late Mandibular Fracture From Third Molar Extraction a Risk Towards Malpractice? Case Report with the Analysis of Ethical and Legal Aspects J Oral Maxillofac Res 2017;8(2):e5 URL: http://www.ejomr.org/JOMR/archives/2017/2/e5/v8n2e5ht.htm |
Received: 10 February 2017 | Accepted: 29 June 2017 | Published: 30 June 2017
Copyright: © The Author(s). Published by JOMR under CC BY-NC-ND 3.0 licence, 2017.