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, 112 (1), 126-31

Medico-legal Aspects of Altered Sensation Following Endodontic Treatment: A Retrospective Case Series

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Medico-legal Aspects of Altered Sensation Following Endodontic Treatment: A Retrospective Case Series

Navot Givol et al. Oral Surg Oral Med Oral Pathol Oral Radiol Endod.

Abstract

Objective: The objective of this study was to analyze cases of liability claims related to persistent altered sensation following endodontic treatments so as to characterize the medico-legal aspects of this complication.

Study design: A comprehensive search of an Israeli professional liability insurance database was conducted to retrospectively identify and analyze cases of persistent altered sensation following endodontic treatment.

Results: Sixteen claims of persistent altered sensation following endodontic treatments were identified and analyzed. The typical profile of a claim was a female patient who underwent an endodontic treatment at a second mandibular molar, which was associated with overfilling. A significant correlation between the tooth location and the suggested cause of nerve injury was found. None of the claims were reported by the practitioners, and all cases were identified as a result of the patient's demand for financial compensation, either directly or by legal actions.

Conclusions: When a nerve injury is diagnosed, the treating practitioner should be encouraged to seek medical and legal assistance so as to prevent permanent damage and to enable a better medico-legal response.

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