Report of a series of cases of iatrogenic diseases treated in an emergency room of a public teaching hospital in western Paraná due to unsuccessful outpatient dental surgeries

Authors

DOI:

https://doi.org/10.33448/rsd-v13i3.45220

Keywords:

Iatrogenic disease; Postoperative complications; Oral surgical procedures.

Abstract

Introduction: Clinical surgical procedures are frequent in dental offices and should be performed with caution and responsibility since hemorrhages, hematomas, lesions in adjacent soft tissues, bone fractures, infections, and impairment of important anatomical structures may occur during these procedures. Objective: To analyze and report seven clinical cases in which iatrogenic events occurred and were treated at the University Hospital of Western Paraná (HUOP). In both cases, complications occurred due to failures in the execution of clinical procedures by dental surgeons. Case reports: The cases addressed in the present study are mandibular fractures resulting from extraction of the third molar and removal of the lower protocol for hygiene, postoperative hemorrhage caused by failure in the anamnesis and in the request for complementary tests, abscesses of odontogenic origin and a foreign body in the maxillary sinus after a simple extraction attempt. In all cases, it was possible to observe errors, either due to lack of prior planning, non-execution of a good clinical examination or insufficient execution of technique. Conclusion: The professional is responsible for properly planning the cases and executing them in order to ensure the patient's safety.

References

Albanese, M., Zangani, A., Manfrin, F., Bertossi, D., De Manzoni, R., Tomizioli, N., Faccioni, P., & Pardo, A. (2023). Influence of Surgical Technique on Post-Operative Complications in the Extraction of the Lower Third Molar: A Retrospective Study. Dentistry Journal, 11(10). https://doi.org/10.3390/dj11100238

Barbosa, B. M. do N. (2020). A Responsabilidade Civil do Cirurgião Dentista. Centro Universitário Do Planalto Central Aparecido Dos Santos – Uniceplac.

Cankaya, A. burak, Erdem, M. A., Cakarer, S., Cifter, M., & Oral, C. K. (2011). Iatrogenic mandibular fracture associated with third molar removal. International Journal of Medical Sciences, 12(1), 547–553.

Conselho Federal de Odontologia. (2012). Código de ética odontológica. Conselho Federal de Odontologia, 1–20. http://cfo.org.br/wp-content/uploads/2009/09/codigo_etica.pdf

Dawoud, B. E. S., Kent, S., Tabbenor, O., George, P., & Dhanda, J. (2021). Dental implants and risk of bleeding in patients on oral anticoagulants: a systematic review and meta-analysis. International Journal of Implant Dentistry, 7(1). https://doi.org/10.1186/s40729-021-00364-5

De Camargo, F. D., Batista, A. K., & Unfer, B. (2019). Ethics and morals: Reflections of public health service dentists. Revista Bioetica, 27(2), 297–303. https://doi.org/10.1590/1983-80422019272313

Esenlik, E., & DeMitchell-Rodriguez, E. M. (2021). Alveolar Distraction. In Clinics in Plastic Surgery 48(3), 419–429. https://doi.org/10.1016/j.cps.2021.02.004

Estrela, C. (2018). Metodologia Científica: Ciência, Ensino, Pesquisa. Editora Artes Médicas.

Fritz, P. C., & Longo, A. B. (2019). The Fonthill Dental Surgery Complication Classification Scale. Clinical and Experimental Dental Research, 5(6), 725–730. https://doi.org/10.1002/cre2.235

Kiencało, A., Jamka-Kasprzyk, M., Panaś, M., & Wyszyńska-Pawelec, G. (2021). Analysis of complications after the removal of 339 third molars. Dental and Medical Problems, 58(1), 75–60. https://doi.org/10.17219/dmp/127028

Leblebicioglu, B., & Tatakis, D. N. (2023). Complications following alveolar ridge augmentation procedures. In Periodontology 2000. John Wiley and Sons Inc. https://doi.org/10.1111/prd.12509

Makki, A. Z., Nassar, A. A., Alharbi, W. M., Bisharah, W. F., Alabdali, M. A., Alqurashi, A. M., & Basandawa, N. A. (2021). Evaluation of post-extraction healing after atraumatic axial tooth extraction using Benex system II versus conventional extraction: Randomized control trial. Saudi Dental Journal, 33(8), 923–928. https://doi.org/10.1016/j.sdentj.2021.09.002

Manfredini, M., Poli, P. P., Creminelli, L., Porro, A., Maiorana, C., & Beretta, M. (2021). Comparative risk of bleeding of anticoagulant therapy with vitamin k antagonists (Vkas) and with non-vitamin k antagonists in patients undergoing dental surgery. Journal of Clinical Medicine, 10(23). https://doi.org/10.3390/jcm10235526

Manor, Y., Simon, R., Haim, D., Garfunkel, A., & Moses, O. (2017). Dental implants in medically complex patients—a retrospective study. Clinical Oral Investigations, 21(2), 701–708. https://doi.org/10.1007/s00784-016-1937-6

Medeiros, U. V. de, & Coltri, A. R. (2018). Responsabilidade civil do cirurgião-dentista. Revista de Odontologia Da Universidade Cidade de São Paulo, 20(1), 66. https://doi.org/10.26843/ro_unicid.v20i1.610

Motoi, T., Matsumoto, K., Imoto, Y., & Oho, T. (2022). Perioperative Oral Management Prevents Complications of Heart Valve Surgery. International Dental Journal, 72(6), 819–824. https://doi.org/10.1016/j.identj.2022.04.002

Primo, F. T., Primo, B. T., Scheffer, M. A. R., Hernández, P. A. G., & Rivaldo, E. G. (2017). Evaluation of 1211 Third Molars Positions According to the Classification of Winter, Pell & Gregory. International Journal of Odontostomatology, 11(1), 61–65. https://doi.org/10.4067/s0718-381x2017000100009

Sant’ana, L. do N. (2021). A importância do pré-operatório em cirurgias odontológicas demonstrada através das suas consequências sob a ótica das complicações pós-operatórias. Escola de Saúde do Exército.

Saravanan, K. (2021). Assessment of post extraction complications in Indians. Bioinformation, 17(12), 1120–1125. https://doi.org/10.6026/973206300171120

Seymour, R. A. (2008). Pharmacology and therapeutics in dentistry. Periodontology 2000, 46(1), 7–8. https://doi.org/10.1111/j.1600-0757.2008.00237.x

Wójcik, S., Mocny-Pachońska, K., Bisch-Wójcik, S., Balicz, A., & Morawiec, T. (2022). Perioperative Management of Dental Surgery Patients Chronically Taking Antithrombotic Medications. International Journal of Environmental Research and Public Health, 19(23). https://doi.org/10.3390/ijerph192316151

Published

09/03/2024

How to Cite

VIDOR, N. D.; GARBIN JÚNIOR, E. Álvaro .; GRIZA, . G. L. .; ERNICA, N. M. .; CONCI, R. A. . Report of a series of cases of iatrogenic diseases treated in an emergency room of a public teaching hospital in western Paraná due to unsuccessful outpatient dental surgeries. Research, Society and Development, [S. l.], v. 13, n. 3, p. e2013345220, 2024. DOI: 10.33448/rsd-v13i3.45220. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/45220. Acesso em: 22 dec. 2024.

Issue

Section

Health Sciences