Is The Late Mandibular Fracture From Third Molar Extraction a Risk Towards Malpractice?: Case Report with the Analysis of Ethical and Legal Aspects

Weuler dos Santos Silva; Rubens Jorge Silveira; Michelle Gouveia Benício de Araújo Andrade; Ademir Franco; Rhonan Ferreira  Silva

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

Weuler dos Santos Silva, Rubens Jorge Silveira, Michelle Gouveia Benício de Araújo Andrade, Ademir Franco, Rhonan Ferreira Silva

Dentistry

Research output: Contribution to journal › Article › peer-review

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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.

Original language	English
Article number	e5
Number of pages	6
Journal	Journal of Oral and Maxillofacial Research
Volume	8
Issue number	2
DOIs	https://doi.org/10.5037/jomr.2017.8205
Publication status	Published - Jun 2017

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10.5037/jomr.2017.8205Licence: CC BY-NC-ND

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title = "Is The Late Mandibular Fracture From Third Molar Extraction a Risk Towards Malpractice?: Case Report with the Analysis of Ethical and Legal Aspects",

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.",

author = "Silva, {Weuler dos Santos} and Silveira, {Rubens Jorge} and Andrade, {Michelle Gouveia Ben{\'i}cio de Ara{\'u}jo} and Ademir Franco and Silva, {Rhonan Ferreira}",

year = "2017",

month = jun,

doi = "10.5037/jomr.2017.8205",

language = "English",

volume = "8",

journal = "Journal of Oral and Maxillofacial Research",

issn = "2029-283X",

number = "2",

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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. / Silva, Weuler dos Santos; Silveira, Rubens Jorge; Andrade, Michelle Gouveia Benício de Araújo et al.
In: Journal of Oral and Maxillofacial Research, Vol. 8, No. 2, e5, 06.2017.

Research output: Contribution to journal › Article › peer-review

TY - JOUR

T1 - Is The Late Mandibular Fracture From Third Molar Extraction a Risk Towards Malpractice?

T2 - Case Report with the Analysis of Ethical and Legal Aspects

AU - Silva, Weuler dos Santos

AU - Silveira, Rubens Jorge

AU - Andrade, Michelle Gouveia Benício de Araújo

AU - Franco, Ademir

AU - Silva , Rhonan Ferreira

PY - 2017/6

Y1 - 2017/6

N2 - 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.

AB - 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.

U2 - 10.5037/jomr.2017.8205

DO - 10.5037/jomr.2017.8205

M3 - Article

SN - 2029-283X

VL - 8

JO - Journal of Oral and Maxillofacial Research

JF - Journal of Oral and Maxillofacial Research

IS - 2

M1 - e5

ER -

Is The Late Mandibular Fracture From Third Molar Extraction a Risk Towards Malpractice? Case Report with the Analysis of Ethical and Legal Aspects

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