Impacted 38 - root fragment in situ 

Dr T’s patient attended the surgery in a lot of pain. Radiology revealed a vertically impacted 38. female dentist shutterstock_69217204

Dr T an inexperienced general dentist recommended that the patient get an Orthopantomogram (OPG) and consult a specialist as extraction can be difficult in such cases.

The patient was most reluctant to do so. He was a farmer and it was harvest time and insisted it be done that day.  Dr T reluctantly agreed and advised the patient that he would need to take antibiotics for the infection and return in a few days. 

The patient returned, the member explained the risks; the patient agreed and consented to exo of 38. The tooth was removed in multiple fragments and antibiotics continued.  The patient returned in a few days in severe pain.  It was then ascertained that a root fragment had been left in situ. 

The patient was furious and threatened legal action.

Remember:

  • patients need to be provided a detailed informed consent with all warnings of the material risks
  • don't be pressured into providing treatment for which you have not been trained and are not qualified to provide. Keep to your scope of practice and training
  • in such circumstances facilitate a referral to a more appropriate dental practitioner.