Fratura mandibular e lesão nos nervos alveolar inferior e lingual relacionados a extrações de terceiros molares inferiores e a repercussão legal

AUTOR(ES)
DATA DE PUBLICAÇÃO

2004

RESUMO

The number of litigious actions in Oral and Maxillo Facial Surgery has been increased for the past years world wide. Among the most performed surgeries, third molar extraction is one of the most common. Mandibular fracture, inferior alveolar nerve injury and lingual nerve injury may happen as consequence of inferior third molar extraction and represent great source of lawsuit in oral surgery. The Informed Consent must be given to the patient before the procedure. After the Ethical Committee approval, a survey with 200 questionnaires was applied to Dental Surgeons in Vitoria and Vila Velha Cities in Espirito Santo State in Brazil to study these three inferior third molar related accidents. The results showed no case of mandibular fracture and found 8% of inferior alveolar nerve injury and also 8% of lingual nerve injury. The most common reasons for inferior third molar surgery were: lack of space (42%), pericoronitis (13%), caries (11%), orthodontics (10%), periodontics (8%), pain (6%), pathologies (3%) and second molar resorption (1%). Concerning Informed Consent, most of the participants explained risks and made post operative orientation orally which may raise doubts, leading to legal argumentation. Almost all Dental Surgeons (96%) used to do radiograph exam previous the surgery. The research concluded that even with third molar surgery related morbidity, the informed consent is not properly done and asymptomatic third molar is being extracted. 75% of Dental Surgeons classified Mandibular fracture after inferior third molar surgery as a professional malpractice while there were different opinions about inferior alveolar and lingual nerve injuries.

ASSUNTO(S)

etica odontologica cirurgia odontologia legal acidentes

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