I-6 - Iatrogenic Mishaps: Clinical and Legal Considerations

Thursday, May 4, 2023

10:00 AM – 11:30 AM CT

Location: McCormick Convention Center Lakeside Center, E350 (Level 3)

Earn 1.5 CE Credits

Speaker(s)

Jim Swift, D.D.S.

Professor
University of Minnesota School of Dentistry, Division of Oral and Maxillofacial Surgery
Minneapolis, Minnesota

Disclosure(s): Fortress: Chair of the Board of Directors (Ongoing); OMSNIC: Chair of the Board of Directors (Ongoing), Fees (Ongoing)
Alan H. Gluskin, D.D.S.

Professor of Endodontics
University of the Pacific
San Francisco, California

Disclosure(s): No financial relationships to disclose

Handouts

Session Host(s)

Brian D. Barsness, D.D.S., M.S.

Endodontist; HealthPartners Dental Specialty
HealthPartners
University of Minnesota School of Dentistry
St. Paul, Minnesota

Disclosure(s): No financial relationships to disclose

Neurologic injury, hypochlorite harm, burn damage as a result of overheating vital tissues, can all carry as an outcome of endodontic treatment, devastating consequences for both the patient and the endodontist. Mishaps that occur during the therapeutic stages of endodontic therapy can result in severe damage with an unpredictable course and an uncertain prognosis. This presentation will discuss the evidence and best practices regarding neurologic and other harmful impairment as a result of endodontic care.

The presentation will review the current data for prognosis and how to determine treatment and intervention strategies in endodontic mishaps. The discussion will address the advantages of 3-D imaging technologies in identifying key neurovascular structures, as well as anatomic risks that can impact treatment error. The surgical discussion will examine orofacial neuroanatomy, the spectrum of trigeminal nerve injuries, differential diagnosis of post-trauma, neuropathic pain sequelae (peripheral and central), and especially surgical, non-surgical and rehabilitative interventions with outcome expectations.

The presenters will identify safe protocols for avoiding poor treatment outcomes along with the legal risks and consequences that may ensue.

Learning Objectives:

Describe the sequelae of obturation overfill into neurovascular anatomy and the potential for injury with overfilling, overheating, and hypochlorite disinfection
Explain the differential diagnosis of post-traumatic neuropathic pain sequelae from endodontic overfill that occurs both peripheral and central
Recognize surgical, non-surgical and rehabilitative interventions with outcome expectations