Analysis of improper provision of orthopedic dental care based on the results of forensic medical examination: A clinical case

The growing number of civil cases initiated on claims for improper provision of medical care in the field of orthopedic dentistry is associated with an increase in the number of complications, which can result in the development of serious pathologies. Such situations trigger conflict situations and negatively affect the quality of life of patients, thus entailing the onset of professional responsibility of medical specialists. Legal investigation of civil cases to hold dental practitioners accountable for improper provision of medical care (services) in the field of orthopedic dentistry is based on the results of forensic medical examinations.
Numerous issues related to legal investigation of patients’ claims against dental institutions and dental practitioners remain unresolved. Thus, there is a lack of evidence-based, objective criteria for assessing professional errors and defects in dental care. In addition, there are no effective methods for analyzing the therapeutic and diagnostic process in forensic medical practice, which makes analysis of individual clinical cases rather problematic.
This article presents a clinical case with detailed information about the clinical condition of existing teeth, fixed and removable dentures, characteristics of their position in the oral cavity, defects in fixation and stabilization of dentures. A comprehensive analysis of the possible use of existing removable and non-removable dental structures for full-fledged chewing function and their aesthetic condition is carried out. Significant errors and shortcomings in the planning, manufacturing, and fixation of removable and non-removable dentures are identified.

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