A 62-year-old woman attended the surgery for treatment of a broken lingual cusp at 16 which had been restored with composite some months previously. The member protected the tongue with the dental mirror and proceeded to prepare the tooth for a "repair" restoration. During preparation the patient pushed her tongue forward touching the burr and caused a cut of approximately 2mm on the side of the tongue. The dentist attempted to arrest the bleeding using pressure but when this proved unsuccessful, inserted one silk suture in the tongue. The bleeding stopped and the restoration was completed uneventfully.
The dentist warned the patient that her tongue might swell and advised her to use a mouthwash. When the patient returned a week later there was no sign of swelling or haematoma. The tongue was completely mobile and the suture was recovered.
The patient had seemed satisfied with the outcome and the dentist was surprised to receive a letter from her solicitors, alleging negligence in the treatment she had received and claiming damages for the injury, pain and discomfort she had sustained as a result. She was said to be particularly concerned about returning in future for dental treatment which might involve drilling.
The Dental Advisory Committee considered the case and concluded that the dentist was vulnerable to the allegation of negligence. It could be argued that the precautions taken to prevent such an injury were inadequate. The Committee advised the claim should be settled, without a formal admission of liability. After negotiations with the patient's solicitors a settlement of £500 was made.
This page was correct at publication on 03/06/2002. Any guidance is intended as general guidance for members only. If you are a member and need specific advice relating to your own circumstances, please contact one of our advisers.