Iatrogenic mistakes in dentistry, when to disclose: a literature review
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20250649Keywords:
Dentistry, Disclosure, Errors, Iatrogenic, Legal aspectsAbstract
Iatrogenic harm (injury from treatment) is a preventable healthcare issue. In dentistry, it arises from procedural mistakes, inexperience or communication failures, causing complications like faulty restorations or nerve damage. The oral environment and complex treatments increase risk. While not always malpractice, ethical and legal disclosure is crucial. Timely, transparent communication builds trust and reduces liability. Despite guidelines, disclosure barriers remain, necessitating further exploration of effective strategies. This literature review synthesizes studies on iatrogenic dental mistakes and their disclosure. A comprehensive search strategy was employed, utilizing databases such as PubMed, Web of Sciences and Google Scholar to identify relevant studies published from 1990 to 2024. Included studies focus on iatrogenic dental mistakes/adverse events and the ethical, legal and practical aspects of their disclosure, including recommendations and patient/practitioner perspectives. Iatrogenic mistakes in dentistry stem from inadequate anatomical knowledge, improper clinical techniques and systemic issues such as poor communication and insufficient training. Common complications include nerve damage, periodontal injury, root resorption and prosthodontic errors. Strict adherence to protocols, enhanced training and risk management are crucial for reducing errors. Error disclosure is influenced by ethical obligations, legal concerns and institutional culture. While transparency fosters trust, fear of litigation remains a major barrier. Effective disclosure requires structured frameworks, improved communication and institutional support to enhance patient-provider relationships and ensure accountability. Iatrogenic mistakes challenge all dental specialties, demanding effective prevention and disclosure strategies. Minimizing harm requires improved training, standardized protocols and supportive cultures. Crucially, overcoming disclosure barriers, like fear of litigation, necessitates clear communication, ethical emphasis and patient trust to foster transparency and improve patient safety.
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References
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