Evaluation of dental complaints in implants treatment and related factors referred to department of Tehran legal medical committee (2016-2018)

According to the study of patient's complaints about dental treatments and the fact that patients' complaints have been less about dental implant treatment, this study aimed to investigate the dental complaints in implants treatment and related factors during 2016-2018. 

Following a descriptive method, the relevant permissions were obtained after referring to the Forensic Medical Commission of Tehran. The files of all the dentists were evaluated during 2016 until 2018. Then, the files related to the complaints about tooth implantation services were separated. The patient relevant factors were evaluated and documented such as age, gender, and the reason of complaint, as well as dentist related factors including age and gender. Afterwards, the judgements of the commission were determined including exoneration or obvious negligence and the frequency of each judgement in the samples. The real judgement frequency (CI) was estimated and the roles of relevant factors were statically determined using the Chi Square Test.

Amongst all dental services complainers, one-third (30%) of the files were related to the tooth implantation services during 2016-2018, that included inappropriate implant installation (58%), damage to the implant surrounding tissue (29%), high service costs (6%), and other problems (7%). Also, the complainers were 50% women and 50% men and the dentists were 9% women and 91% men. Moreover, the judgements of Forensic Medical Commission were exoneration in 45% of the cases and negligence (55%) in the remaining cases.

This rate of failure in implant services was high, especially for non-specialized dentists. The results of the present study suggest taking necessary actions to reduce the problem.