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The prevalence and causes of wrong tooth extraction
A M Jan1, R Albenayan2, D Alsharkawi2
1Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia.
Nigerian Journal of Clinical Practice
|December 4, 2019
Summary
Wrong tooth extraction affects over 20% of dental procedures, often due to miscommunication or inadequate referrals. Implementing universal protocols is crucial for preventing these errors in dental surgery.
Area of Science:
- Dental Surgery
- Patient Safety
- Medical Errors
Background:
- Dental extraction is a common procedure with potential for errors.
- Wrong tooth extraction is a significant complication that can occur.
Purpose of the Study:
- Determine the prevalence of wrong tooth extractions.
- Identify the primary causes of these errors.
- Explore dentists' attitudes following such incidents.
Main Methods:
- A questionnaire was adapted and distributed to dentists in four teaching dental clinics.
- The survey was available in both English and Arabic.
Main Results:
- A 37% response rate (186/486) was achieved.
- The prevalence of wrong tooth extraction was 21.1%.
- Key causes included miscommunication (31.6%), inadequate referrals (28.9%), and dentist exhaustion (28.9%).
- Only 50% of dentists informed patients or documented the error; apologies or compensation were rare.
Conclusions:
- Wrong tooth extraction is a common and preventable issue in dental practice.
- Causes are often systemic rather than individual failures.
- There is a critical need for universal protocols to prevent wrong-site, wrong-procedure, and wrong-person surgeries.
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