Forensic interpretation of the maxillary tuberosity fracture caused by tooth extraction

Abstract

Background. Maxillary tuberosity during teeth extraction can occur in dental practice. The aim of this paper was to present a case of the maxillary tuberosity fracture occurred during tooth extraction, which was the subject of the forensic expertise. Case report. The maxillary tuberosity fracture created during the extraction of the upper molar was neither timely nor adequately managed by the doctor who started extraction. After the treatment at the specialist institution, the patient sued the doctor for the criminal offense of negligent treatment. The task of the expert was to give a professional answer to the question whether the doctor, who caused a maxillary tuberosity fracture during the tooth extraction, acted negligently and applied inadequate treatment. Conclusion. The maxillary tuberosity fracture during molar extraction may be its complication. If it is diagnosed promptly, immediately and adequately managed, there is no possibility for negligence action.

Uvod. Prelom tubera gornje vilice jedna je od komplikacija koje se dešavaju prilikom vađenja zuba. Cilj ovog rada je prikaz bolesnika sa prelomom tubera gornje vilice, nastalim prilikom vađenja zuba, koji je bio predmet sudskomedicinske ekspertize. Prikaz bolesnika. Prelom tubera gornje vilice koji je nastao u toku vađenja gornjeg kutnjaka nije blagovremeno, niti na adekvatan način bio zbrinut od strane lekara koji je započeo vađenje zuba. Nakon završenog lečenja u specijalističkoj ustanovi, bolesnik je tužio lekara za krivično delo nesavesnog lečenja. Zadatak veštaka bio je da stručno odgovori na pitanje da li je lekar koji je u toku ekstrakcije zuba izazvao prelom tubera gornje vilice nesavesno postupio i primenio nepodoban način lečenja. Zaključak. Prelom tubera gornje vilice u toku vađenja kutnjaka predstavlja komplikaciju ove intervencije i ako se blagovremeno dijagnostikuje i odmah i na adekvatan način zbrine, nema elemenata za pokretanje sudskomedicinskog veštačenja.