The perils of dental vacation: possible anaesthetic and medicolegal consequences.
BACKGROUND
The aim of this paper is to emphasize anaesthesiologists' difficulty in detecting poor dentition in cases of poorly applied prostheses and/or advanced periodontal disease, and to establish whether it is possible, and in which conditions, to calculate compensation in cases of dental damage postlaryngoscopy and/or intubation. The main complex problem here lies in trying to reconstruct exactly what the dental situation was before the teeth were damaged. For this reason the important preoperative factors (dental prostheses, crown fractures, parodontal disease, etc.) must be clearly shown before surgery on a dental chart.


METHODS
Two cases of interest, both to anaesthesiologists practising intubation and medicolegal physicians who have to deal with potential claims, are briefly reported. The first patient was a 55-year-old diabetic patient, who underwent emergency surgery for acute abdominal pathology. He had gone outside Italy for dental treatment three years previously and now presented with very poor pre-existing dentition, carefully noted on an anaesthetic chart. He now demanded compensation for dental damage due to intubation in Italy; the resulting dental treatment was very expensive because substantial remedial work was required. The second patient had received treatment outside Italy, work which involved cosmetic coating of the teeth. After surgery in Italy, she demanded compensation because one tooth, which had been coated and appeared to be healthy, was broken after emergency intubation. In both cases, the patients demanded very high compensation.


CONCLUSIONS
Dental tourism alone accounts for more than 250,000 patients each year who combine a holiday with dental treatment in Eastern Europe. However, if prosthetic devices or conservative treatments are not applied correctly, it should be noted that durability may be poorer than expected, but iatrogenic damage may also be caused.
Dipartimento di Medicina, Sede di Anestesia e Rianimazione, Università degli Studi di Padova, Padova. Italy.
Paolo
P
Feltracco
Rosa Maria
RM
Gaudio
Stefania
S
Barbieri
Letizia
L
Tiano
Maurizio
M
Iacobone
Giovanni
G
Viel
Tommaso
T
Tonetti
Helmut
H
Galligioni
Andrea
A
Bortolato
Carlo
C
Ori
Francesco Maria
FM
Avato
D003729:Dental Care; D003945:Diagnosis, Oral; D005260:Female; D006801:Humans; D007442:Intubation, Intratracheal / Q000009:adverse effects*; D008297:Male; D057193:Medical Tourism; D008875:Middle Aged; D018677:Tooth Injuries / Q000209:etiology*