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題 名 | 人工植牙的醫療糾紛--歐美觀點=Malpractice Considerations in Dental Implant Therapy--A Western View Point |
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作 者 | 吳金俊; 呂炫堃; | 書刊名 | 臺灣牙周病醫學會雜誌 |
卷 期 | 17:3 2012.09[民101.09] |
頁 次 | 頁253-259 |
分類號 | 419.49 |
關鍵詞 | 人工植牙; 醫療過失; 醫療訴訟; 告知後同意; Implant dentistry; Medical malpractice; Liability lawsuit; Informed consent; |
語 文 | 中文(Chinese) |
中文摘要 | 人工植牙已成當代牙科醫療的顯學,但隨之而來的醫療糾紛卻也愈來愈多。植牙糾紛可歸責於牙醫者包括不當的醫療行為、不足的醫療訊息告知以及不實的病歷記載。不當的醫療行為主要包括植牙手術技術不良導致感染、神經受損、鼻竇炎或鼻穿孔、補骨失當、植入位置不當、致命大出血等。假牙糾紛多因美觀或咬合不滿意、螺絲鬆脫或斷裂、治療費用、設計不當導致牙周破壞等。醫師應在術前仔細評估缺牙區是否為植牙的適應症,履行告知後同意之程序,將重要的訊息如治療的過程、成功率、潛在的風險和可能造成的傷害或副作用、其他可供選擇的治療方式充分告知,並執行符合當時醫療水準的植牙手術,且將過程詳實記載於病歷中。 |
英文摘要 | Current trend of dentistry is dental implantation. However, implant litigation is increasing simultaneously. Liability on the part of the dentist could be summarized as treatment-related, information-related and documentation-related malpractice. Infringement of the obligation to make correct diagnosis, treatment planning and treatment procedure will result in infection, nerve damage, sinusitis, improper implant placement or life-threatening hemorrhage. With lack of esthetic result or screw loosening, legal action or liability claims will also be taken by the patient. Dentists must provide the patient with information to make informed decision. Obligation to take due care before, during and after surgery ought to be mandated for all clinicians. |
本系統中英文摘要資訊取自各篇刊載內容。