Comprehensive forensic medical examination of defects in the provision of orthopedic dental care: A case report

In recent years, the number of complications associated with orthopedic dental treatment has increased, which can lead to serious pathologies and conflict situations and negatively affect the quality of life of patients, which entails the professional responsibility of medical workers. A crucial piece of evidence when considering and investigating civil cases to hold medical workers accountable for providing improper medical care (services) in the field of orthopedic dentistry is the conclusion of commission (complex) forensic medical examinations. During the forensic medical examination of patients’ claims against dental institutions and dentists, issues regarding their organization and production remains to be determined and studied. Scientifically based objective criteria for evaluating professional errors and defects in dental care have not been developed, and effective methods for analyzing therapeutic and diagnostic processes are not used in forensic medical practice, which makes it challenging to comprehensively analyze a specific clinical situation. This article provides detailed information on the clinical condition of existing teeth and fixed and removable dentures, characteristics of their position in the oral cavity, defects in fixation, and stabilization of dentures. A comprehensive analysis of the possible use of existing removable and nonremovable dental structures for full-fledged chewing function and their aesthetic condition was performed. Significant errors and limitations in the planning, manufacture, and fixation of removable and nonremovable dentures were identified. A comprehensive assessment and recommendations for forensic medical examination in a civil case are provided.