Legal aspects of complications of therapeufic dental treatment

The provision of medical care has its own peculiarities in all sections of dentistry. The study of legally significant violations in the provision of therapeutic dental care can become the foundation for the formation of approaches to the organization, design and implementation of dental treatment. Objective. The aim of the study was to determine the structure and frequency of occurrence of the main complications of therapeutic dental treatment based on the study of judicial practice in dentistry to determine ways to prevent litigation. Material and methods. The composition and nature of the claims of patients who became the reasons for applying to the courts for protection of their rights and compensation for moral and material harm were studied. A total of 1731 dental court cases were analyzed over a 10-year period (since 2013), of which 843 cases related to poor-quality therapeutic dental care were selected for analysis. Results. During the analysis of the frequency of occurrence of various claims of patients, the main directions of a risk-based approach in the provision of therapeutic dental care were identified. It is important to take into account that complaints about the quality of diagnosis and treatment are found in 11.15% and 72.36% of claims, respectively. In 44.83% of cases, there are complaints about the quality of medical care and registration of medical documents, in 60.97% of cases, violations of interaction between patients and medical organizations were identified. The amount of compensation payments demanded by patients for substandard treatment in 15% of cases exceeds 1 million rubles. The use of information about the main violations in the provision of dental care, which have become the subject of consideration within the framework of forensic medical examinations, can be used in the development of mechanisms for a risk-based approach to work and contribute to improving the quality of medical care.