The patient complained of sensitivity in the upper right quadrant. Examination revealed caries in LR7 and UR5 and bitewing radiographs were taken. Another appointment was made to restore LR7 and UR5. The patient was informed that on completion of treatment he would be referred for extraction of his wisdom teeth.
Unfortunately the dentist's receptionist failed to record the next appointment in the practice diary. When the patient attended, the dentist was too busy to see him. As there was a considerable wait until the next available appointment, he was placed on a cancellation list. No cancellation appointment became available and in due course the patient was sent a routine appointment which he cancelled and remade. The dentist was forced to postpone this appointment owing to leave.
During the dentist's absence the patient complained of pain and was seen by a colleague. The patient was referred to a general anaesthetic clinic where his wisdom teeth were extracted shortly afterwards. The removal of the wisdom teeth failed to alleviate the pain and a radiograph later revealed a large cavity in LR7 necessitating extraction.
Negligence alleged
The patient alleged that the dentist had failed to diagnose and treat the decayed LR7 which had resulted in a year of pain and suffering, and the loss of the tooth.
Outcome
The dentist conceded that shortcomings in the practice's administrative procedures may have contributed to the unusually long delay between diagnosis and treatment in this case. With the dentist's agreement, the MDU made an out-of-court settlement of £1,100 plus costs, without admission of liability.
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