This case involves an elderly female patient who had implants placed in her jaw. When the implants were placed, a gap was found in the manufactured gum and the dentist put acrylic in to fill the gap. During the first fitting, the posts got stuck and the dentist used a significant amount of force to release the implants. In the months following the implant placement, the patient found it difficult and painful to remove the dentures. About 7 months after the implants were placed, they fell out while the patient was eating. She bit into a sandwich and the implant came out, puncturing her upper lip. The dentist put in a temporary acrylic fix which deteriorated in weeks. The patient was subsequently limited to a soft food diet.
Question(s) For Expert Witness
- 1. Please describe your background in dentistry.
- 2. How long have you been practicing in this capacity?
- 3. Do you routinely treat patients like the one described above?
Expert Witness Response E-004499
I have been in clinical practice for 30+ years and all of the disciplines involved in the treatment of this patient are within my expertise. As with any dental procedure, there are risks and benefits. Approximately 5% of implants fail, however, they can usually be replaced. Certain factors have an impact on the success of the implants including a smoking history, dental hygiene, and occlusion (bite). I have lectured on this topic.
This highly qualified expert received his DMD from a southern university and established a partnership in a dental practice in 1988. He is a member of the Academy of Sports Dentistry and the American Association of Dental Legal Consultants. He is a former dental associate at a large dental center and previously served as a dental partner at a family dentistry practice. He has been an associate professor at a regional college of dental medicine for 16 years in the departments of restorative dentistry and oral surgery. This expert currently works as an adjunct clinician at a regional private practice.