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Periodontal (gum) disease is an infection of the structures around the teeth caused by bacteria in dental plaque.
The earliest stage of periodontal disease is referred to as gingivitis with symptoms often being swollen, bleeding gums. If left untreated, this can develop into chronic adult periodontitis, characterised by a breakdown of the tooth’s attachment to the gum and bone. It leads to loss of bone, mobility of the teeth, and ultimately loss of teeth entirely.
Unfortunately, one of the most common types of claim we see is undiagnosed periodontal disease. We understand the impact such a painful and chronic disease has on a patient, and know it can be especially frustrating if it has been undiagnosed over a long period and allowed to progress unchecked.
Dentists should carry out regular monitoring of the health of their patients’ gums, both by taking a history from the patient, and also by “pocket testing” – a basic periodontal examination (BPE).
With BPE scoring, a small probe is gently used to measure the depth of the gum line and to identify any gum loss (recession) on each and every tooth. Special attention should also be paid to whether the probing causes any bleeding as this can indicate the extent of inflammation in the gums. If your dentist fails to do these tests, they may well be treating you negligently.
Some people will have increased susceptibility to periodontal disease, particularly those with poor oral hygiene, diabetes and those who smoke. So, if you are at high risk of contracting the disease, it is particularly important that your dentist monitors the health of your gums regularly.
Below we explain different situations you might find yourself in with periodontal disease, when you might have experienced negligence, and what you can do:
You have been diagnosed with periodontal disease. How should a dentist be treating this?
If you have been diagnosed with periodontal disease, then you should be fully informed of the nature of the disease, the risks, and methods of self-prevention. These self-prevention methods will include oral hygiene advice and advice about quitting smoking, as well as dietary advice.
Following this advice, periodontal treatment (such a scaling, root planning and antibiotic therapy) should be commenced. If there is no significant improvement a referral should be made to a periodontal specialist.
There is no cure for periodontal disease, but early intervention can prevent the disease from developing further.
A dentist failed to diagnose you with periodontal disease or failed to provide any treatment. Have they acted negligently?
When diagnosed early, periodontal disease can be treated conservatively with high prospects of success. However, if left untreated the condition can have serious consequences, including the loss of multiple teeth and damage to the supporting bone.
Where patients have neither been treated nor referred, and their condition has deteriorated significantly as a result, there may well be a claim for undiagnosed periodontal disease. We would therefore advise you to contact us as soon as possible.
You’re concerned that you may have periodontal disease. What should you do?
The symptoms of periodontal disease include:
If you are concerned that you may be suffering from periodontal disease, you should speak to your dentist about this. If, upon speaking to them, you are still concerned that they are failing to diagnose the disease, you should seek a second opinion as soon as possible.
In addition, you should ensure that you adopt good oral hygiene practices. Regular brushing, as well as use of dental floss or interdental brushes will help to maintain a healthy mouth. Your dentist will be able to provide you with oral hygiene advice and show you how to use interdental brushes.
Whilst the dentist you are claiming against has the right to refuse to continue treatment, this does not mean that you cannot be treated by a different dentist at the same practice.
However, if you would prefer to continue your treatment elsewhere, you are entitled to do so and it will not have any impact on your claim.
If you need treatment whilst your claim is ongoing, for example; periodontal surgery, implants or bone grafts; it is important that you continue with this treatment. If the treatment is required due to negligence, this will be factored into your claim.
The fact you are making a claim will not affect your eligibility to join another NHS practice.
As a general rule, cases concerning undiagnosed periodontal disease should conclude between 18-30 months after the first time you contact us. However, each case is different and this may vary dependent on the facts.
The compensation you may receive will vary depending on what injury you sustain. For example, if you lose several teeth as a result of undiagnosed periodontal disease, you will receive more compensation than if you only require periodontal treatment and scaling.
Compensation received following a successful claim for dental negligence will be comprised of:
You can sue a retired dentist, as long as your claim is not statute barred.
By law, all dentists must be registered with the General Dental Council (GDC), and must have appropriate indemnity and insurance arrangements in place; this allows patients to seek any compensation they may be entitled to.
Therefore, even after a dentist retires they will still be responsible for the treatment which was carried out when they were practising as a dentist.
You have three years to bring a claim of dental negligence, from the date of negligence or knowledge of it, under the laws concerning ‘limitation’ in England and Wales. These laws state that a claimant must issue court proceedings within this time period, or else their claim would be statute barred.
Generally, we would advise you to contact us at least 6 months before the limitation period in your case is due to end. However, this can be reviewed on a case by case basis; if you believe that your limitation period may expire soon, we encourage you to contact us as soon as possible.
Associate, Katie Parr, acted for a 49 year old man, who received £70,000 for the failure to diagnose and treat aggressive periodontal disease from 1985 until 2012.
The client was a regular attender and during his treatment with the Defendant lost 16 teeth. In August 2012, the client attended an implant specialist to consider implant replacement for his lost teeth. During this appointment the client’s periodontal condition was diagnosed and he was referred to a periodontal specialist. The client was advised that he would not have lost his teeth, had his aggressive periodontal disease been diagnosed and treated by the Defendant.
Associate, Katie Parr, acted for a 62 year old man, who received £62,000 for the failure to monitor and treat periodontal disease. The Defendant failed to undertake any x-rays or periodontal examinations from 1994 to 2011. As a result, the client’s periodontal condition progressed and he suffered the loss of 4 teeth, and was at risk of losing a further 12 teeth in the future.
Sophie Angwin acted for a 50 year-old woman, who received £30,000 in compensation for the mismanagement of her periodontal health between 1978 and 2013. The Claimant had been a patient under the Defendant’s care since she was 13 years old, and it was not until she joined a new dental practice in 2013 that she was told she had advanced chronic periodontal disease.
This was a devastating diagnosis for the Claimant, as she needed to have 9 teeth extracted. Since the extraction of these teeth, the Claimant has had 8 dental implants fitted at the costs of £11,000 in order to restore her dentition. Sophie Angwin was successful in securing the Claimant the cost of this treatment back from the Defendant, together with additional funds to compensate the Claimant for her pain and suffering.