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Public Policy Presentation

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Breanna Lancaster

on 17 December 2013

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Transcript of Public Policy Presentation

Public Policy Presentation
Background Knowledge
examples of malpractice over time
video of dentist cases?? koaa &/or michigan vid
Adequate Alternatives
Realistic Plan of Solution
Public Policy Question and Statement of the Problem
Horrible bosses video??
Statement of the Problem
: Dentists convicted of malpractice and violating laws of the American Dental Association are allowed to continue practicing dentistry in various parts of United States after a particular revocation period. After getting their licenses revoked, dentists in several states can apply for a new license in as little as two years. According to KOAA5 Investigators, Colorado has some of the most lenient laws in the nation. Giving second chances to dentists with this kind of history puts patients' safety at risk.

Fact-Based Argument
tax the public (sales, insurance, what kind?)
increase license renewal fee or put one in place
Knowledge of Proponents
Republican Senators Rick Jones, and Tanya Schuitmaker of Michigan (Catallo) Action News wxyz.com

Maulid Miskell

American Academy of periodontology (perio.org)

Knowledge of Opponents
Moral or Value-Based Argument
Make dentists convicted of malpractice go back to dental school and obtain their degree again.

So why not?
This option is not plausible because it would involve making individuals spend about $230,000 on a public school degree that they have already obtained (American Student Dental Association). Also, the entire process of becoming a dentist can reach up to 15 years of schooling, licensing, and additional required training programs (Bureau of Labor Statistics).
Licenses can
be reissued after being suspended or revoked for conviction of a malpractice.

So why not?
This policy would involve eliminating multiple jobs and forever ending a dentist's career.
Leave contemporary policies the way they are.

So why not?
The current policies allow dentists to continue practice even after they violate ADA laws in various states. Allowing this to continue will further increase a patient's risk of visiting a dental professional.
Dental Regulatory Act (DRA)
Partially resembles Michigan's proposed Senate Bill #0577 to prevent health professionals from continuing to practice following their conviction of sexual assault on a patient (Action News 7). (VIDEO EXPLAINING PROPOSAL)))))))))))
Continues on to cover other malpractice violations.
A point system will be installed on a every dentistry license with the amount of points docked being dependable upon severity of the violation (severity level to be decided by...........???????????).
Continue to be insured in the case of a patient suffering damage to the mouth due to dentist negligence.
Violations to include:

Results may vary from case to case.
(Professional Liability Insurance)
No follow up (2 points)
Errors in treatment resulting in minor injury (3 points)
No patient background check (3 points)
Lack of monitoring during procedure (4 points)
Technique negligence resulting in chronic injury (6 points)
Unclean equipment resulting in disease (8 points)
Sexual assault (12 points)
Wrong tooth extracted-$50,000
Failure to diagnose periodontal disease-$150,000
Wound to salivary gland-$55,000
Veneers placed on top of decaying teeth-$87,500
Braces adjusted too tightly-$55,000
Over-preparation of teeth for crowns-$405,000
Results may vary from case to case.
Examples Over Time
03/06/68: Debate whether or not to suspend or revoke a dentist's license after his malpractice lawsuit (
The Spartanburg Herald

08/25/09: Patient is awarded $2 million in compensation after a dentist "accidentally" pulled 13 additional teeth (South Carolina $2 Million Dental Malpractice Verdict).

02/22/13: LeAnn Rimes files suit against her dentist, Dr. Duane C. McKay. She states that the dentist's work over the course of three years resulted in TMJ disease (Shewfelt, Raechal).

11/11/13: Dentist is convicted after she didn't properly heed the patient's medical history or her fluctuating vital signs during the operation (Kenney, Andrew).
Most Recognized Types of Malpractice
(Oldenburg, Anne & Linda Hay)
1. Lack of informed consent.
2. Failure to refer to a specialist.
3. Failure to properly treat complications of care including infection,
paresthesia, etc.
4. Failure to properly perform prosthodontic work including crown
and bridgework.
5. Failure to diagnose various conditions, including infection, periodontal
disease, tumors, cancer.
6. Failure to properly treat periodontal disease.
7. Failure to render appropriate endodontic care.
8. Failure to appropriately place, treat, or follow up with all types of
9. Failure to appropriately extract teeth or improper extraction of
10. Failure to appropriately treat with orthodontics.
11. Failure to diagnose or treat TMJ dysfunction.
12. Failure to properly supervise or oversee actions of employees,
actual agents or apparent agents.
13. Slips, falls, burns, or cuts while in dental chair or office.
14. Anesthesia incidents.
Regulatory Agencies
American Dental Association
Founded August 1859 by 26 dentists representing various dental societies in the United States
President of the ADA is Charles H. Norman, D.D.S.
The ADA today has more than 156,000 dentist members
The ADA formally recognizes 9 specialty areas
ADA Staff are dedicated partners contributing their knowledge, experience and expertise to support the dental profession and the people it serves.

(American Dental Association)
Baseline Data Pre-1970s Era
(Public Health Reports)
Contemporary Data
Dental Malpractice
Fields of Practice
o General Dentist
o Anesthesiology
o Consultant
o Cosmetic Dentistry
o Dental Assistant
o Dental Company Rep.
o Dental Education
o Dental Lab Tech
o Dental Student
o Dental Hygiene Student
o Endodontics
o Endodontic Resident
o Front Office
o Hygienist
o Implantology

o Oral & Maxillofacial Surgeon
o OMS Resident
o Oral Pathology
o Orthodontics
o Orthodontic Resident
o Pediatric Dentistry
o Pediatric Resident
o Periodontics
o Periodontic Resident
o Prosthodontics
o Public Health
o Radiology
o Speaker
o TMD Specialist
o Other
(Oldenburg, Anne & Linda Hay)
12.1% of medical malpractice payment reports were against dentists in the U.S. in 2002
34,691 medical malpractice reports were made to the National Practitioner Data Bank regarding dentists in the U.S. 1990–2004
had an average of 1.63 malpractice reports made against each of them in the U.S. 1990–2003
Dental assistants, technicians and hygienists
had an average of 1.2 malpractice reports made against each of them in the U.S. 1990–2003
(Orr, Daniel)
Defined Public Policy Question:
In what ways can we make American citizens safer from dental malpractice?
Full transcript