牙科矫形护理缺陷的综合法医鉴定：实践病例

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详细

近年来，与牙科矫形治疗相关的并发症数量不断增加，这些并发症可能导致严重的病理 发展、冲突情况，并对患者的生活质量产生不利影响，这就要求医务工作者承担职业责任。在审理和调查因产生困难的“矫形牙科”医疗援助（服务）不当而追究医务工作者责任的民事案件时，委托（综合性）法医鉴定的结论是重要的证据之一。在对牙科机构和牙医提起的病人诉讼进行法医鉴定时，其组织和制作方面的许多问题尚未得到界定和研究。在提供牙科治疗方面，尚未制定出经科学证实的评估专业错误和缺陷的客观标准，在法医实践中也没有使用分析治疗和诊断过程的有效方法和途径，这使得对具体临床情况的全面分析变得复杂。

文章详细介绍了现有牙齿、固定和活动义齿的临床状况、在口腔中的位置、固定和稳定缺陷。文章全面分析了现有活动和固定义齿结构在充分发挥咀嚼功能方面的可能用途及其美学状况。研究揭示了活动和固定义齿在规划、制作和固定方面的重大错误和缺陷。我们对民事案件中的法医鉴定进行了全面评估并提出了建议。

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作者简介

Yuri V. Chizhov

Professor V.F. Voino-Yasenetsky Krasnoyarsk State Medical University

Email: gullever@list.ru
ORCID iD: 0000-0001-9324-2380
SPIN 代码: 5998-0063

MD, Dr. Sci. (Medicine), Professor

俄罗斯联邦, Krasnoyarsk

Natalya V. Khludneva

Professor V.F. Voino-Yasenetsky Krasnoyarsk State Medical University

Email: n.hludneva@mail.ru
ORCID iD: 0000-0002-7636-3583
SPIN 代码: 6697-9796

MD, Cand. Sci. (Medicine), Assistant Professor

俄罗斯联邦, Krasnoyarsk

Tamara V. Kazantseva

Professor V.F. Voino-Yasenetsky Krasnoyarsk State Medical University

Email: Kazancevatv@mail.ru
ORCID iD: 0000-0002-3303-1394
SPIN 代码: 2771-3750

MD, Cand. Sci. (Medicine), Assistant Professor

俄罗斯联邦, Krasnoyarsk

Irina I. Sargsyan

Dental clinic LLC “Dentistry for You”

Email: sarxii@mail.ru
ORCID iD: 0009-0009-5851-5078
SPIN 代码: 2129-5896
俄罗斯联邦, Krasnoyarsk

Fedor V. Alyabyev

Professor V.F. Voino-Yasenetsky Krasnoyarsk State Medical University

Email: alfedval@mail.ru
ORCID iD: 0000-0003-4438-1717
SPIN 代码: 2995-4963

MD, Dr. Sci. (Med.), Professor

俄罗斯联邦, Krasnoyarsk

Alexandra A. Yusupova

Professor V.F. Voino-Yasenetsky Krasnoyarsk State Medical University

编辑信件的主要联系方式.
Email: aleksandra-yusup@mail.ru
ORCID iD: 0009-0000-8687-4312
SPIN 代码: 4651-5075
俄罗斯联邦, Krasnoyarsk

Svetlana Yu. Melnikova

Bureau of Forensic Medical examination of the Tomsk region

Email: kfyf14@mail.ru
ORCID iD: 0009-0009-9179-8751
SPIN 代码: 1466-8140
俄罗斯联邦, Tomsk

参考

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  2. Barinov EH, Romodanovsky PO. Forensic medical expertise of professional errors and defects of medical care in dentistry (monograph). Moscow: YurInfoZdrav; 2012. 204 р. (In Russ).
  3. Iordanashvili AK, Tolmachev IA, Bobunov DN, et al. Algorithm of forensic medical examination in the provision of dental orthopaedic treatment. Institut stomatologii. 2009;(1):10–13. (In Russ). EDN: MBWWDT
  4. Kurlyandsky VY, Svadkovsky BS. Aspects of forensic medical expertise in orthopaedic stomatology. Moscow: A.I. Evdokimov Moscow State Medical and Dental University; 2001. 80 р. (In Russ).
  5. Maly AYu. Medico-legal support of medical standards of medical care in the clinic of orthopaedic stomatology [dissertation abstract]: 14.00.21; 14.00.33. Place of defence: A.I. Evdokimov Moscow State Medical and Dental University. Moscow; 2001. 48 р. (In Russ).
  6. Pashinyan GA. Manual on forensic dentistry. Ed. by G.A. Pashinyan. Moscow: Meditsinskoe informatsionnoe agentstvo; 2009. 528 р. (In Russ).
  7. Pashkov KA, Romodanovsky PO, Pashinyan GA, et al. Forensic dentistry. History of development. Moscow: Eslan; 2009. 200 р. (In Russ).
  8. Popova TG. Concerning criteria of expert assessment of professional errors in stomatology. Forensic Med Exp. 2007;50(6):25–27. EDN: IIRSEJ
  9. Popova TG, Kuraeva EYu. Sociological study on the causes of conflicts between a patient and a dentist. In: Actual aspects of forensic medicine and expert practice. Issue 1. All-Russian Society of Forensic Physicians and Moscow Society of Forensic Physicians; 2007. P. 58–60. (In Russ).
  10. Romodanovsky PO. Situational tasks and test tasks in forensic medicine. Ed. by P.O. Romodanovsky, E.X. Barinov. Moscow: GEOTAR-Media; 2015. 128 р. (In Russ).
  11. Svadkovsky BS. Study guide on forensic dentistry. Moscow: Meditsina; 1974. 176 р. (In Russ).
  12. Cherkalina EN, Barinov EH, Romodanovsky PO. On the issue of commission forensic medical examinations related to inappropriate medical care in dentistry. Meditsinskaya ekspertiza i pravo. 2009;(2):39–40. (In Russ). EDN: KYZZUZ

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2. Fig. 1. Removable and non-removable dentures of the upper jaw. View of the removable prosthesis from the side of the prosthetic bed.

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3. Fig. 2. Removable and non-removable dentures of the upper jaw. View of the removable prosthesis from the prosthetic bed indicating the size of the distal side of the prosthesis.

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4. Fig. 3. View of the removable upper jaw prosthesis from the oral side indicating the size of the medial side of the prosthesis.

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5. Fig. 4. Removable (clasp) and non-removable dentures (cast crowns) on the lower jaw (view of the removable prosthesis from the lingual side).

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6. Fig. 5. Removable (clasp) and non-removable dentures for the lower jaw (view of the removable prosthesis from the lingual side).

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7. Fig. 6. Removable (clasp) and non-removable dentures (cast crowns) on the lower jaw (view of the removable prosthesis from the prosthetic bed).

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