oct ewj 24 online - Flipbook - Page 47
- There was a failure to consider and manage the
patient’s risk factors to periodontal disease, namely,
there was a failure to provide appropriate oral hygiene
advice and discuss the role of plaque in the aetiology
of periodontal disease. Though it is noted in the
records OHI given, there is no evidence specific and
tailored advice was provided to the patient, such as
frequency and technique of toothbrushing, frequency
and technique of flossing and use of inter-dental
brushes. There were failures to determine genetic factors (the patient’s mother lost her teeth at an early age)
meaning the patient was at a higher risk of developing
the disease, failure to discuss smoking cessation, and
the role of smoking in the aetiology of periodontal disease, failed to discuss the role of diabetes and consider
referral to the GP.
Treatment
- Considering the breaches of duty in the accuracy of
the BPE scores, the treatment of scale and polishing is
not in line with the BSP guidelines. Namely, there was
a failure to record periodontal pocket measurements
and failures to perform root surface debridement.
After care
- Considering the bone loss, risk factors and presence
of periodontal disease, the recall interval of 6 months
is not appropriate.
- There was a failure to perform post treatment pocket
measurements.
About the author
Dr. Ravinder Varaich
Having qualified in 2002, I
have over 20 years experience
in general and cosmetic dentistry including periodontics,
root canal treatments, crowns,
bridges, veneers, extractions,
implants and orthodontics.
- Considering the progression of bone loss, and patient age at the time of bone loss, there was a failure to
consider referral to a specialist.
- Though the records state “risks, benefits discussed,
consent given”, there is no evidence of what risks, and
what benefits were discussed, and considering the
records are the same for each examination entry, it is
inferred a template was used, and these discussions
are not likely to have taken place. Considering the
above failures, and as the patient was not appropriately screened and diagnosed, the consent is not valid.
I have been an expert witness since 2006, and have
undergone training with Bond Solon, and have a
University of Cardiff qualification in writing expert
witness reports.
Dr. Ravinder Varaich
rkvaraich@hotmail.com
Mobile: 07930 384112
Dr Ravinder Varaich
BDS MFGDP RCS Eng MAE
Dentist, Clinical Negligence Expert and Facial Injector
Mr Stephen McLoughlin
Dr. Ravinder Varaich has been a dentist for over 20 years and a facial aesthetics
practitioner for over 15 years. She previously owned a private dental practice in
East Yorkshire for 15 years until 2021 before moving to London in 2021.
Consultant Orthopaedic and Trauma Surgeon
Mb ChB, FRCS(Ed), FRCS (Orth),Dip Orth Bio
As a self employed dentist her daily work involves a mixture of general dentistry,
cosmetic and restorative dentistry, implant dentistry, cosmetic orthodontics and
facial aesthetics.
Mr Stephen McLoughlin is a Consultant Orthopaedic and Trauma
Surgeon based in Blackpool and Manchester with outreach clinics in
Lancaster, Preston, Bolton, Blackburn and Warrington.
Highly experienced in report writing since 2006 (personal injury and clinical
negligence – condition & prognosis and breach & causation reports as well as initial
screening reports).
His specialties include:
• Orthopaedic surgery
• Trauma / accident related injuries
• Upper and Lower Limb Orthopaedic injuries and complaints
• Shoulder / Elbow / Wrist and Hand Injuries
• Lower Limb complaints including Hip / Knee / Ankle / Foot
• Hip and Knee Replacement surgery
• Neck injuries
• Back injurie.
• Medical Negligence
With a split of: 70% claimant appointed, 20% defendant appointed, 10% joint
expert. Experienced in court for defendant and claimant as well as acting as a
clinical dental advisor for the General Dental Council. Dr Varaich has presented
evidence in court on five occasions to date. Over 200 reports undertaken per year
and approximately 25 reports a year for the General Dental Council.
Clinical negligence work entails:
Facial anesthetics
General dentistry
Cosmetic dentistry
Periodontal disease
Root canal treatment
Extractions
Restorative dentistry: Fillings, Crown and bridgework
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Dr Varaich is trained by Bond Solon in writing reports and appearing in Court as an
expert witness. Also an accredited expert by The Academy of Experts. (MAE).
Mr McLoughlin's specialist interests are in arthroscopic surgery of the
ankle, knee and shoulder, along with upper and lower limb surgery
including hip, knee, ankle and shoulder, trauma and primary and
revision joint replacement surgery.
Contact: Dr. Ravinder Varaich - Mobile: 07930 384 112
Email: rkvaraich@hotmail.com - Alternate Email: rkvaraich@hotmail.com
Consulting rooms
Smile Cliniq, 102 Boundary Road, St. John’s Wood, NW8 0RH
2 Stoke Place Farm Cottages, Stoke Road, Stoke Poges, SL2 4NJ
Academy Dental Care, 400 Yorktown Road, College Town, Sandhurst, GU47 0PR
Contact: Tel: 01253 763 535
Email: nwmedreps@cumberlandmedical.co.uk
Cumberland House, 1 Cumberland Avenue, Blackpool, FY1 5QL
EXPERT WITNESS JOURNAL
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