Relapse, Retention and Compliance - Orthodontics Medico-Legal Perspectives

This episode has three scenerios:

1. Orthodontic relapse after 1 year and an upset patient…

2. Poor Compliance with aligners - prolonged treatment and frustrated patient

3. Taking Over someone else's Orthodontic case!

We discuss some pressing matters that can present themselves in the real world which we should be properly prepared for with the right advice and people around us. That’s why we have Dr Neel Jaiswal and Orthodontist Dr Shivani Patel to guide us through these tough scenarios, and arm us with the knowledge we need to protect ourselves.

Key Takeaways:

- Dual retention is recommended for high-risk movements to prevent relapse.

- Continuous communication with patients is crucial to manage expectations and address concerns.

- Thorough examination of retainers is necessary to identify any issues.

- Managing patient compliance is essential for successful orthodontic treatment.

- Clear communication about treatment process and patient responsibilities is important from the beginning.

- Promptly addressing patient concerns can help prevent escalation and potential legal issues. Patient compliance is crucial for successful orthodontic treatment.

- Remote monitoring may not be as effective as in-person visits for building trust and ensuring compliance.

- Clear communication and managing patient expectations are key to a successful treatment outcome.

- Taking over unfinished cases requires proper communication and collaboration between practitioners.- Mentorship and continuing education are valuable resources for orthodontic practitioners.

HIghlights of this episode:

0:00 Introduction

02:24 Introduction - Dr Shivani Patel & Dr Neel Jaiswal

06:38 Scenario

110:59 Telltale signs of retainer use

12:19 Reasons for rotation/movement of the lateral

13:19 Resolving the issue

17:03 Standing our ground

19:14 Calling Indemnity

21:32 When to charge?

26:04 Scenario 1 Conclusion

30:22 Scenario 2 

31:23 How to approach this case?

35:00 Medico-Legal Perspective

37:15 Conclusion for Scenario 2

42:35 Scenario 3

45:49 Taking Over Someone’s Orthodontics Cases

50:02 Medico-Legal Perspective

51:46 Wrapping Up - Contacts

If you enjoyed this episode, check out: Associate Contracts FINALLY Made Sense! From Holidays to Retention Fees – IC 051: https://protrusive.co.uk/IC051

This episode is eligible for 1 CE credit via the quiz on Protrusive Guidance. https://protrusive. co.uk/ultimate

This episode meets GDC Outcomes A and D.

AGD Subject Code: 370 ORTHODONTICS (Diagnosis and treatment planning)

Aim: To enhance dentists' understanding of effective communication strategies and legal considerations when managing complex orthodontic cases, with a focus on preventing patient dissatisfaction and mitigating legal risks.

Dentists will be able to -

1. Empathise with patients and de-escalate dissatisfaction by employing clear communication techniques and maintaining professional relationships during orthodontic treatments.

2. Identify high-risk cases for orthodontic relapse, assess appropriate retention options, and understand the importance of regular follow-ups to prevent post-treatment issues.

3. Understand how to handle medico-legal challenges effectively by managing patient expectations, maintaining documentation, and knowing when to seek professional indemnity advice.