A trend of Medical Negligence in Laser Therapy in the Capital City: A Nine-Year Survey

Background: the purpose of the present study is to investigate the common causes of injuries, claims, and decisions related to laser therapy medical malpractice during a nine-year survey. Study design: This study is a retrospective descriptive study. Methods: The legal documents in the coroner’s Office of Forensic Medicine were investigated in a national database from 2012 to 2020 in Tehran, Iran. The frequency and nature of the cases, including the year of litigation, the location and certificate of the provider, the injury sustained, the cause of legal action and judgment were collected. Results: Three hundred and eighty-three cases related to injury from laser therapy were registered in the coroner’s Office of Forensic Medicine during the study period. The incidence of litigation related to laser surgery showed an increasing trend, with a peak occurrence in 2020. Laser hair removal was the most common (51.2%) litigated procedure. General practice operators (48%) recorded the highest rate of laser-related medical complaints. lack of skill was the most common reason for failure. Among 383 cases with public decisions, 62.4% of them were fault liability in paid judgment. Conclusions: Medical claims related to laser application are increasing. However, as it is clear, the growth of laser technology and the increasing demand for lasers in medical science require more surveillance to avoid probable injuries and improve patient safety, especially surveillance of the physicians who work outside the scope of their specialty.&nbsp

Evaluating the interaction of 308-nm xenon chloride excimer laser with human dentin and enamel hard tissues

Background: The pulsed output of the 308 nm XeCl laser and its photoablation action rather than photothermal action offers the ability to remove dental hard tissues with minimal generation of heat in the tissue. Materials and Methods: A total of 20 human molar teeth (ten teeth used as enamel samples and ten teeth used as dentin samples after removing the enamel tissue from their crowns) were irradiated by the laser. The crown of each sample was regarded as a cube which its lateral sides were exposed in 2Hz frequency without water cooling. Also, 18 holes for all enamel samples and 18 holes for all dentin samples were obtained. Three different amounts of energy were selected as a variable factor with 6 different numbers of pulses in each energy. The images of these holes were prepared by optic and computer combining, and the amounts of the ablation depth and effective ablation area were calculated using the MATLAB software. Results: The amounts of ablation depth were increased with increasing the number of pulses for both enamel and dentin tissues. The amounts of ablation depth were also increased with increasing the amounts of energy for both enamel and dentin tissues. The greater amounts of ablation depth and effective ablation area were observed in the dentin tissue rather than the enamel tissue. The borders of created holes were reported sharp and clear. Conclusion: The application of the XeCl laser for hard tissue removal and cavity preparation can be possible after some certain modifications