William S. Spiegel and Marc R. Leffler, DDS

X-Ray
Legal Case: When the end of a lawsuit does not end the problem
In their latest Legal Cases column, William S. Spiegel and Dr. Marc Leffler present a case in which a patient sued a dentist and also filed a complaint with the state dental board. Learn about the role a radiograph played in the case, how both the legal and disciplinary actions were resolved, and what you can do to help your practice avoid a similar situation.
March 10, 2019
2016 08 15 14 01 32 982 Law Books 400
Dental Practice
Legal Cases: Disruptive patient and incomplete restorative work
In their latest Legal Cases column, William S. Spiegel and Dr. Marc Leffler present a case in which a patient became disruptive and had to be removed from the dental office by the police after incomplete restorative work. Read on to learn how the case was resolved and what you can do to help your practice.
December 4, 2018
2016 08 15 14 01 32 982 Law Books 400
Dental Practice
Legal Cases: Seizure-like event in dental chair followed by death
In their latest Legal Cases column, William S. Spiegel and Dr. Marc Leffler present a case in which a patient having two teeth extracted had a seizure in the chair and later died. Complicating matters was that the treating dentist had received his license only a week earlier. Read on to learn how the case was resolved and what you can do to help your practice.
July 4, 2018
2016 08 15 14 01 32 982 Law Books 400
X-Ray
Legal Cases: Implant placement into the maxillary sinus
A group practice's dentists proposed a treatment plan of three implants for a 60-year-old man with missing teeth. However, after the implants were placed, an x-ray showed one of the implants projected beyond the bony floor of the patient's sinuses. As William S. Spiegel and Dr. Marc Leffler write, sometimes there is a difference between acceptable clinical practice and what a jury may see.
March 13, 2018
2016 08 15 14 01 32 982 Law Books 400
Dental Practice
Legal Cases: Failure to diagnose squamous cell carcinoma of the anterior mandibular region
A 45-year-old law-enforcement officer presented to an oral surgeon when his general dentist found a white lesion near a recent lower incisor extraction. As William S. Spiegel and Dr. Marc R. Leffler discuss in their latest Legal Cases column, this patient's treatment and case are a reminder that chart entries are crucial to patient care and for legal documentation.
December 3, 2017
2016 08 15 14 01 32 982 Law Books 400
Orofacial Pain
Legal Cases: Claimed nerve injury and trismus after mandibular block
A patient returns to your office just days after you performed a mandibular block. You refer the patient to an oral surgeon, then don't hear from the patient again. Until three months later and you are being served. In their latest Legal Cases series, William S. Spiegel and Dr. Marc R. Leffler document how they handled this case for their client and what you can do to try to prevent it from happening.
June 11, 2017
2016 08 15 14 01 32 982 Law Books 400
Dental Practice
Legal Cases: Mandibular fracture after implant placement
You use a health history form with every patient. You discuss this form and their health with them and receive their agreement, But, as William S. Spiegel and Dr. Marc R. Leffler write in their latest Legal Cases series, it is impossible to get every condition onto a form. Learn what happened to a new-to-practice prosthodontist who placed implants in a 68-year-old patient.
April 3, 2017
2016 08 15 14 01 32 982 Law Books 400
Dental Practice
Legal Cases: 24 fillings on virgin teeth
A 23-year-old woman presented to a general dentist for a routine exam with no radiographic evidence of decay. Yet on clinical examination, the dentist found that his explorer stuck on the occlusal surfaces of the patient's posterior teeth and recommended treatment. As William S. Spiegel and Dr. Marc R. Leffler write in their latest Legal Cases series, finding a way to document justification for clinical treatment is crucial.
February 9, 2017
2016 08 15 14 01 32 982 Law Books 400
Dental Practice
Legal Cases: Placement of implants projecting into the maxillary sinus
A 61-year-old man presented to a large group practice where a prosthodontist proposed a treatment plan of four implants. As William S. Spiegel and Dr. Marc R. Leffler document in their latest Legal Cases series, having a plan of action isn't enough -- it has to be written in the patient's chart.
October 23, 2016
2016 08 15 14 01 32 982 Law Books 400
Restorations
Legal Cases: TMJ dysfunction following crown and bridge work
A 63-year-old man with many fillings, previous endodontic treatment, and three-unit bridges presented to his dentist with headaches, tight jaw muscles, and teeth grinding. As William S. Spiegel and Dr. Marc R. Leffler document, sometimes practicing to the dentist's ability is the best course of action for all involved.
August 15, 2016
2016 08 15 14 01 32 982 Law Books 400
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