Condition

Wrong tooth extraction expert reports


Independent opinion on how the wrong tooth came to be removed, and what replacing it will cost across the claimant’s lifetime.

Dental extraction forceps beside a glass vial of extracted teeth, a still-life for a wrong-site extraction review
Wrong-site evidence Safety checks · consent · replacement
How the checks failed Consent and disclosure Lifetime replacement cost

Breach of duty

The standard the dentist is judged against

Extracting the wrong tooth is rarely defensible. The interest for a solicitor is not whether there was a breach but how the safety checks failed, because that shapes both the evidence and, in NHS settings, the disclosure.

National safety standards for invasive procedures require site verification and a pause before the procedure. Where a practice has adopted local standards derived from them, the records should show which tooth was planned, which was checked, and by whom.

Clinical evidence

How the failure happens

01

Notation error

The treatment plan records one tooth and the referral another.

02

Conflicting information not resolved

Radiograph, chart and letter disagree, and nobody stops.

03

No site verification

The tooth to be removed is never confirmed aloud with the patient or the team.

04

Orthodontic extraction patterns

Symmetrical premolar extractions taken from the wrong quadrant.

05

The error compounded

The correct tooth then removed at the same visit, so the claimant loses two.

The counterfactual

Causation, and what the claim is worth

Causation is seldom the battleground. The value is. The question is what the claimant has lost across a lifetime: whether the tooth can be re-implanted, whether the space needs an implant or a bridge, how often that restoration will be replaced, and what happens to the adjacent teeth.

A healthy tooth removed from a young claimant is a prosthetic liability for decades. Where a sound tooth is lost and the tooth that should have been removed is then removed as well, the report should value both consequences separately.

  1. 01

    Can the lost tooth be re-implanted?

    The prognosis of any re-implantation, not an assumption that it survives.

  2. 02

    What will the space need?

    An implant or a bridge, and how often that restoration will be replaced.

  3. 03

    What happens to the adjacent teeth?

    The knock-on consequences for the neighbouring dentition.

Discipline-led matching

The expert we match

Breach

General practice or oral surgery

On how the wrong tooth came to be removed — the treatment plan, the checks and the site verification.

Value

Restorative dentist or implant experience

On replacing the lost tooth and costing the lifetime replacement cycle. These claims often need both.

Where the instruction crosses those boundaries, we identify the required disciplines before you instruct and provide the proposed CV.

Why solicitors instruct us

The value sits in the prosthetic schedule.

  1. 01

    Value the lifetime replacement cycle

    Liability is usually conceded. We match an expert who can cost the lifetime replacement cycle, because that is what the claim is actually worth.

  2. 02

    We know the current position on Never Events

    Reports that still describe this as a Never Event invite an easy correction from the other side.

  3. 03

    Keep one case-management contact

    A named case manager coordinates the instruction, the proposed CV and the agreed report scope, and tells you where it stands before you ask.

Frequently asked questions

Assessing a wrong-tooth extraction claim.

Practical questions for solicitors reviewing a wrong-site extraction instruction.

Not since 1 April 2021. It remains a reportable patient safety incident, and it remains actionable.

Re-implantation is sometimes attempted and is not always successful. The report addresses the prognosis of a re-implanted tooth rather than assuming it survives.

The claim concerns the sound tooth that was lost. The report values that separately.

The treatment plan, referral correspondence, radiographs, consent documentation and any incident report.

Discuss an instruction


Have a wrong-tooth extraction claim?

Tell us the clinical issue and a case manager will send a suitable CV and a fixed quote.

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