The Indian press seems to go gaga with this case, but please don't develop any base less fears, as I am posting it here because t is relevant.
Child dies after root canal
5-Yr-Old From Dahisar Failed To Come Out Of Anaesthesia
TIMES NEWS NETWORK
Mumbai: A five-year-old child from Dahisar died during a root canal dental procedure on Friday. While the root canal itself was over, doctors said the girl, Krisha Joshi, suffered a cardiac arrest while her anaesthesia was being reversed and died within two hours of the procedure at Rose and Petal Hospital in Borivli.
The Borivli police have registered a case of accidental death.
Her uncle, Chirag Trivedi, told TOI, â€œGoing by the credentials of the dentist, we took her to that clinic. As he had just returned from Japan, a dentist from his team checked Krisha and told us that she needed nearly 14 root canals, which could be done in one sitting. We asked for the six major ones to be done first.â€™â€™ Krisha had gone to Dr Uday Tamhankarâ€™s clinic on Friday, but as the procedure required general anaesthesia, it was decided that she would undergo the procedure at the nearby hospital. She was taken there thrice before for basic check-ups.
On the day of the root canal procedure, Krishna was taken to the hospital around 8 am and was administered with general anaesthesia. As Dr Tamhankar was away, another dentist, Mrunal Kende, performed the procedure, after which the parents were called in and shown her work. Following that, Dr Kende left the clinic, while anaesthetist Dr Prajakta Kulkarni monitored her condition. It was when she took a turn for the worse that the team called other paediatricians and tried to resuscitate her, but in vain.
â€œShe had gone for a simple procedure but didnâ€™t gain consciousness for nearly three to four hours. Something obviously had gone wrong and we feel it is negligence,â€™â€™ said Trivedi.
When contacted, Dr Tamhankar said he had come in only this morning and that the complications did not have anything to do with the dental procedure. â€œHer teeth were decayed and we decided to conduct the procedure at the earliest as she was in great pain. Her root canal was fine and we even showed the parents, but there were complications during her reversal,â€™â€™ said Dr Kende.
Calling the incident unfortunate, Dr Kulkarni said Krisha had even come out of the effect of anaesthesia and was trying to breathe. â€œOnly then did we start reversal medicines. As a complication, cardiac arrest occurred with pulmonary edema. We called in other experts and tried to resusicate the child for nearly an hour, but in vain,â€™â€™ she said.
As it was a medico-legal case, the police were called in before giving out the death certificate. â€œAn autopsy examination has been carried out at the Borivli postmortem centre and the reports are yet to arrive. Only after learning the cause of death and making inquiries with hospital doctors as well as the childâ€™s parents, will we decide on the next course of action,â€™â€™ said inspector Annasaheb Rajmane. â€œItâ€™s too early to say if a case of negligence is made out.â€™â€™
Another one you can see here: -
Inept dentist led to Krisha's death
Sun Jun 29, 2008 03:15 IST
Doctors say five-year-old died, not because of wrongly-administered anaesthesia, but because dentist was not qualified
The death of five-year-old Krisha Joshi, who died during a dental procedure on Friday, could not have been caused by medical neglect, doctors say. It has been alleged that the dentist who carried out the root canal operation, was not qualified enough. Dr Mrunal Kende, who carried out the six root canal procedures on Krisha on the same day - the child was scheduled for 14 root canal operations, but her family requested for only six initially - is a Bachelor of Dental Science (BDS), not a periodontist or an endodontist. This was confirmed by Dr Uday Tamhankar, head of Cremaco Clinic, who was earlier supposed to operate on Krisha. It was when Dr Tamhankar went abroad that Dr Kende took over the case. According to the police, Dr Kende is absconding.
A BDS may have only five years experience, compared with a periodontist or an endodontist, who must have at least seven years. Dentists say without these qualifications, no doctor should perform multiple root canal procedures in a single sitting.
"Handling multiple root canals in a single sitting, that too for a five-year old, requires the skills of at least a periodontist or endodontist," a well-known city dentist says. "If the dentist who conducted the surgery does not have these qualifications, she should not have even attempted such a complex, multiple surgery."
Ashok Dhoble, secretary general of the Indian Dental Association, adds, "It is not uncommon for children to be treated for 14 root canals, and that too in a single sitting. Since the cost of anesthesia alone is about Rs2,500-3,000, some people opt for just one sitting. In fact the fewer sittings you put a child through, the better. But such surgeries must be handled only by qualified doctors."
Doctors add that had Krisha been administered general rather than local anaesthesia, she might have survived the operation. An Indian Dental Association member, requesting anonymity, says "Reports state that the anaesthetist had not met the child before the procedure. In such cases, you have to bring the child over to the clinic several times before the operation, and help her get accustomed to the surroundings. This would have relaxed her before the procedure."
Doctors have also raised questions about the 14 root canals being suggested. "Most children lose their milk teeth by the time they are eight," says dentist E Bhatnagar. "The back teeth come out only when the child turns 11. Since only the back teeth needed to be treated, Krisha would have required less than 14 root canal procedures in any case."
Krisha's uncle Amit Trivedi says that they had no idea who would treat her until an hour before the surgery. "We thought it was Dr Tamhankar, and had cancelled a previous appointment because he was not available. It was at the last minute that some junior doctors convinced us to go ahead with the surgery, since Dr Tamhankar was in Japan. They kept reassuring us, saying that since they had trained under Dr Tamhankar, they would do a good job."
He adds that the family was not informed even when Krisha was in a critical condition. "It was around 12.15pm, when the doctors began to panic, that we got to know of her situation," Trivedi said. Around 1.15pm, the doctors declared Krisha dead. The family was going to pay Rs25,000 for the treatment.
Inspector Annasaheb Rajmane of Borivli police station says, "We are trying to get information about Dr Kende and also waiting for the autopsy results. It's too early to say whether this was a case of medical neglect. We will know once the reports are in." Hospital authorities, however, refused to comment on the incident." end of report.
I think the accusations are ridiculous
What do you guys have to say?