A DENTIST whose patient bled to death hours after he finished pulling out ten of her teeth has been struck off.
Tushar Patel was banned from working for a year after being found unfit to practice following a “catalogue of errors”, a report said.
The patient who died – known as Patient A – had advanced gum disease and Mr Patel removed all of her top teeth during two appointments in a week.
She told him she was taking blood-thinning medicine Warfarin, used to treat a rare disorder that causes clotting.
But a General Dental Council (GDC) panel heard Mr Patel failed to warn her of the increased risk of bleeding because she was taking Warfarin.
Her wounds were also not packed or sutured following the treatment.
Hours after her final appointment Patient A was rushed to A&E after collapsing at home with “bleeding from her mouth”, but died in hospital a GDC report said.
A professional conduct hearing last week ruled Mr Patel failed to “weigh up the risks” of his treatment and ignored guidance “well known to dentists”.
A GDC report said: “Your failures placed Patient A at a significant and avoidable risk of harm and were in contrary to guidance.
“These were basic errors which placed Patient A at significant risk of harm, when this could have, and should have been avoided.
“This amounted to a repeated disregard for patient safety which can be described as serious.
“The committee has determined that your fitness to practice is currently impaired by reason of your misconduct.”
Your failures placed Patient A at a significant and avoidable risk of harm
General Dental Council report
The GDC heard Mr Patel didn’t carry out necessary checks to assess her risk of post-operative bleeding, or dress her wounds properly.
Mr Patel first examined Patient A in May, 2013 when he diagnosed her with advanced periodontal disease – also known as gum disease.
He said she needed some teeth out and extractions were planned for her next appointment, but she didn’t come in for another four years.
The patient came back on June 5 2017, complaining of her “teeth falling out”.
She told her dentist she was taking Warfarin, but the GDC panel heard Mr Panel failed to discuss with her the complex needs and increased risk of bleeding.
Before having all of her upper teeth removed the patient filled out a medical history form which outlined she took blood thinning tablets.
‘CATALOGUE OF ERRORS’
Mr Patel extracted five of the patient’s teeth on July 13 and five teeth on July 18.
After having the final five teeth removed, the patient experienced extensive bleeding, the report said.
The patient attended A&E at King’s College Hospital, London, on July 18, but was discharged following treatment to attempt to stop the bleeding.
But she collapsed at home in the early hours of July 19 and was bleeding from her mouth, the GDC report said.
She was taken to hospital but pronounced dead on July 19.
In March, 2018, a coroner ruled the medical cause of death was haemorrhage from the tooth extraction site and Warfarin treatment and dental extraction.
The GDC proved a total of eight charges against Mr Patel over his treatment of Patient A.
It added: “There were multiple errors and a failure to follow the appropriate guidance.
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“These were basic errors which placed the patient at significant risk of harm.
“This was not a single error, but a catalogue of errors.”
Mr Patel has expressed remorse and apologised to the patient’s family, the GDC report said.