Re: Wrong tooth extraction: an examination of ‘Never Event’ data

I read with interest the recent study by Pemberton et al concerning wrong tooth extractions.1 In many ways it is surprising that extraction of a wrong tooth is the most common wrong site event, given that many of these procedures are done under local anaesthesia and the patient often knows which tooth or teeth are to be removed. Although the authors were not able to comment on the causes, as with many cases of human error, they are likely to be multifactorial. Ineffective communication is widely regarded as one of the highest causes of error.

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