3 year old brain dead after dentistry

  1. 0 http://www.huffingtonpost.com/2014/0...6pLid%3D426560 This is the link to the article. My question is what is going on with all these patients during/after surgery? And is this a true brain death if they are waiting for her to die on hospice? Would that actually be an anoxic brain injury? This little one was said to need 4 root canals at age 3?! I know nothing of dentistry but is that normal to give a 3 year old not just 1 but 4 root canals at the same time? Who supervises the medication/sedation administration? I know my dentist has a crash cart in the office but I do not know their policies and procedures regarding medication administration and such. This is just scary!
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  3. Visit  Call me sparky profile page

    About Call me sparky

    Call me sparky has '6 years as a paramedic' year(s) of experience and specializes in 'hoping for the ER/ED'. From 'South of the Mason Dixon'; Joined Nov '13; Posts: 16; Likes: 19.

    50 Comments so far...

  4. Visit  Anna Flaxis profile page
    0
    Another report states that she is in a persistent vegetative state.

    Parents accuse Hawaii dentist of leaving daughter with brain damage - CNN.com
  5. Visit  Esme12 profile page
    5
    Quote from BeccaG
    Finley Boyle, 3, Brain Dead After Dentist Visit, Parents File Lawsuit This is the link to the article. My question is what is going on with all these patients during/after surgery? And is this a true brain death if they are waiting for her to die on hospice? Would that actually be an anoxic brain injury? This little one was said to need 4 root canals at age 3?! I know nothing of dentistry but is that normal to give a 3 year old not just 1 but 4 root canals at the same time? Who supervises the medication/sedation administration? I know my dentist has a crash cart in the office but I do not know their policies and procedures regarding medication administration and such. This is just scary!
    Huffington post is sensationalizing the headline to increase readership with the recent battle over Jahi. There has bot been brain death determined right now. If you read the entire article here the mother even states CT/MRI's have showed extensive damage with little hope of recovery. The only thing these two stories have in common are bad reporting and irresponsible reporters.

    Root canals on a 3 year old temporary teeth...I have high trepidations about this procedure. Just pull them the permanent teeth will follow. The report is they continued with the procedure and hadn't noticed the child had stopped breathing after the administration of 5 sedatives at max dose.

    I was just on their website....
    Island Dentistry is now closed permanently.

    To contact Island Dentistry please email islanddentistry@gmail.com
    or mail to
    Island Dentistry, Inc
    30 Aulike St. Ste 503
    Kailua, HI 96734

    If you want your records transferred to your new dentist, contact your new dentist first. For your convenience a form is provided below that they may be able to send us on your behalf.
    Last edit by Esme12 on Jan 4, '14
  6. Visit  manusko profile page
    0
    Quote from BeccaG
    http://www.huffingtonpost.com/2014/0...6pLid%3D426560 This is the link to the article. My question is what is going on with all these patients during/after surgery? And is this a true brain death if they are waiting for her to die on hospice? Would that actually be an anoxic brain injury? This little one was said to need 4 root canals at age 3?! I know nothing of dentistry but is that normal to give a 3 year old not just 1 but 4 root canals at the same time? Who supervises the medication/sedation administration? I know my dentist has a crash cart in the office but I do not know their policies and procedures regarding medication administration and such. This is just scary!
    Yeah it's normal to do them all at once. Simply pulling these teeth may cause the following teeth to come in wrong. Removing a tooth will allow the teeth behind them to shift forward causing different issues.
  7. Visit  Rose_Queen profile page
    2
    CNN is reporting that the little girl has died. Hawaiian girl, 3, dies after dental procedure - CNN.com

    (CNN)
    -- Finley Boyle, a 3-year-old Hawaiian girl who suffered
    massive brain damage
    after undergoing a dental procedure last month, died Friday night, her family's lawyer said Saturday.
    SoldierNurse22 and Esme12 like this.
  8. Visit  JustBeachyNurse profile page
    2
    She was breathing without a vent which is indicative of severe brain damage not brain death. PVS cannot be diagnosed until in a deep coma for an extended. & specific period of time. (i.e. You don't go from brain damage to PVS. It's brain damage to deep coma if no recovery then vegetative then persistent vegetative. )

    I agree the journalists are hoping to catch some of the overflow from the mcmath media binge.

    The bigger difference here is that while both parents are distraught & traumatized, the 3 year olds patents, while angry, have a firm grip on reality and the gravity of their child's situation. This appears to be a more clear cut case of malpractice and/or negligence as this was reportedly an office with in adequately trained personnel (nurses were only mentioned from the pediatric practice) completing a procedure that should have been relegated to a surgicenter or OR.

    Dental hygienists and certified dental assistance have good training for bedside procedures like extractions & fillings but not complex pediatric procedures requiring sedation and anesthesia.
    poppycat and SoldierNurse22 like this.
  9. Visit  JustBeachyNurse profile page
    3
    This poor child passed last night surrounded by family in a hospice facility. The alleged egregious acts of this dentist & staff deserve media attention to protect other children. Though the practice is now closed and hopefully the HI board of dentistry intervenes.
    poppycat, SoldierNurse22, and Esme12 like this.
  10. Visit  KelRN215 profile page
    5
    The child was not brain dead at the time the HuffPost wrote that article. The family's own facebook page said that she was breathing on her own and would occasionally open her eyes. Unlike Jahi McMath's mother, this child's mother was very realistic. She understood that recovery from this injury was unlikely and they placed their daughter in hospice care. The announcement on their facebook page is that "Finley went to dance with the angels." I have been a pediatric nurse for my entire career and have worked with dying children even since before becoming a nurse. I have the utmost respect for parents who are able to say "enough is enough" and selflessly let their child go.

    As far as the Dentist... yeah I don't imagine she'll be practicing Dentistry much longer.
  11. Visit  Esme12 profile page
    2
    Quote from KelRN215
    The child was not brain dead at the time the HuffPost wrote that article. The family's own facebook page said that she was breathing on her own and would occasionally open her eyes. Unlike Jahi McMath's mother, this child's mother was very realistic. She understood that recovery from this injury was unlikely and they placed their daughter in hospice care. The announcement on their facebook page is that "Finley went to dance with the angels." I have been a pediatric nurse for my entire career and have worked with dying children even since before becoming a nurse. I have the utmost respect for parents who are able to say "enough is enough" and selflessly let their child go.

    As far as the Dentist... yeah I don't imagine she'll be practicing Dentistry much longer.
    This Mom is a nurse at a local children's hospital.
    imintrouble and SoldierNurse22 like this.
  12. Visit  BuckyBadgerRN profile page
    0
    MY question is what parent lets their 3 year old's dental health get to the point that they need to be hospitalized for multiple pulpotomies (NOT root canals, you can't perform a root canal on a 3 year old, not anatomically possible) and multiple carious lesions? The parents are lucky they aren't being investigated for gross neglect.
  13. Visit  BuckyBadgerRN profile page
    1
    There is great benefit to saving baby teeth when possible. I won't bore you with all of the reasons why, LOL. As I just posted, I seriously question the parenting ability when a 3 year old needs hospital admission to take care of such severe decay. The need for pulpotomies means that the decay has extended into the living portion (ie: nerve) of the tooth and had to be causing an incredible amount of pain for that poor pippie.

    Quote from Esme12
    Huffington post is sensationalizing the headline to increase readership with the recent battle over Jahi. There has bot been brain death determined right now. If you read the entire article here the mother even states CT/MRI's have showed extensive damage with little hope of recovery. The only thing these two stories have in common are bad reporting and irresponsible reporters.

    Root canals on a 3 year old temporary teeth...I have high trepidations about this procedure. Just pull them the permanent teeth will follow. The report is they continued with the procedure and hadn't noticed the child had stopped breathing after the administration of 5 sedatives at max dose.

    I was just on their website....
    SoldierNurse22 likes this.
  14. Visit  BuckyBadgerRN profile page
    0
    Not many states require dental assistants to be certified to begin with, but also, to be fair, there are MANY of us (I say us, I was a CDA for 26 years before adding RN to my name) who ARE trained in advanced procedures.

    Quote from JustBeachyNurse
    She was breathing without a vent which is indicative of severe brain damage not brain death. PVS cannot be diagnosed until in a deep coma for an extended. & specific period of time. (i.e. You don't go from brain damage to PVS. It's brain damage to deep coma if no recovery then vegetative then persistent vegetative. )

    I agree the journalists are hoping to catch some of the overflow from the mcmath media binge.

    The bigger difference here is that while both parents are distraught & traumatized, the 3 year olds patents, while angry, have a firm grip on reality and the gravity of their child's situation. This appears to be a more clear cut case of malpractice and/or negligence as this was reportedly an office with in adequately trained personnel (nurses were only mentioned from the pediatric practice) completing a procedure that should have been relegated to a surgicenter or OR.

    Dental hygienists and certified dental assistance have good training for bedside procedures like extractions & fillings but not complex pediatric procedures requiring sedation and anesthesia.
  15. Visit  KelRN215 profile page
    1
    Quote from BuckyBadgerRN
    There is great benefit to saving baby teeth when possible. I won't bore you with all of the reasons why, LOL. As I just posted, I seriously question the parenting ability when a 3 year old needs hospital admission to take care of such severe decay. The need for pulpotomies means that the decay has extended into the living portion (ie: nerve) of the tooth and had to be causing an incredible amount of pain for that poor pippie.
    She needed hospital admission because she coded during the procedure. The procedure was being done as an outpatient procedure in a dental clinic (which is now closed). That's one of the issues at hand- the dentist appears to have given inappropriate doses of sedation drugs, not monitored her properly and not responded quickly enough when she coded. The family has also accused the dentist of suggesting these procedures gratuitously. I haven't seen anything that said she was ever admitted to the hospital for tooth decay.
    poppycat likes this.


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