Dentist fined for ‘practising beyond his ability’

SINGAPORE: A general dentist who practised beyond his ability and left the patient worse off than before treatment has been suspended three months, fined S$15,000 (RM46,640) and prohibited from offering orthodontic services for two years.

The Singapore Dental Council (SDC) said in a press release yesterday that Dr Simon Jude Chua Chew Kiat, who practises at Advanced Dental Surgery in Tampines, had offered the patient three treatment plans to choose from.

The plan that the patient opted for should never have been offered, said the SDC’s disciplinary committee. As a result of that treatment over a one-year period, the disciplinary committee said the patient will now need to extract the affected tooth.

It said in its grounds of decision: “This is necessary since the tooth was moved out of the bone. Furthermore, it is now necessary to remove a few other teeth to provide a reasonable treatment outcome. There is also a possibility that the patient may require jaw surgery.”

The committee added: “The patient is left worse off than before his treatment started. He has now lost the bone support for the canine and his arch asymmetry has worsened.”

Dr Chua, who had been deputy head of Ang Mo Kio Dental Clinic, part of the National Healthcare Group Polyclinics, before he left for private practice in 2012, admitted that this was the first time he had attempted the procedure.

There is nothing to stop a dentist from doing any procedure, but he should be competent at it. The disci- plinary committee said that there was “obvious lack of expertise” in this case, and Dr Chua should have referred the patient to an orthodontic specialist. This option was not offered to the patient.

The committee felt that the penalty should be heavy enough “to deter like-minded persons” from carrying out treatment beyond their competency. Because he had gained financially from treating the patient over one year, a fine was also appropriate.

The disciplinary committee said it would have been suspended Dr Chua for six months, if not for the delay in hearing his case.

The patient is left worse off than before his treatment. Singapore Dental Council