The Guardian (USA)

French dentist jailed for mutilating patients with unnecessar­y work

- Angelique Chrisafis in Paris

A multi-millionair­e dentist in France has been jailed for deliberate­ly mutilating patients from low-income neighbourh­oods of Marseille, in a moneymakin­g scheme in which he performed thousands of unnecessar­y procedures.

Lionel Guedj, 41, was jailed for eight years and his father, Carnot Guedj, 70, who worked part-time for him, was jailed for five years after a court heard harrowing accounts of patients who had booked an appointmen­t for minor issues, such as a cavity or loose crown, and ended up having scores of healthy teeth removed for no medical reason.

The state prosecutio­n team described how Lionel Guedj deliberate­ly harmed healthy patients from the northern quarters of Marseille in order to defraud the social security system. He sought to make maximum profits by forcing unsuspecti­ng patients to undergo unnecessar­y procedures, showing “total disdain” for their health and then reaping payments from social security.

In one example, between 2006 and 2012, Guedj was accused of performing 3,900 root canals on 327 patients who had no medical need for the procedure, simply because he wanted to fit bridges that would make him money. Dental procedures that normally took 45 minutes to an hour were performed by Guedj in about 10 minutes – many of them resulting in infections, complicati­ons or permanent damage.

Such was Guedj’s “industrial” approach, squeezing the maximum number of procedures into the minimum time, that in 2010 he became the highest-earning dental surgeon in France, making up to €2.9m (£2.5m) in fees. He used it to purchase property, paintings and luxury cars.

There were gasps of horror during the six-week trial when poor and vulnerable residents of the southern city described how Guedj initially put them at ease before quickly pulling out healthy teeth or mutilating them before the patients knew what he was doing. When infections ensued, he prescribed large amounts of antibiotic­s.

One woman described going to him, aged 18, for a minor tooth enamel issue. He pulled out 24 of her healthy teeth without properly disinfecti­ng the roots. She said that since then: “I have pain 24 hours a day … My life is on standby.” She said she shied away from society and felt shame. “You want to crawl into a hole and never come out again, even to work.”

Guedj often said he would give people a Hollywood smile. But one 50year-old coach driver said the dentist had filed down so much that he was left with “mice’s teeth”.

One woman said the constant foul odour from her mouth after repeated infections meant she gave up her job serving in a bakery and avoided opening her mouth around other people. Another man who suffered a series of tooth extraction­s said he couldn’t afford to have his teeth redone and his life had been seriously affected. “I can’t eat properly … I don’t laugh like I did before.”

 ?? ?? Lionel Guedj, right, arriving at court with his father, Carnot, in Marseille before they were jailed. Photograph: Christophe Simon/AFP/Getty Images
Lionel Guedj, right, arriving at court with his father, Carnot, in Marseille before they were jailed. Photograph: Christophe Simon/AFP/Getty Images

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