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

After the "never" event framework was introduced, a core list of examples was drawn up in 2009 that included operations on the wrong site,1 and a further revision after April 2015 included extraction of the wrong tooth.2,3 We read with interest the article by Pemberton et al3 who found that extraction of the wrong tooth accounted for about a quarter of all procedures at the wrong site, and up to 10% of "never" events in total, all in hospital. As most dental extractions were done in primary care, this raises questions because, as far as we are aware, no data are available from this sector. (Source: The British Journal of Oral and Maxillofacial Surgery)

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