Coroner's Court of Western Australia

Inquest into the Death of Myosotis Julianna MORIARTY

Inquest into the Death of Myosotis Julianna MORIARTY

Delivered on : 9 February 2015

Delivered at : Perth

Finding of : Coroner King

Recommendations : N/A

Orders/Rules : N/A

Suppression Order : N/A

Summary : The deceased at the time of her death had been on long term warfarin therapy for a heart condition. On 16 December 2010 the deceased had two teeth extracted. On 18 December 2010 the deceased had died from blood loss from the extraction sites in her mouth.

The issues which were explored at the inquest hearing related to the dentist’s management of the deceased’s conditions.

The Coroner concluded that the dentist did not obtain an up to date INR for the deceased and he did not use tranexamic acid as directed in the Therapeutic Guidelines. The Coroner found that it is not possible to conclude to the required level of satisfaction that the dentist’s failure to apply the tranexamic acid protocol caused or contributed to the ongoing bleeding which led to the death. He found that the dentist should have provided written post-operative instructions but failed to do so.

The Coroner found that the deceased died from acute gastrointestinal haemorrhage secondary to bilateral dental extraction and that death was by way of misadventure.

Catch Words : Dental procedure : Tooth Extraction : Therapeutic Guidelines : Warfarin : INR : Tranexamic Acid : Misadventure.


Last updated: 14-Feb-2024

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