A Purley dentist has been suspended after one of his patients bled to death hours after he finished pulling out TEN of her teeth.

Tushar Patel has been banned from working for a year after being found unfit to practice following a "catalogue of errors", a report said.

'Patient A' had advanced gum disease and experienced dentist Patel removed all of her top teeth during two appointments, within a week, it was heard.

The female patient told him she was taking blood-thinning medicine Warfarin for a rare blood condition that causes clotting.

Hours after her final appointment she went to A&E for bleeding, and died in hospital after collapsing at home with "bleeding from her mouth", a report said.

The General Dental Council was informed and a hearing professional conduct hearing last week ruled his fitness to practice was impaired.

The GDC panel heard Panel failed to discuss with her the complex needs and increased risk of bleeding because she was taking Warfarin.

It ruled he failed to “weigh up the risks” of his treatment and ignored guidance “well-known to dentists”.

The GDC heard he didn't carry out checks in line with industry-standard guidelines to assess the patient’s risk of post-operative bleeding, or dress her wounds properly.

The report, published today (22), said: “The committee has found [...] you failed to adequately discuss or adequately record any discussions, with Patient A regarding her complex medical history.

“This was in spite of the fact Patient A had provided you with a full medical history questionnaire [...] before you embarked on any treatment.

“You failed to pack or suture the extraction sockets.

"You also failed to provide Patient A with specific post-operative instructions relevant to her increased risks.

“Your failures placed Patient A at a significant and avoidable risk of harm and were in contrary to guidance.

“These were basic errors which placed Patient A at significant risk of harm, when this could have, and should have been avoided.

“This amounted to a repeated disregard for patient safety which can be described as serious.

“The committee has determined that your fitness to practice is currently impaired by reason of your misconduct.

“You failed to provide an acceptable standard of care for Patient A [...] the committee has determined that your registration be suspended for the maximum period, 12 months."

Documents from the GDC said Patel first examined Patient A in May 2013 when he diagnosed her with advanced periodontal disease - also known as gum disease.

He said she needed some teeth out and extractions were planned for her next appointment - but she didn't come in for another four years.

The patient came back June 5 2017, complaining of her “teeth falling out”.

She told her dentist she was taking Warfarin, a blood-thinning medicine used to treat a condition called thrombotic thrombocytopenic purpura, which causes blood clotting.

But the GDC panel heard how Mr Panel failed to discuss with her the complex needs and increased risk of bleeding.

Before having all of her upper teeth removed the patient filled out a medical history form which outlined she took blood thinning tablets.

The GDC heard how Mr Patel did not carry out checks in line with industry-standard guidelines to assess the patient’s risk of post-operative bleeding.

Mr Patel extracted five of the patient’s teeth on July 13 and five teeth on July 18.

He however failed to discuss or record discussions, about her bleeding history and failed to advise her of the increased risk of bleeding following the extractions, the panel heard.

According to the GDC’s report, Warfarin has been widely used for more than 50 years and the risk of postoperative bleeding complications is of concern to dentists.

After having the final five teeth removed by Mr Patel at 3.15pm on June 18 2017, the patient experienced extensive bleeding from the extraction sites, the report said.

Her wounds were not packed or sutured following the treatment, on July 13 or July 18, the GDC report said.

The patient attended A&E at King’s College Hospital, London, at 9.50pm on July 18, but was discharged following treatment to attempt to stop the bleeding.

But the patient collapsed at home during the early hours of July 19 was bleeding from her mouth, the GDC report said.

She was taken to King’s College Hospital by ambulance but medics were unable to save her life, and she was pronounced dead at 9.26am on July 19.

A coroner’s investigation followed her death and an inquest was held to decide what caused her to die.

On March 21 2018 the coroner ruled the medical cause of death was haemorrhage from the tooth extraction site and Warfarin treatment and dental extraction.

A registered dentist provided evidence at the GDC hearing to give opinion on whether Mr Patel’s conduct fell short during the patient’s treatment.

The dentist, Ms Glass, said Mr Patel should have paced and/or sutured the wounds and should have "taken steps to manage Patient A’s risk of bleeding".

Mr Patel accepted “the most serious consequences of your actions” and admitted the allegations put to him, the report said.

The GDC charged Mr Patel and found proved a total of eight charges relating to his treatment of Patient A.

The panel found all of the charged were proved.

In summary, they relate to his treatment of the patient and how he failed to properly consider her medical history and increased risk of bleeding.

The charges included his failure to give advice to the patient regarding bleeding following the extractions and provide her with post-operative instructions.

Mr Patel “fully accepted” the shortcomings and the panel found him impaired to work, the report said.

It added: "The committee takes a serious view of the findings against you.

"There were multiple errors and a failure to follow the appropriate guidance.

“These were basic errors which placed the patient at significant risk of harm.

“This was not a single error, but a catalogue of errors.

“Patient A was a vulnerable patient and you failed to recognise this situation.

“Public confidence would be undermined if a finding of impairment were not made.

“The committee has determined that your fitness to practice is currently impaired by reason of your misconduct.”

A GDC hearing report ruled Mr Patel breached clinical care and decided his behaviour is “fundamentally incompatible with remaining on the register”.

Mr Patel’s registration to practice was suspended for the maximum period available to the panel - 12 months.

Mr Patel has expressed remorse and has apologised to the patient’s family, the GDC report said.

The committee’s suspended Mr Patel’s registration to practice for the maximum period of 12 months.

Pending an appeal by Mr Patel, the suspension will start on November 11 2019.

Mr Patel graduated from Sheffield University in 1986 with a degree in Dental Surgery Degree and was a dentist at Confidental Clinic in Purley.

He has no previous fitness to practice history.