Judge: Douglas W. Stern, Case: 21STCV37015, Date: 2023-08-22 Tentative Ruling



Case Number: 21STCV37015    Hearing Date: January 11, 2024    Dept: 68

Motion for Summary Judgment

Jilla Ghassemzadeh vs. Bruce J. Crispin, 21STCV37015

Moving Party: Defendant Bruce J. Crispin, D.D.S.

Responding Party: Plaintiff Jilla Ghassemzadeh

I.                   Background

Plaintiff Jilla Ghassemzadeh (Plaintiff) was first seen by Defendant Dr. Bruce Crispin, D.D.S. (Defendant) at Esthetic Professionals on February 26, 2020. (UMF 15.) Plaintiff told Defendant that she was unhappy with the bridge area of her teeth, where she had had work done previously by other periodontists, and Defendant noted that if Plaintiff wants him to treat her, she needed to become his patient and start from the beginning. (UMF 15.) On August 6, 2020, Defendant told Plaintiff that he could redo the bridge, but Plaintiff indicated that she wanted an implant and not a new bridge. (UMF 16.) Plaintiff last presented to Esthetic Professionals on October 9, 2020, when her bridge was removed and replaced with a temporary bridge, with which Plaintiff indicated satisfaction. (UMF 18.) Plaintiff did not return to Esthetic Professionals or Defendant for any further treatment. (UMF 19.)

Plaintiff filed her Fifth Amended Complaint on April 3, 2023, in which she alleges one cause of action for Negligence against Defendant. (UMF 20.) Plaintiff alleges that Defendant was negligent in his dental treatment of her, including installing Zirconia instead of porcelain into her teeth without her consent, causing her injuries and damages. (UMF 21.) Plaintiff also alleges that due to Defendant’s negligence, she is not a candidate for veneers, and she claims that Defendant negligently shaved her natural teeth. (UMF 22-23.)

In support of Defendant’s motion for summary judgment, Defendant filed a declaration from Dr. Curtis E. Jansen, D.D.S., in which Dr. Jansen indicates that all of Defendant’s recommendations, treatment planning, and treatment of Plaintiff were appropriate and within the standard of care. (UMF 25-26, 28, 29, 30, 31, 32.) Dr. Jansen further indicates that there is no evidence in the records that Plaintiff’s natural teeth were inappropriately shaved down or that inappropriate materials were used on Plaintiff’s crowns and bridges. (UMF 33.) Zirconia is an appropriate material. (UMF 34.) Plaintiff appropriately consented to her treatment. (UMF 45, 46, 47.) Finally, Dr. Jansen indicates that there is a reasonable degree of probably that Plaintiff’s claimed injuries were due to Plaintiff’s preexisting condition and were not caused by any act or omission of Defendant or Esthetic Professionals. (UMF 48-50, 52.)

Plaintiff filed an opposition to Defendant’s motion, but her opposition did not include a response to Defendant’s separate statement, nor did her opposition include any declarations or admissible evidence.

II.                Evidentiary Objections

a.      Defendants’ Evidentiary Objections

                                                              i.      Sustained: 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31

                                                            ii.      Overruled: None

III.             Analysis

a.      Standard for Summary Judgment

The function of a motion for summary judgment is to allow a determination as to whether an opposing party cannot show evidentiary support for a pleading or claim and to enable an order of summary dismissal without the need for trial. (Aguilar v. Atlantic Richfield Co. (2001) 25 Cal.4th 826, 843.) CCP Section 437c(c) “requires the trial judge to grant summary judgment if all the evidence submitted, and ‘all inferences reasonably deducible from the evidence’ and uncontradicted by other inferences or evidence, show that there is no triable issue as to any material fact and that the moving party is entitled to judgment as a matter of law.”¿ (Adler v. Manor Healthcare Corp. (1992) 7 Cal.App.4th 1110, 1119.)¿ “The function of the pleadings in a motion for summary judgment is to delimit the scope of the issues; the function of the affidavits or declarations is to disclose whether there is any triable issue of fact within the issues delimited by the pleadings.”¿ (Juge v. County of Sacramento (1993) 12 Cal.App.4th 59, 67, citing FPI Development, Inc. v. Nakashima (1991) 231 Cal. App. 3d 367, 381-382.)¿ 

Courts “liberally construe the evidence in support of the party opposing summary judgment and resolve doubts concerning the evidence in favor of that party.”¿ (Dore v. Arnold Worldwide, Inc.¿(2006) 39 Cal.4th 384, 389.)¿ 

When interpreting § 437c, courts have held that a three-step analysis is required: (1) Identify the issues framed by the pleadings since it is these allegations to which the motion must respond by establishing a complete defense or otherwise showing there is no factual basis for relief on any theory reasonably contemplated by the opponent’s pleading; (2) Determine whether the moving party’s showing has established facts which negate the opponent’s claim and justify a judgment in movant’s favor; and (3) Determine whether the opposition demonstrates the existence of a triable, material factual issue. (AARTS Production, Inc. v. Crocker National Bank (1986) 179 Cal.App.3d 1061, 1064-1065.)¿¿ 

Summary Judgment may be granted only where all the supporting and opposition papers show there is no triable issue as to any material fact and the moving party is entitled to judgment “as a matter of law.” (CCP § 437c(c).)¿¿ 

As a result, the Plaintiff “must present evidence that would require a reasonable trier of fact to find any underlying material fact more likely than not—otherwise, he would not be entitled to judgment as a matter of law but would have to present his evidence to a trier of fact.” (Aguilar v. Atlantic Richfield Co. (2001) 25 Cal.4th 826, 851, fns. omitted; Oldcastle Precast, Inc. v. Lumbermens Mutual Casualty Co. (2009) 170 Cal.App.4th 554, 562-563.)¿¿ 

The Defendant need only show the existence of a triable issue of material fact. (Union Bank v. Super Ct. (Demetry) (1995) 31 Cal.4th 573, 590; see Lopez v. SuperCt. (Friedman Bros. Invest. Co.) (1996) 45 Cal.4th 705, 713; Leslie G. v. Perfy & Assocs. (1996) 43 Cal.4th 472, 482.) Summary judgment would not be proper where the facts support a triable issue of fact.¿ 

b.      Issues for Summary Judgment

                                                              i.      Negligence Cause of Action

Defendant has moved for summary judgment on Plaintiff’s First Cause of Action for Negligence. Defendant has moved for summary judgment on the basis that Plaintiff cannot establish that Defendant breached the standard of care and on the basis that Plaintiff cannot establish that any negligent act or omission on the party of Defendant was a substantial factor in causing Plaintiff’s injuries or damages.

Standard of Care

To determine the applicable standard of care in a dental malpractice action, California law requires that a doctor’s conduct be measured against the reasonable degree of skill, knowledge, and care ordinarily possessed and exercised by members of the medical profession under the same or similar circumstances. (Mann v. Cracchiolo (1982) 38 Cal.3d 780; see also CACI 500.)

When the allegations are of professional negligence, whereby the defendant is accused of failing to adhere to accepted standards of practice, such standards may be established only by qualified expert testimony. (Landeros v. Flood (1976) 17 Cal.3d 399, 410; Stephenson v. Kaiser Foundation Hospital (1962) 203 Cal.App.2d 631.) The inherent nature of a dental malpractice action, along with the applicable standard of care, is a subject matter that is beyond the competency of laymen to express and, therefore, must be addressed by a qualified expert. (Landeros, supra, 17 Cal.3d 399; O’Connor v. Bloomer (1981) 116 Cal.App.3d 385, 391.) As stated in Landeros: “The standard of care against which the acts of a physician are to be measured is a matter peculiarly within the knowledge of experts.” (Landeros, supra, 17 Cal.3d at 410.)

In order to establish a claim for Professional Negligence, plaintiff must show, via competent expert testimony, that the defendants breached the applicable standard of care. (Dincau v. Tamayose (1982) 131 Cal.App.3d 780, 800; see also CACI 505.) Expert testimony that defendants adhered to the applicable standard of care is conclusive unless opposed by competent, contradictory expert medical evidence. (Huber, Hunt & Nichols, Inc. v. Moore (1977) 67 Cal.App.3d 278, 313.)

Defendant has presented expert testimony from Dr. Curtis E. Jansen, D.D.S., that Defendant acted within the standard of care during his treatment of Plaintiff. (Jansen Decl., ¶¶ 7(A), 7(B).) Plaintiff has not presented any expert declarations to the contrary. Therefore, there is no triable issue of fact regarding whether Defendant acted within the standard of care.

Negligent Act or Omission

In a medical malpractice action, a plaintiff must prove the defendant’s negligence was a cause-in-fact of injury. (Bromme v. Pavitt (1992) 5 Cal.App.4th 1487, 1502.) With regard to causation of damages, plaintiff must prove that “within a reasonable medical probability” defendants caused her damages.

Dr. Jansen’s declaration indicates that within a reasonable medical probability, no negligent act or omission on the part of Defendant and/or Esthetic Professionals caused or contributed to Plaintiff’s claimed injuries or damages. (Jansen Decl., ¶ 8.) Plaintiff has not presented any expert declarations in her opposition to contradict Dr. Jansen’s expert opinion. Therefore, no triable issue of material fact exists regarding whether Defendant’s negligent act or omission caused Plaintiff’s injuries or damages.

                        Conclusion

            Defendant’s motion for summary judgment is granted on Plaintiff’s negligence cause of action.

IV.             Order

Defendant’s motion for summary judgment is GRANTED IN ITS ENTIRETY.