Overview

• The Perugia prosecutor formally registered the clinic owner and his two daughters as suspects for involuntary manslaughter, with an indictment decision due shortly.
• Defense counsel argue that the anesthetic dosage fell within established protocols and that the adverse reaction was unpredictable.
• A medico-legal autopsy led by Scalise Pantuso confirmed that a systemic anesthetic reaction was the cause of Pagliuca’s cardiac arrest.
• During the September 29 procedure, practitioners administered six vials of local anesthetic in two stages before Pagliuca suffered vomiting, convulsions and loss of consciousness.
• The controversy has sharpened scrutiny of Italy’s dental practice standards, spotlighting gaps in consent procedures and emergency readiness.