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Smart Summary

Factual and Procedural Background

This is a suit for damages alleging negligent performance of a dental extraction. Plaintiff employed defendant, a dentist, to extract a tooth on October 10, 1930. Plaintiff's declaration alleges the dentist negligently left part of the tooth root in the gum; the gum healed without indication at that time. Plaintiff alleges no damage resulted until about July 1, 1932, when swelling and other symptoms prompted an X-ray that for the first time disclosed the retained root. Plaintiff then underwent further treatment and incurred expense. The suit was filed February 15, 1933. The trial court sustained a demurrer and dismissed the suit as barred by Code section 8595 (one-year statute of limitations). The Supreme Court of Tennessee, Chief Justice Green delivering the opinion, affirmed.

Legal Issues Presented

  1. Whether fraudulent concealment of a cause of action will toll the one-year statute of limitations (Code 1932, section 8595).
  2. Whether an allegation that the dentist knew, or by reasonable care should have known, that a root was left in the patient's mouth constitutes fraudulent concealment tolling the statute.
  3. When a cause of action for malpractice accrues for purposes of the statute of limitations — at the time of the original wrongful act or at the time consequential damage occurs.
  4. Whether a patient who suffers damage from a retained tooth root only 18 months after extraction may bring suit notwithstanding the one-year statute starting at the date of the wrongful act.

Arguments of the Parties

The opinion does not contain a detailed account of the parties' legal arguments.

Table of Precedents Cited

Precedent Rule or Principle Cited For Application by the Court
(1) Bodne v. Austin, 156 Tenn. 353, 2 S.W.2d 100, 62 A.L.R., 1410 (the wife's case) Settles that an action for injuries to the person is barred by the one-year statute (Code, section 8595). Used to confirm that personal-injury actions are subject to the one-year limitation.
Bodne v. Austin, 156 Tenn. 366, 2 S.W.2d 104, 105 (the husband's case) Holds mere failure to discover the existence of a cause of action does not prevent running of the statute; recognizes fraudulent concealment will arrest the statute. Applied to reject plaintiff's allegation that the dentist's knowledge (or should-have-known) equated to fraudulent concealment.
Hudson v. Shoulders, 164 Tenn. 70, 45 S.W.2d 1072 Illustrates a declaration that plainly charged fraudulent concealment; addresses whether plaintiff's failure to discover was due to his own negligence. Distinguished: Hudson involved an averment of actual fraudulent concealment, unlike the present declaration.
State v. McClellan, 113 Tenn. 616, 85 S.W. 267, 3 Ann. Cas., 992 States general rule that a cause of action accrues upon the wrongful act even if actual damage occurs later; notes an exception for consequential damages but avoids applying it. Relied upon to state that the statute begins to run at the time of the wrongful act rather than at later damage; court signals unwillingness to follow the exception.
Cappucci v. Barone, 266 Mass. 578, 165 N.E. 653 Represents authority that the statute begins to run from the date of the wrongful act rather than from the date of damage. Quoted as part of supporting authorities for the majority rule adopted by the court.
Ogg v. Robb, 181 Iowa 155, 162 N.W. 217 Another authority supporting that accrual is at the date of the wrongful act. Included among cases the court cites as following the majority rule.
Hahn v. Claybrook, 130 Md. 179, 100 A., 83, L.R.A., 1917C, 1169 Authority supporting accrual at wrongful act rather than at subsequent damage. Included as supporting authority for the court's rule.
Wetzel v. Pius, 78 Cal.App. 104, 248 P. 288 Authority cited for the proposition that original injury gives rise to the cause of action and later damage are elements of damage, not separate causes. Used as part of the body of cases favoring accrual at the original wrongful act.
Patten v. Standard Oil Co., 165 Tenn. 438, 55 S.W.2d 759 Emphasizes that statutes of limitation are statutes of repose, supporting the majority rule. Invoked to support the policy rationale favoring repose and rejecting a rule that would allow tracing later maladies to remote original acts.

Court's Reasoning and Analysis

The court began by noting the suit was dismissed on demurrer as barred by the one-year limitation (Code §8595). It reviewed the declaration's facts: extraction on October 10, 1930; alleged retained root unknown to plaintiff until symptoms and an X-ray in July 1932; no averment of continued treatment or of plaintiff seeing defendant again. The court compared the declaration to prior Tennessee decisions, concluding the present averments did not allege fraudulent concealment as required to toll the statute. Relying on Bodne v. Austin (husband's case), the court held allegations that the dentist knew or should have known of the retained root amount to negligence, not fraud, and the court would not assume fraud to avoid the statute. The court then addressed accrual: citing State v. McClellan, it reiterated the general rule that a cause of action accrues at the time of the wrongful act even if damages occur later, noting an exception for consequential damages but expressing unwillingness to apply that exception here. The court surveyed authorities favoring accrual at the date of the wrongful act, reasoning that original injury is the cause of action and later injurious developments are elements of damage recoverable in the original action. As policy justification, the court invoked repose and the undesirable consequences of permitting remote claims based on later maladies.

Holding and Implications

Holding: The judgment of the trial court was affirmed; the action is barred by the one-year statute of limitations (Code 1932, section 8595).

Implications: The court applied and reaffirmed the rule that a cause of action for malpractice accrues at the time of the original wrongful act (the negligent extraction), not at the time later consequential damage manifests; allegations that a defendant knew or should have known of the wrong, without more, do not establish fraudulent concealment to toll the statute. The direct effect is that plaintiff's suit was time-barred. The opinion emphasizes repose and discourages allowing suits based on remote alleged causes of later maladies.

ALBERT v. SHERMAN.

1. LIMITATION OF ACTIONS.

Fraudulent concealment of cause of action for personal injuries will toll limitations (Code 1932, section 8595).

2. LIMITATION OF ACTIONS.

That dentist knew, or in exercise of reasonable care should have known, that he had left root of extracted tooth in patient's mouth, did not constitute fraudulent concealment of cause of action tolling limitations (Code 1932, section 8595).

3. LIMITATION OF ACTIONS.

"Cause of action" for malpractice is original injury and not damage sustained, and hence statute of limitations runs against cause of action from time of original injury (Code 1932, section 8595).

4. LIMITATION OF ACTIONS.

In action against dentist for negligent extraction of tooth, that patient did not suffer damage from presence of root of tooth left in gum until eighteen months later did not prevent running of one-year statute of limitations (Code 1932, section 8595).

FROM SHELBY.

MR. CHIEF JUSTICE GREEN delivered the opinion of the Court.

This is a suit to recover damages for negligence with respect to the performance of a dental operation. It was dismissed by the trial judge on demurrer upon the ground that it was barred by section 8595 of the Code providing that actions for injuries to the person must be commenced "within one year after cause of action accrued."

The suit was brought February 15, 1933. The substance of the declaration is that the defendant is a practicing dentist in Memphis, and was employed by the plaintiff on October 10, 1930, to extract a tooth, and to render the professional services incident to the operation, and that defendant did undertake said operation on the date last mentioned; that the operation was performed in a negligent and unskillful manner, so as to leave part of the root of the extracted tooth in the plaintiff's gum, without plaintiff's knowledge; that the gum healed promptly without indication at the time that the tooth had not been wholly extracted. The declaration continued:

"That no damage or injury accrued to plaintiff because of the negligence of the defendant in so carelessly and unskillfully leaving said part of said root of said tooth in the gum of the plaintiff, and plaintiff suffered no damage therefrom, until on or about the first day of July, 1932, when, and on or about the said last mentioned date, plaintiff's gum, at the place where said tooth had been extracted by the defendant, began to swell, and plaintiff began to suffer from headaches and severe attacks of dizziness, said pains emanating from the point in plaintiff's gum at which said tooth had been extracted; that thereupon plaintiff consulted another dentist, who then proceeded to take an X-ray picture of plaintiff's gum, which picture then and there, and on or about said last mentioned date, for the first time disclosed to plaintiff, and plaintiff first discovered, that a part of the root of said tooth had been so carelessly, negligently and unskillfully left in plaintiff's gum by the defendant."

It was further averred that, as the result of defendant's aforesaid negligence, plaintiff's antrum became involved, necessitating a painful operation by a specialist, and plaintiff was occasioned much suffering and put to large expense in order to have the root of the tooth removed and to be cured of bodily sickness brought about by its presence in his gums.

(1) Bodne v. Austin, 156 Tenn. 353, 2 S.W.2d 100, 62 A.L.R., 1410 (the wife's case), settles the proposition that an action for injuries to the person, whether viewed as one in contract or one in tort, is barred by the one-year statute of limitations. Code, section 8595. Bodne v. Austin, 156 Tenn. 366, 2 S.W.2d 104, 105 (the husband's case), adjudges that the mere failure of a plaintiff to discover the existence of his cause of action does not prevent the running of the statute. Both cases recognize the rule that fraudulent concealment of the cause of action will arrest the statute.

In the above cases the declarations averred that the dentist there involved extracted the wife's teeth in such a careless, negligent, and unskillful manner as to leave the root of a tooth in her mouth, and that for a long time thereafter the dentist continued to treat the wife's mouth, permitting the root to remain, and carelessly and negligently failed to disclose that fact. The declaration before us is not so strong. There is no averment of continued treatment; indeed, no averment that the plaintiff ever saw the defendant again after the tooth was extracted.

The declaration here does allege that the defendant knew, or by the exercise of reasonable care should have known, that the root of plaintiff's tooth was left in his gum. Such an averment, under Bodne v. Austin (the husband's case), does not make out a fraudulent concealment of a cause of action. It was said in that case: "The averment that the failure to disclose the breach of duty was careless and negligent implies a lack of knowledge on the part of the defendant rather than otherwise. Certainly we would not be justified in assuming fraud in order to prevent the running of the statute of limitations."

In Hudson v. Shoulders, 164 Tenn. 70, 45 S.W.2d 1072, the declaration plainly charged fraudulent concealment. The question there was whether the plaintiff's failure to discover his cause of action was attributable to his own negligence, in which event he would not have escaped the running of the statute of limitations.

Tested by the three decisions just noted, the declaration before us does not make out a case of fraudulent concealment of a cause of action. Neither does the declaration disclose any negligence on the part of the plaintiff. The declaration then presents the direct question as to whether the period of limitation under our statute in an action of this kind commences at the date of the wrongful act or omission or whether it commences at the date of the damage occasioned — the averment being that plaintiff suffered no damage until a year and nine months after the operation.

The effort here is to base the cause of action on the alleged consequential damages flowing from the wrongful act of defendant rather than upon the original wrong.

In State v. McClellan, 113 Tenn. 616, 85 S.W. 267, 269, 3 Ann. Cas., 992, the court said the following statement of the general rule was the law in Tennessee:

"As a general rule, the cause of action for a wrongful act, whether negligent or willful, or for the breach of a contract or duty, accrues immediately upon the happening of the wrongful act or the breach, even though the actual damage resulting therefrom may not occur until some time afterwards. The statute therefore begins to run upon the occurrence of the act or breach complained of, and not from the time of the damage resulting therefrom."

In State v. McClellan, supra, the court noted an exception to the general rule to the effect that, when a cause of action was based on consequential, as distinguished from direct, damages, involving an act or omission which might have proved harmless, the cause of action might be taken as accruing only upon the actual occurrence of the damage. It is said that there were many respectable authorities sustaining the exception noted, but this court carefully avoided application of the rule embodied in the exception, although such application would have disposed of the case. The decision in State v. McClellan was rested on another ground. If this opinion does not indicate a repudiation of the rule of the exception, it certainly indicates an unwillingness on the part of this court to follow that rule.

Undoubtedly the weight of authority is to the effect that the statute of limitations begins to run against an action of this kind from the date of the wrongful act rather than from the date of the damage caused. Cappucci v. Barone, 266 Mass. 578, 165 N.E. 653; Ogg v. Robb, 181 Iowa 155, 162 N.W. 217, L.R.A., 1918C, 981; Hahn v. Claybrook, 130 Md. 179, 100 A., 83, L.R.A., 1917C, 1169; Wetzel v. Pius, 78 Cal.App. 104, 248 P. 288, and see other cases collected in note, 74 A.L.R., 1318. These cases reason that it is the original injury which is the cause of action, or which gives rise to the cause of action, and that the damage sustained is not the cause of action. The statute begins to run when the cause of action accrues. Later injurious developments are merely elements of damage which may be recovered in the original cause of action. Such later developments attach themselves to the primary cause of action, and are not individual causes of action in themselves.

While there is some conflict in the decisions, the majority rule is better sustained by authority and reason. If, as again emphasized in Patten v. Standard Oil Co., 165 Tenn. 438, 55 S.W.2d 759, statutes of limitation are to be regarded as statutes of repose, the majority rule should obtain. Recognition of a contrary rule would permit a plaintiff, afflicted with some malady, to trace that malady to an original cause alleged to have occurred years and years ago. No practicing physician or dentist would ever be safe. The origin of disease is involved in uncertainty at best. While hardships may arise in particular cases by reason of this ruling, a contrary ruling would be inimical to the repose of society and promote litigation of a character too uncertain and too speculative to be encouraged.

For the reasons stated, we think the judgment of the trial court was correct, and that it should be affirmed.

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ALBERT v. SHERMAN
(Jan 13, 1934)