A New York appellate court has modified a ruling in a dental malpractice case involving Sage Miranda Osborne and Merchant Square Dental, PLLC. The court's decision, issued on August 5, 2026, affects how dental malpractice claims are handled in cases where independent contractors are involved.
The case centers around Osborne, who was an employee at Merchant Square Dental. She alleged that she was injured during a wisdom tooth extraction performed by Alexander Lee, a dentist at the clinic. The ruling has implications for both employees and employers in the dental field, particularly regarding liability in malpractice cases.
Osborne filed her lawsuit against Merchant Square Dental, Lee, and Syed Masihuddin, the principal of the dental practice, claiming dental malpractice and lack of informed consent. She argued that the clinic was vicariously liable for the actions of Lee and Masihuddin. The case was filed in 2019, and after a series of legal motions, it reached the Appellate Division of the Supreme Court of New York.
The dispute arose when Merchant Square Dental and Masihuddin filed a motion for summary judgment, seeking to dismiss the claims against them. They argued that Lee was an independent contractor and not an employee, which would exempt them from liability. They also contended that there was no dentist-patient relationship between Osborne and Masihuddin.
On February 22, 2024, the Supreme Court granted the defendants' motion, dismissing the amended complaint against them. Osborne then appealed the decision, leading to the recent ruling by the appellate court.
The Appellate Division modified the earlier ruling. The court stated that the Supreme Court should not have granted summary judgment dismissing the claims against Merchant Square Dental. The decision emphasized that the moving defendants did not adequately prove that Lee was an independent contractor. The court noted, "The determination of whether an employer-employee relationship exists turns on whether the alleged employer exercised control over the results produced or, more importantly, the means used to achieve the results."
The judges involved in the ruling included Francesca E. Connolly, Barry E. Warhit, Helen Voutsinas, and Donna-Marie E. Golia. The court concluded that there were triable issues of fact regarding the employment status of Lee, which warranted further examination in court.
On the other hand, the court upheld the dismissal of claims against Masihuddin. They found that Osborne failed to establish a dentist-patient relationship with him. The court noted that "the evidence demonstrated that Masihuddin did not provide dental care to the plaintiff and that no dentist-patient relationship existed between Masihuddin and the plaintiff." This aspect of the ruling clarifies the boundaries of liability for dental professionals who do not have a direct patient relationship.
The impact of this ruling could be significant for dental practices in New York. It sets a precedent regarding the liability of dental clinics when independent contractors are involved. The court's decision indicates that simply labeling a dentist as an independent contractor does not automatically shield a dental practice from liability. This could lead to more thorough investigations into the employment relationships within dental practices, especially in malpractice cases.
Furthermore, the ruling emphasizes the importance of establishing a dentist-patient relationship in malpractice claims. Without this relationship, claims against individual dentists may not hold up in court, as seen in the case of Masihuddin.
Going forward, this ruling may influence how dental malpractice cases are litigated in New York. It could encourage more employees to pursue claims against their employers in cases of alleged malpractice, knowing that the courts may be more willing to examine the nuances of employment relationships.
As for what’s next, it is unclear if the defendants will seek further appeals regarding the modified ruling. The case may return to the lower court for further proceedings against Merchant Square Dental. There are no related cases mentioned in the court filing, but the outcome of this case could inspire similar lawsuits in the future.











