Dental Tech Lawyers

Dental technologists hold a highly significant place in the dental care system. Their role typically involves making the prosthetic and orthodontic devices that patients depend on for their dental health.

In Ontario, the profession of dental technologists is strictly regulated and overseen by a regulatory body. These regulations are put in place to help ensure that these professionals operate within a framework that upholds the requisite high standards of care expected from a dental technologist. The overarching purpose of having these regulations is dual: to protect public health, and secondly, to ensure that dental technologists maintain the trust placed in them by both the public and their fellow colleagues.

The College of Dental Technologists of Ontario (CDTO) stands at the forefront of this regulatory process. This regulatory body is responsible for overseeing the licensing, conduct, and continuing education of members of the dental technologist profession. An important but commonly overlooked role of the regulatory college is to promote lifelong learning and encouraging its members to stay up-to-date with advancements in the field.

What Body Regulates Dental Technologists in Ontario?

The regulation of dental technologists in Ontario falls within the scope of the CDTO, a statutory body established under the Regulated Health Professions Act, 1991 and the Dental Technology Act, 1991. The CDTO’s overarching goal is to safeguard the public by making sure that only qualified individuals practice dental technology in Ontario.

Moreover, it prohibits people from calling themselves a dental technologist without the proper credentials. The College accomplishes this by setting rigorous educational standards, requiring ongoing professional development, and enforcing a code of conduct and ethics that all members must be vigilant to comply with.

Why is Compliance with Professional Standards so Important?

The regulations and processes which are enforced by the CDTO go beyond mere bureaucratic requirements. These regulations are essential to maintaining the trust and safety of the public. Dental technologists work in a field where precision, skill, and ethics are highly important considerations. A mistake could have a significant impact on the patient’s health and well-being. Likewise, being the target of an investigation with the College of Dental Technologists of Ontario can be a tricky situation. As such, it is highly recommended for dental technologists to be careful when responding to complaints, and to seek legal advice from a skilled lawyer.

In exceptional circumstances where the accused’s actions expose or is likely to expose their patients to harm or danger, dental technologists might be subject an interim injunction such as an interlocutory suspension. Interim orders may take the form of terms, limitations, or conditions on a dental technologist’s certificate of registration, including license suspension. Interim orders might last the entirety of the complaint process. Section 75 of the Health Professions Procedural Code allows the Registrar to appoint a special investigator to investigate serious accusations.

Who is Authorized to Practice Dental Technology?

Practicing dental technology in Ontario necessitates a rigorous licensure process. Not everyone can call themselves a dental technologist. Only individuals who hold a General Certificate of Registration with the CDTO are legally permitted to practice, according to the profession’s laws. This registration process is strict, requiring not only the completion of an approved educational program but also the passing of appropriate examinations to demonstrate expertise in the subject.

However, the regulations are clear in that the unsupervised practice by unlicensed individuals is prohibited. The CDTO, along with other regulatory bodies such as the Royal College of Dental Surgeons of Ontario (RCDSO), has the authority to enforce this by pursuing legal and/or disciplinary action against people who practice without the necessary qualifications. This enforcement is highly significant in protecting the integrity of the profession and holding all practitioners accountable.

How Does the CDTO Protect the Public?

The CDTO’s mandate is centred on public protection. They carry out this responsibility through a variety of techniques. One of the primary ways in which the College accomplishes this is by establishing entry-to-practice rules that ensure only competent persons become dental technologists. This is a method for filtering or screening out applicants who do not have the requisite skills to practice and becoming a competent professional. This includes educational requirements, exams, and, in certain situations, assessments of past learning for people trained outside of Ontario or Canada.

Once registered as a dental technologist, they must continue their professional development to keep their skills and knowledge current.

Furthermore, the CDTO keeps a public record of its members, including information on their status and any disciplinary proceedings taken against them. Although this may be perceived as embarrassing on the part of the dental technologist, transparency contributes to a sense of trust between the profession and the public.

Professional Regulation in Canada

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What Happens if a Complaint is Filed?

The CDTO takes complaints against dental technologists with utmost seriousness. When a complaint is lodged, it is investigated by the College’s Inquiries, Complaints, and Reports Committee (ICRC), which has the authority to investigate and make decisions on its members’ conduct and licensing status. The complaint process is intended to be thorough and fair, giving both the complainant and the dental technologist involved the opportunity to explain their sides of the story.

Depending on the seriousness of the complaint, the International Committee of the Red Cross has many alternatives. For less serious concerns, the Committee may issue a caution or ask the technician to complete extra training, such as a Specified Continuing Education or Remediation Program (SCERP). In more serious cases, when there is proof of professional misconduct or incompetence, the ICRC may submit the case to the Discipline Committee, which has the authority to impose harsher penalties, such as suspension or revocation of registration.

Is it Necessary to Cooperate with the Investigation?

Dental technologists are generally expected and required to co-operate with the CDTO’s requests. The dental technologist’s failure to co-operate might carry professional repercussions. Dental technologists are generally expected develop and submit a response to the complaint within 30 days of being notified of the commencement of investigation.

What Are the Consequences of Professional Misconduct?

Committing professional misconduct in the field of dental technology can lead to serious ramifications ranging from warnings to licence revocation. The Discipline Committee, which deals with matters presented by the ICRC, has the jurisdiction to impose a variety of sanctions based on the nature and degree of the professional misconduct in question.

These penalties might include reprimands, where the dental technologist is formally warned about their behaviour, or more severe actions such as the suspension or revocation of their registration. It is important to note that while formal warnings lean more on the “lenient” side of punishments, these warnings are typically put on the professional’s record. This might allow for more harsh penalties if a second instance of professional misconduct is discovered.

The most severe cases can result in fines of up to $35,000, particularly in cases where the misconduct involves sexual abuse or other serious violations.

In addition to these penalties, the Discipline Committee can also order the dental technologist to pay for therapy and counseling for patients who have been harmed by their actions. Harm can come in many forms such as physical harm or psychological harm. Physical harm might involve creating a defective set of prosthetic teeth that misaligns the patient’s jaw. This provision shows us the CDTO’s commitment to protecting the public and ensuring that those who have been wronged and/or harmed receive the support they need.

Understanding Workplace Investigations

When Must Dental Technologists Report to the College?

Self-reporting is a highly significant aspect of maintaining the integrity of the dental technology profession. Dental technologists are required by law to report certain events to the CDTO. This includes any charges or convictions for criminal offenses, as well as any professional misconduct investigations they are subject to, either within Ontario or elsewhere. Furthermore, if a dental technologist becomes aware of unsafe practices or unethical behaviour by a colleague, they have a duty to report this to the College.

Employers also play a role in this reporting process. They are required to inform the CDTO if a dental technologist is terminated, disciplined, or found to be incompetent or incapacitated in a way that detriments their ability to perform their duties in a safe and competent manner. These reporting requirements are highly significant for them so that they can maintain oversight of its members and make sure that the public is protected from possibly unethical or harmful practitioners.

Can Dental Technologists Appeal a Decision?

The decisions issued by the ICRC or the Discipline Committee can have serious consequences for a dental technologist’s career. Recognizing this, the regulatory structure includes provisions for the Health Professions Appeal and Review Board (HPARB) to review decisions. If the dental technologist and complainant are dissatisfied with the ICRC’s decision, they are entitled permitted to request a review.

Following the ICRC’s ruling, dental technologists and complainants typically have 30 days to make a written request for a review. It is highly important to understand that the HPARB will only review final decisions, not interim orders or referrals for disciplinary or health reasons. Furthermore, the HPARB may reject requests that it considers frivolous, vexatious, or an abuse of process.

When a review begins, the HPARB’s first step would be to notify both the dental technologist as well as the complainant. This involves giving them instructions on the following steps. The HPARB may request further information from both parties throughout the review.

The HPARB will then evaluate all of the evidence gathered during the original complaint investigation. These documents, also referred to as the Record of Investigation, are also given to the dental technician and the complainant. Certain details might be withheld for confidentiality purposes. It is highly significant for dental technologists to thoroughly analyze this material, and many choose to engage legal assistance to guide them through the process. Once a lawyer is hired, they usually become the first point of contact with the HPARB.

However, it is important to note that not all decisions by the ICRC or Discipline Committee are able to be appealed. For instance, decisions to send a case to the Discipline Committee or to initiate incapacity proceedings are often final decisions that cannot be challenged. These kinds of limitations on time primarily serve to ensure that the most important matters are prioritized and dealt with efficiently, without undue or unreasonable delays.

What is the Scope of HPARB’s Duties?

The HPARB panel, which normally is made up of three members, will conduct a limited scope assessment of a dental technologist’s case. Typically, witnesses are not called, transcripts and recordings are not permitted, and fresh evidence is not able to be introduced. The HPARB panel is ordinarily only allowed to examine an ICRC judgment on two grounds. The first ground is whether the CDTO’s investigation was adequate, and the second ground is whether the ICRC’s decision was reasonable. The HPARB will not evaluate the technical aspects of a dental technologist’s treatment.

The HPARB panel’s scope is limited to only a certain range of tasks. They are not permitted to provide legal advice to dental technologists, make their own professional judgments, issue financial compensation or damages, or investigate matters that were not included in the original complaint.

The HPARB panel has a number of options available in terms of rendering a decision. It might choose to uphold the ICRC’s original decision, send the case back to the ICRC for additional assessment, make suggestions to the ICRC, or direct the ICRC to take any legally acceptable actions, with the exception of requesting the Registrar to open an investigation.

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Recent Law

College Of Dental Technologists v L.F., 2018 CanLII 13349 (ON HPARB)

L.F. sought registration as a dental technologist in Ontario after first obtaining interim registration in Quebec. Despite having passed the College of Dental Technologists of Ontario’s (the College) Jurisprudence and Ethics Examination, L.F.’s application for a general certificate of registration was declined. The rejection was based on the expiration of her Quebec registration, which had not been renewed and was originally a temporary registration which depended on passing a French language exam. L.F. believed that her registration would be approved in Ontario under interprovincial mobility provisions. However, the Health Professions Appeal and Review Board (HPARB) upheld the College’s decision, showing us how important it is to maintain valid registration throughout the application process and the requirement that all applicants meet non-exemptible registration standards. The Board also suggested that the College review its processes to ensure public interest and professional standards are upheld, particularly concerning inter-provincial mobility applications.

College of Dental Technologists v. Ahmed, 2024 ONSC 638

In College of Dental Technologists v. Ahmed, the Ontario Superior Court of Justice ruled that K.A., operating under various business names, must cease practicing dental technology without proper registration. K.A. had a significant amount of experience in dental laboratories but was not considered to be a registered dental technologist (RDT). The College of Dental Technologists of Ontario (the College) discovered that K.A. had been operating a dental laboratory without supervision from a licensed RDT after 2020. Despite receiving a cease and desist letter, K.A. continued practicing.

The College conducted an investigation and was able to gather proof that K.A. was unlawfully partaking in activities stipulated under the Dental Technology Act, 1991. Some of these activities included the building and repair of dental prosthetics, which require supervision by a licensed professional. Although K.A. asserted that his work did not need direct supervision and that he had ceased operations, the Court concluded that his actions were indeed in violation of the Dental Technology Act, 1991 and the Regulated Health Professions Act, 1991. The Court ordered K.A. to comply with these Acts and refrain from presenting himself as qualified to practice dental technology. No costs were awarded, considering K.A.’s cooperation and the cessation of his operations​.

A.M. v D. S.-O., 2018 CanLII 98539 (ON HPARB)

In A.M. v D. S.-O., the Health Professions Appeal and Review Board (HPARB) reviewed a decision by the Inquiries, Complaints and Reports Committee (ICRC) of the College of Dental Technologists of Ontario. The case arose from a complaint by D.S.-O., a denturist, against A.M., a dental technologist and former co-owner of a denture clinic. After the dissolution of their business partnership in June 2017, A.M. continued operating the clinic under a new name and aired TV advertisements that included D.S.-O.’s image, despite D.S.-O. no longer being associated with the clinic.

D.S.-O. alleged that A.M.’s advertising was misleading, implying that D.S.-O. was still involved with the clinic. The ICRC investigated and found that A.M.’s advertising could mislead the public into believing he could provide denturist services himself. The ICRC required A.M. to undertake a Specified Continuing Education or Remediation Program (SCERP) on advertising, paid with his own money, to address the issues from this case.

A.M. requested a review, objecting to the cost of the SCERP. HPARB upheld the ICRC’s decision, finding the investigation adequate and the decision reasonable. The Board confirmed that the SCERP’s cost was a reasonable consequence of A.M.’s failure to address the concerns raised by the ICRC​.

About the Author

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Jordan Donich

Jordan Donich has been a Lawyer for over 10 years and is a trusted legal analyst by Canadian Media. He is as a leader in Canada’s tech sector for lawyers and developer of Law Newbie. Jordan is a Black Belt with the Japan Karate Association and trained in Krav Maga. He won a Gold Medal at 2004 Canadian National Championships and was published in the National Newspaper Awards.

Jordan has been featured in Forbes and is a member of DMZ Angels in Toronto.