Responding to a Complaint at the College of Dental Hygienists of Ontario: Top 5 Things Dental Hygienists Should Know

Even the best dental hygienists receive complaints against them to the College of Dental Hygienists of Ontario (“CDHO”). The potential outcomes of a complaint can be serious. In many cases, a dental hygienist’s response to the complaint is the best opportunity to ensure a favourable result. Given the importance of an effective response, we outline the top 5 things dental hygienist need to know when responding to complaints.  

(1) The CDHO will investigate the complaint 

When a complaint is made, the dental hygienist will be given notice of the complaint and provided 30 days to respond to the complaint in writing. The complaint is then considered by the Inquiries, Complaints and Reports Committee (“ICRC”) who may direct further investigation. The investigation may include the gathering of relevant documents, taking statements from witnesses, and interviewing the dental hygienist. If an investigator is appointed, the CDHO can compel a dental hygienist to provide records and documents. Where additional investigation is conducted, the dental hygienist may be given an opportunity to submit a supplemental response to any new information.  

(2) The entire process is in writing 

Because the ICRC is a screening committee, it only considers a paper record and cannot make credibility assessments. There is no right to make oral submissions or for a lawyer to cross-examine the complainant or other witnesses. For this reason, records and documentation are critical. When a dental hygienist receives a complaint, they should carefully review their records and submit records with their written response where appropriate.  

(3) The consequences of a complaint can be serious 

Once the ICRC has had an opportunity to review the complaint, the dental hygienist’s response, and the results of any investigation, the ICRC can: 

  • Refer allegations of professional misconduct or incompetence to the Discipline Committee for a hearing; 
  • Require the dental hygienist to appear before the ICRC to be cautioned;
  • Require the dental hygienist to complete an educational or remediation program; or 
  • Take no action.  

If the complaint is referred to the Discipline Committee and allegations of professional misconduct are proven, the Discipline Committee may make a variety of more serious orders, including an order revoking, suspending, or placing terms, conditions, and limitations on the dental hygienist’s certificate of registration. Because a complaint can result in significant personal, professional, and financial consequences, it is important to take every complaint seriously.  

(4) Many ICRC decisions are made public 

Even if a complaint is not referred to the Discipline Committee, the outcome of the complaint may still be made public. A decision of the ICRC to caution a dental hygienist or to require a dental hygienist to complete an educational/remediation program must be published on the CDHO’s public register. The public nature of these decisions makes it critical to respond appropriately to all complaints, even those that may not warrant a discipline hearing, so as to avoid a public outcome.    

(5) An effective response is vital 

A dental hygienist’s written response is their best opportunity to mitigate the potential adverse effects of a complaint. Responding to a complaint is a nuanced and difficult task that requires persuasive writing, careful analysis, and an understanding of how the CDHO is likely to respond. Dental hygienists may wish to consider retaining a lawyer experienced in professional regulation and discipline to draft their response and assist them in navigating the CDHO’s complaints process.  

GlickLaw is a boutique law firm focused on professional regulation, complaints, investigations, and discipline. If you have received notice of a complaint or investigation and would like to speak to a lawyer, please contact us.   

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