RCDSO Connect - Summer 2025

Summer 2025

RCDSO

CONNECT Newsletter of the Royal College of Dental Surgeons of Ontario

FEATURE ARTICLE:

Supporting the reconciliation journey: partnering to advance Indigenous cultural competency in dentistry - Page 8

MISSION We act in the public interest and are committed to excellence in regulating the dental profession in Ontario.

VISION Everyone in Ontario has access to safe, high-quality oral health care.

PURPOSE The Royal College of Dental Surgeons of Ontario (RCDSO) is one of 26 health regulatory colleges in the province with the responsibility and the legal authority to protect patients.

The RCDSO is a leader in health regulation. We believe that regulation must be open, responsive, accessible, equitable and accountable in order to protect the public interest.

RCDSO

CONNECT In this Issue: Message from the President and the Registrar & CEO

3

Current RCDSO Council members

5

PLP divestment: what you should know

6

Supporting the reconciliation journey: partnering to advance Indigenous cultural competency in dentistry

8

The Non-Insured Health Benefits Program

12

A scent-sensitive approach to patient comfort and care

14

Sedation & general anesthesia: expiration dating - advanced airways

15

New Artificial Intelligence in Dentistry guidance

16

Information spotlight

18, 24

Request for assistance

19

New College document: Foundations of Professionalism

20

Navigating remediation: taking initiative and responding to the ICRC

22

Discipline summaries

25

Welcome new registrants

27

SUMMER 2025 RCDSO CONNECT

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Message from the President and the Registrar & CEO Dr. Harinder Sandhu, Chair and President

At the College, our commitment is to modern, effective regulation—regulation that upholds the highest standards of patient care while being practical and well-supported in its implementation.

This is a time of significant change in the profession, and we recognize the increasing demands placed on dentists. From the introduction of new standards to the divestment of the Professional Liability Program (PLP), the College is undertaking a number of transformative initiatives this year. Our role is to support you through these changes with clear guidance, helpful resources, and a shared commitment to professionalism.

September 30th was the National Day for Truth and Reconciliation. As part of our acknowledgement of this day, this newsletter highlights the College’s work on a Reconciliation Action Plan, in partnership with First Peoples Group. The Non-Insured Health Benefits (NIHB) program also contributed an article.

We are very pleased to announce a new approved sponsor of Continuing Education Credits: the Indigenous Primary Health Care Council (IPHCC) which offer educational activities designed to increase clinical and cultural competency for health providers.

PLP Divestment

Since 2023, we have been working toward a change to PLP. After a competitive process, the College announced that Navacord, one of Canada’s largest and fastest growing multi-line insurance brokerages, will sustain and build upon the PLP program. You

Daniel Faulkner, Registrar & CEO

will continue to receive the great service that you have come to expect when you reach out to PLP. Your current coverage continues throughout 2025. Registration for 2026 will also include PLP coverage, though the liability cost ($1500) will be passed directly to Navacord. Regulatory fees ($2170) are frozen for 2026. It remains less expensive to practice dentistry in Ontario than in most other Canadian provinces.

Professional practice

At its September meeting, Council approved three important documents that will shape professional practice moving forward. Each document reflects a rigorous development process—including research, external consultation, multiple revisions, and review by the Quality Assurance Committee. In some cases, a dedicated Working Group also contributed to shaping the content.

Here’s what’s new: Foundations of Professionalism: This newly developed document outlines the core ethical principles and professional responsibilities expected of dentists. It replaces the previous Code of Ethics and offers a refreshed framework to guide conduct and decision-making.

Artificial Intelligence in Dentistry: Guidance for the Profession: This new guidance document explores the implications of AI in dental practice, providing clarity and direction on its responsible use.

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Practice Models and Corporate Dentistry: As approved by Council, the College will update and develop new resources and requirements to help registrants address unique issues for patients related to the business of dentistry. There is also a plan to offer educational resources to help guide dental students and registrants navigate their professional responsibilities regardless of practice model. There is more information about our approach to Practice Models and Corporate Dentistry in the report on our website.

Rescinding of an Outdated Standard: The former standard Requesting Magnetic Resonance Imaging & Referring to Physician Specialists by Oral and Maxillofacial Surgeons has been rescinded. In its place, a more accessible FAQ has been published to address common questions and support clinical decision-making.

We encourage you to review these documents and reach out if you have questions or need support.

Our goal is to provide comprehensive resources, including education, guidance, and case studies, to help make implementation as smooth and effective as possible.

Throughout 2025 and 2026, we will continue to regularly consult the profession on new standards and practice guidance. There are two new consultations that will be open for comment this year: a draft standard on implant dentistry and a draft professional liability by-law.

of Ontario. Patrick will serve on the Inquiries, Complaints and Reports Committee, as well as the Registration Committee, contributing his regulatory expertise to our work.

We’re also pleased to announce that Judy Welikovitch, Chair of the Discipline Committee, has been reappointed for another three-year term.

Judy plays a vital role across several committees, including the Governance Committee and the Fitness to Practise Committee, and her continued leadership is deeply valued.

After six years of dedicated service, Eli Fisher’s term as a public member has concluded. We extend our sincere gratitude to Eli for her thoughtful contributions and commitment to advancing the College’s mandate.

This year, Council has been spending time developing a strategic vision for the College. As we near the completion of the 2023-2025 Strategic Plan, it made sense to look long term at the future of dental and oral health care practice in Ontario.

You will hear more about this vision, and the next Strategic Plan in the coming months and into 2026.

Thank you for the professionalism that you demonstrate every day; for your understanding in this period of change; and most importantly, for everything you do in the very best interest of each and every one of your patients.

Sincerely,

In 2025 we are hosting more RCDSO Connect sessions to help dentists keep pace with College news and key developments on standards and advisories. These sessions are often Category 1 courses, if watched live. There will be two more sessions in 2025 as well as a special session on the PLP divestment.

Dr. Harinder Sandhu and Daniel Faulkner

Council Updates

In August, Council welcomed a new public member, Patrick Ballantyne, a member of the Law Society of Ontario who formerly served as CEO and General Manager of the Registered Insurance Brokers

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COUNCIL MEMBERS Executive Committee Dr. Harinder Sandhu, Chair and President Dr. Nalin Bhargava, Vice President Marc Trudell Brian Smith Dr. Erin Walker Elected Representatives District #1 Dr. Nalin Bhargava District #2 Dr. Robyn Somerville District #3 Dr. Peter Delean District #4 Dr. Neil J. Gajjar District #5 Dr. Daniel Fortino District #6 Dr. Harinder Sandhu District #7 Dr. Erin Walker District #8 Dr. Osama Soliman District #9 Dr. Antony Liscio District #10 Dr. Deborah Wilson District #11 Dr. Eilyad Honarparvar District #12 Dr. Anthony Mair Appointed By Lieutenant Governor in Council Patrick Ballantyne Ram Chopra James Colliver Vivian Hu Nizar Ladak Brian Smith Roderick Stableforth Marc Trudell Judith Welikovitch

Next Council meeting Next council meeting is December 4th, 2025.

The meeting will livestreamed on our YouTube channel.

Questions? Reach out to: Angie Sherban Executive Assistant and Council Liaison phone: 416-934-5627 toll-free: 1-800-565-4591

Council Highlights Council Highlights are emailed out to members and posted online on the College’s website after each Council meeting. It covers some of the key highlights of Council business.

Read the Council Highlights from the September 18th Council Meeting

Are you following us on social media?

Academic Appointments Dr. Daniel Haas Dr. Noha Gomaa rcdso_org

rcdso.bsky.social

rcdsovideos

rcdso

Access the RCDSO Connect Newsletter archive for previous issues

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PLP divestment: what you should know Five things you need to know about PLP Divestment

4. Jones DesLauriers Insurance, a wholly-owned subsidiary of Navacord, will be the broker for the PLP program. Jones DesLauriers has been the brokerage on record for the primary PLP policy and the excess insurance coverage since 2017. Navacord is the current broker for liability insurance for dentists in Alberta.

1. No need to take any action for 2026 renewal—the College is collecting liability on behalf of Navacord.

2. Regulatory fees are frozen for 2026—no cost of living increase this year.

3. The same highly-qualified and experienced staff will be on hand to answer your questions and service claims.

5. Liability costs for Ontario dentists are comparable to and competitive with costs across Canada.

Jurisdictional analysis: Regulatory and professional liability costs by province/territory Regulatory Fees

Liability (through College)

Liability (through third party)*

Total (Regulatory + Liability)

Manitoba***

$3,750

Not included

$2,097

$5,847

Saskatchewan***

$3,700

Not included

$2,097

$5,797

New Brunswick

$3,637

Not included

$2,097

$5,734

-

$4,725

Province

Alberta

$4,725

Quebec**

$2,545

$1,275

-

$3,820

BC

$1,639

Not included

$2,097

$3,736

Ontario

$2,170

-

$1,500

$3,670

Nova Scotia

$1,502

Not included

$2,097

$3,599

NFLD

$1,200

Not included

$2,097

$3,297

*All other provincial bodies except for Alberta, Ontario and Quebec use CDSPI as the professional liability insurance provider. CDSPI’s premium of $2,097 provides $3M per claim, maximum $9M per calendar year (assumes $2,500 deductible). Posted rate available at: https://www.cdspi.com/insurance/ malpractice/plansheet/#premiums. **Taxes not included. ***Regulatory fees include association fees.

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Announcing your new liability coverage provider On September 15th, 2025, after an extensive and competitive process, we announced that RCDSO Council approved the selection of Navacord as the new owners of the PLP program due to their commitment to preserve the existing service excellence of the program via current PLP staff; their offer of full and comprehensive coverage for dentists; and their deep experience in the liability protection of Ontario dentists.

Navacord, one of Canada’s largest and fastest growing multi-line insurance brokerages, will become the owner/operator of the RCDSO’s PLP as of January 1, 2026. Jones DesLauriers, a broker partner of Navacord, has been the brokerage on record for the primary PLP policy and the excess insurance coverage since 2017.

Navacord is the current broker for liability insurance for dentists in Alberta.

What does this mean?

Ontario dentists will benefit from a smooth transition process and three years of reasonable rates and comprehensive coverage.

Ontario patients will continue to have financial recourse in instances where compensation is warranted.

This change in ownership will effectively de-risk the regulatory function of the College.

The change will help ensure sustainable financial health.

It brings the RCDSO in line with the majority of health regulators in Canada.

The total cost of liability coverage ($1,500) will be included in the 2026 renewal process to aid in the transition. RCDSO will pass the full amount on to Navacord. Regulatory fees are frozen for 2026 and will not include professional liability costs in 2027 and beyond. You will not need to take any action during the renewal process to obtain coverage.

2026 annual fee

$2,170 $1,500 ($1,400

+ fees)

$3,670

Regulatory fee for all RCDSO registrants (the same as 2025).

Cost for liability protection collected by the College on behalf of the new provider at market rate.

Liability will be comprehensive and reasonable.

RCDSO collects the total liability costs during renewal and remits it in full to the new provider. The College does not retain any portion of the fee.

TOTAL

As part of this transfer, any known claims (or situation which could possibly lead to a claim) that have not already been reported to PLP must be reported before the end of 2025 to be captured under the current policy.

If there are any known claims against you, or situations that could possibly lead to a claim, if you have not already done so, you must report these to the PLP immediately, by contacting: info@plpservices.org We have provided, and will continue to provide, more information about the transition to you. In addition

to the material available on our website, our Practice Advisory team is prepared to answer questions from patients, dentists as well as other oral health professionals.

Until December 31, 2025, please contact PLP as usual.

For more information please see Professional Liability Program Click here to learn more about Navacord SUMMER 2025 RCDSO CONNECT

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Feature Article:

Supporting the reconciliation journey: partnering to advance Indigenous cultural competency in dentistry Ontario is home to the highest Indigenous population of any province or territory.i Nationally, First Nations and Inuit Peoples experience nearly twice the amount of dental disease and have more unmet oral health needs than other Canadians.ii iii The Truth and Reconciliation Commission (TRC) put forward 94 calls to action in support of reconciliation related to work.iv The RCDSO has committed to forging a path of Reconciliation with Indigenous Peoples in Ontario specifically looking at the ways we can contribute to Calls to Action #18-24 that relate to health. Specifically, Call to Action #23 which calls for cultural competency training for all healthcare professionals in Canada.

Dentists and their teams play a vital role in the broader healthcare system – and with that comes a role to play in reconciliation.v Oral health is not separate from overall health – it is vital to a person’s well-being, dignity and quality of life. It is in the public interest for the College to support reconciliation efforts.

i

Government of Canada. “Census of Population.” Statistics Canada, 2025, https://www12.statcan.gc.ca/census-recensement/index-eng.cfm. Accessed July 15, 2025.

ii

Government of Canada. “Focus on Geography Series, 2021 Census of Population.” Statistics Canada, 2021, https://www12.statcan.gc.ca/census-recensement/2021/as-sa/ fogs-spg/page.cfm?lang=E&topic=8&dguid=2021A000235. Accessed July 16, 2025.

iii

Office of the Auditor General. “Report 4–Oral Health Programs for First Nations and Inuit–Health Canada.” Office of the Auditor General, 2017, Ottawa, Ontario, https://www.oag-bvg.gc.ca/internet/English/parl_oag_201711_04_e_42669.html.

iv

Truth and Reconciliation Commission of Canada: Calls to Action - NCTR

v

Office of the Auditor General. “Report 4–Oral Health Programs for First Nations and Inuit–Health Canada.” Office of the Auditor General, 2017, Ottawa, Ontario, https://www.oag-bvg.gc.ca/internet/English/parl_oag_201711_04_e_42669.html.

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RCDSO’s Reconciliation Action Plan The RCDSO is partnering with First Peoples Group (FPG), an Indigenous-owned, operated and staffed organization, to work with us to design a Reconciliation Action Plan.

During our September 2025 Council meeting, Council received a presentation from Heather Watts, Bob Watts and Hannah Martin, Principal at FPG as we begin this important work.

This process will involve listening, learning and designing an action plan whereby we can take part in reconciliation and support the ongoing education of dentists.

“

Understanding the oral health experiences of Indigenous Peoples in Ontario is essential to the overall health and well-being of generations. Access to oral health care, access to oral hygiene products, clean drinking water, nutritious food, trauma informed and culturally safe care, the significant cost to travel to get care are all part of understanding the Indigenous experience with a critical service to care of their health. Our organization is thrilled to work with RCDSO to build an action plan that will set the foundation and impact generations to come.”

– Heather Watts – Principal, First Peoples Group

“This is a significant moment for the RCDSO. As we observe the National Day for Truth and Reconciliation on September 30, 2025, I am proud that we are taking another step to promote Indigenous voices and representation within the dental profession.”

– Harinder Sandhu – RCDSO Council President

“

Considering the history of Indigenous Peoples in Canada, cultural safety in oral health care provided to First Nations, Métis and Inuit Peoples is of ultimate importance. Mistrust in the health care system contributes to Indigenous people from visiting the dentists to receive proper care for their oral health. It is the vision of IDAC that Indigenous communities across Canada have access to culturally safe oral health care.”

– Dr. Sheri McKinstry – Indigenous Dental Association of Canada

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Continuing Education Opportunity: Indigenous Cultural Safety Education for Dentists How can dentists contribute to this work? Cultural safety is key. You can begin by educating yourself and your teams about Indigenous health and cultural safety as part of your continuing education efforts.

We are pleased to announce that the Indigenous Primary Health Care Council (IPHCC) is now an approved sponsor under the College’s Quality Assurance Program. This designation allows IPHCC to offer continuing education (CE) points for courses, promoting education activities designed to increase clinically and culturally competent care for Indigenous communities, including those directed at all health professionals and those specific to dentistry.

Cultural Safety Training - Indigenous Primary Health Care Council

The IPHCC is an Indigenous-governed, culturebased, and Indigenous-informed organization with the key mandate to support the advancement and evolution of Indigenous primary health care services provision and planning throughout Ontario.

Membership currently includes 23 Indigenous Primary Health Care Organizations (IPHCOs) located across the province. IPHCC takes an Indigenousled and community-centred wholistic approach to improve the mental, emotional, physical, and spiritual health and well-being of Indigenous Peoples.

The vision of IPHCC is that the health and wellbeing of all Indigenous Peoples in Ontario is restored and assured. Health systems provide Indigenous Peoples with high quality care, empathy, dignity, and respect.

Continuing Education (CE) categories explained Ontario dentists are required to earn 90 CE points over a three-year period, distributed as follows: Category 1: Clinical courses approved by RCDSO’s

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Quality Assurance Committee and offered by an approved sponsor (e.g., CSDH). Category 2: Clinical courses by approved sponsors, self-study with assessment, or mentoring. Category 3: Non-clinical courses, practice management, and recorded webinars.

What does this mean for IPHCC? As an approved sponsor, IPHCC will: oversee course administration, attendance tracking, and knowledge assessment. provide CE certificates meeting RCDSO requirements. offer high-quality, practical education for dentists committed to improving access to care.

For details on submitting a Category 1 course, refer to the Continuing Education Category 1 Course Submission Checklist or contact ce@rcdso.org.

How does this impact the public interest?

Ensuring equitable access to dental care is a top priority for the RCDSO. Many First Nations, Inuit and Métis patients encounter obstacles in receiving the treatment they need. Continuing education is vital in equipping dentists with the knowledge and skills necessary to provide inclusive care. With IPHCC now recognized as an approved sponsor, more dental professionals can access highquality education focused on enhancing care for Indigenous communities.

This milestone represents a significant advancement, supporting high-quality education while strengthening efforts toward creating a more comprehensive and equitable dental care landscape.

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The Non-Insured Health Benefits Program Play a key role in the oral health of First Nations and Inuit By enrolling with Indigenous Services Canada’s Non-Insured Health Benefits (NIHB) program, dental providers can submit claims directly to its claims processor, Express Scripts Canada.

Did you know?

The Express Scripts Canada Provider and Client Website is the gateway for dental providers to work with the NIHB program. Providers can access program policies, forms, quarterly newsletters, the dental claims submission kit, provider billing agreement, and regional dental benefit grids.

Click here to learn more

When you bill the program directly using NIHB fees, clients do not have to face charges which can be a significant barrier in accessing dental care.

Create an NIHB Web Account and Enrol Online!

Dental providers can create an NIHB web account to upload and submit their enrolment documents, and gain access to convenient self-service options. Through your web account, you will be able to verify client eligibility, submit claims and predetermination requests, and view claim statements online.

Get started here

Enrol for Direct Deposit Payments

Direct deposit is a fast, secure way to receive payment. Switch to direct deposit by logging into your NIHB Web account and updating your payment information.

If you don’t have a web account, you can create one or download and follow the instructions on the Direct Deposit Individual Form for NIHB Providers from the NIHB Dental Forms section on the Express Scripts Canada NIHB Provider and Client Website.

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Is your contact information up to date?

Stay connected by making sure your NIHB web account profile is up to date!

To update your contact information: Log into your NIHB web account.

Click the “My Profile” button on the left-hand menu bar.

Scroll down to the email address, alternate mailing address and fax number section and click the “Update” button.

Make your changes and click “Save.”

Issues with an NIHB Web Account?

Experiencing issues enrolling into the NIHB program, accessing your online claims statement, verifying client eligibility, submitting a claim or predetermination?

Visit the Policy and Program Information section of the Express Scripts Canada NIHB Provider and Client Website, then scroll down to the NIHB Dental Online Account Troubleshoot FAQs. You can also call the NIHB Call Centre at Express Scripts Canada for assistance at 1-888-511-4666.

Access the FAQs here

NIHB Client Information

NIHB clients can be directed to visit the Express Scripts Canada NIHB Provider and Client Website where they can create an NIHB web account, view policy and program information, and find helpful client resources including the NIHB Dental Client Quick Reference Sheet.

Access client resources here

Contact us!

For questions related to an NIHB web account, self-service options, NIHB provider enrolment, client and dental service eligibility, billing process and payment, please contact: NIHB Call Centre at Express Scripts Canada: 1-888-511-4666 For questions about the NIHB program and its dental policies, or the status/outcome of specific predetermination requests, please contact: NIHB Dental Predetermination Centre: Dental services: 1-855-618-6291 Orthodontic services: 1-866-227-0943

Quick Links: NIHB Dental Forms NIHB Dental Benefit Grids NIHB Dental Benefits Guide Dental Claims Submission Kit Client reimbursement information Submission of Predetermination Requests Appeal Process

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A scent-sensitive approach to patient comfort and care

The College occasionally receives inquiries from patients regarding accommodating environmental sensitivities in dental settings—particularly scent sensitivity. These conditions are often referred to as Multiple Chemical Sensitivity (MCS) or Chemical Intolerance (CI).

Dentists have a duty to accommodate and to provide patient care that is free from discrimination.

Supporting patients with environmental sensitivities should be viewed as an ongoing dialogue—one where both the patient and provider collaborate to explore needs and practical accommodations.

While a dental office generally cannot be entirely chemical or scent-free, here are a few suggestions to consider in being more mindful of patient needs: Include questions about sensitivities as part of medical history taking.

Encourage patients to share resources and strategies that have been helpful in the past.

Draft a sensitivity policy for the office.

Post signage in public areas that notes a scentsensitive policy.

Move towards enclosed as opposed to open concept operatories.

Increase air filtration and improving air quality beyond the minimum requirement.

Use of unscented laundry detergents for scrubs, lab coats, and uniforms.

Order unscented dental materials and cleaning products.

Allow additional time for aeration following cleaning and disinfection.

Offer appropriate full coverage barriers for equipment where scents may linger (e.g., the operatory chair) Offer the patient a mask to use in shared spaces (e.g., reception area and hallways).

Offer the patient nose plugs and/or a bouffant cap (or another appropriate substitute).

Schedule the patient as the first appointment of the day to avoid mixing scents from other dental appointments.

Schedule longer appointments if the patient will be breathing through their mouth for the duration of their dental appointment (as more frequent breaks and additional suction will likely be required).

Sensitive office policies can help ensure that patients who benefit from these accommodations are able to access timely and necessary dental care.

Moreover, office staff with similar needs may benefit from such policies as well.

If you have any questions or would like to share additional resources, reach out to practiceadvisory@rcdso.org to continue the conversation.

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Sedation & general anesthesia: expiration dating - advanced airways

Advanced airway devices

Advanced airway devices (endotracheal tubes, laryngeal mask airways and other supraglottic airways) are used for airway management, to assist with oxygenation and ventilation of a patient.

Dental facilities and visiting (mobile) sedation providers that administer parenteral conscious sedation (1-drug) or deep sedation/general anesthesia are required to have an adequate selection of endotracheal tubes and/or laryngeal mask airways. The specific requirements are set out in the Standard of Practice for Use of Sedation and General Anesthesia in Dental Practice and the facility inspection guides & checklists developed by the Sedation Inspection Program (linked below).

Expiration dating of advanced airways Some advanced airway devices have an expiration date. Labeling requirements are set out in Federal legislation. According to legislation, expiry dates, if any, are determined by the manufacturer on the basis of the component of the device that has the shortest projected useful life.1

Medical device manufacturers that sell devices in multiple jurisdictions (for example Canada, the European Union and the United States) may choose to add an expiration date on their devices to comply with requirements of other jurisdictions, even if it is not required in Canada.

All medical devices, including advanced airways, should be disposed of and replaced by their expiration date, if one is indicated. If you’re unsure whether the advanced airways at your dental facility have an expiration date, please contact the manufacturer for clarification.

Advanced airways sold in sterile packaging

Advanced airways sold in sterile packaging will maintain their sterility until the expiration date, unless opened or damaged. If there is no expiration date, contact the manufacturer for guidance.

Additional resources Sedation facility inspection guide and checklists Oral Moderate Sedation: Type A and Visiting Providers Parenteral Conscious Sedation (1-drug): Type A and Visiting Providers Deep Sedation and General Anesthesia: Type A and Visiting Providers Type B Facility Requirements

1

Medical Devices Regulations, SOR/98-282, s. 21(1)

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New Artificial Intelligence in Dentistry guidance

At its September 2025 meeting, RCDSO Council approved a new Artificial Intelligence (AI) in Dentistry Guidance document, developed with input from dentists, patients and relevant subject-matter experts.

As AI tools become more common in dental care, this guidance will help dentists understand how to use these tools ethically and responsibly. It will also help patients know what to expect when their dentist uses AI.

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Here are key principles and recommendations from the guidance document.

Dentists are always responsible for patient care

Higher risk means greater caution

AI can support clinical decision-making, but dentists remain accountable and provide oversight by evaluating AI outputs critically and considering each patient’s unique context.

Higher-risk AI tools require greater oversight.

This means understanding the limitations of AI tools and potential for harm, and taking steps to manage risks.

Know your tools

Communicate with patients

Before adopting an AI tool, it is important to understand how it works, including how it manages data and whether its training data reflects diverse patient populations.

Inform patients before using AI tools that could affect their care or treatment decisions.

Patients value being involved in decisionmaking around their care. Transparency builds trust and supports informed decision-making.

Protect patient information

Stay up-to-date

Dentists must still comply with privacy law when using AI. Understand the privacy and security settings and measures of AI tools to ensure that patient data is secure.

AI is constantly changing – dentists and staff using AI can learn to use AI tools competently, safely and effectively by completing ongoing relevant training and education.

The guidance includes links to additional resources which may assist registrants in understanding the principles of responsible AI use and how to assess and use AI in practice.

We have also created Frequently Asked Questions to help you interpret elements of the new guidance.

Because AI is evolving quickly, guidance will be updated over time to reflect new developments.

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INFORMATION SPOTLIGHT WANT TO GET INVOLVED? We are looking for dentists who want to learn more about writing questions for our Practice Enhancement Tool assessment and are interested in participating in 2026 to develop specialty level questions for: Dental public health Dental anesthesia Oral medicine, pathology, radiology Orthodontics To be eligible for consideration, no experience is required but you must: hold a current general practitioner, specialty or academic certificate of registration with the RCDSO be in good standing with the RCDSO. You will: Attend three virtual meetings and spend approximately 10 hours on independent work over a two-month period.

Receive training on how to write high-quality multiple-choice questions.

Write approximately 10 new PET questions and collaborate with others to refine drafts.

Receive an honorarium for your time.

If you’d like to participate, please tell us a bit about yourself

Annual Renewal Opens October 15 Our 2026 annual renewal opens on October 15, 2025. We’ll be sending out email notifications with all the information you need to get started. Renewal keeps your registration active and allows you to continue practising in Ontario. You’ll need to update your professional information, confirm your continuing education requirements and submit your annual fee.

The deadline to complete renewal before incurring late fees is December 15, 2025, so please give yourself plenty of time. If your contact details have changed, make sure to update them in the RCDSO Portal so you don’t miss our emails. If you have any questions, visit our website or reach out to the Registration team.

CONSULTATION ON NEW IMPLANT DENTISTRY STANDARD We are launching a consultation on a proposed new Standard of Practice on Implant Dentistry. This new Standard will replace the current guideline and outline the knowledge, training and ethical responsibilities dentists must meet to provide implant care safely and effectively. We want to hear from you on how this Standard can best reflect current expectations and evolving practices. The consultation details will be posted on our website in October. Your feedback is essential in shaping a clear, practical and patient-focused Standard. Watch your emails for more information.

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Request for assistance The following are requests for assistance obtaining dental records from various police services and coroner’s offices across Ontario. If you have any information, please reach out to the contact listed in each case.

Name: Timothy FIRMAN Date of Birth: June 26, 1978 Requested From: Toronto Police Service Contact: Detective Constable ROLLAND Contact Email: missingpersons@torontopolice.on.ca

Name: George GUILBEAULT Date of Birth: July 23, 1935 Requested From: Ontario Provincial Police | Temiskaming Detachment Contact: Provincial Constable Joel Thibault Contact Email: joel.thibault@opp.ca

Name: Rahul PATEL Date of Birth: January 10, 1993 Requested From: Toronto Police Service Contact: Detective DAIGLE Contact Email: missingpersons@torontopolice.on.ca

Name: Tajae NEARY Date of Birth: March 7, 1995 Requested From: Toronto Police Service Contact: Police Constable YOUNG Contact Email: missingpersons@torontopolice.on.ca

Name: Giampiero J DELGESSO Date of Birth: July 17, 1968 Requested From: Ottawa Police Service Contact: Detective Lindsay Beattie Contact Email: beattiel@ottawapolice.ca

Name: Sangha SINGH Date of Birth: September 16, 1984 Requested From: Toronto Police Service Contact: Detective DAWN Contact Email: missingpersons@torontopolice.on.ca

Name: David BRACE Date of Birth: May 23, 1956 Requested From: West Region - London Office | Ministry of the Solicitor General Contact: Nicole Kelly Contact Email: occ.london@ontario.ca

Name: Karissa COTE Date of Birth: August 2, 1989 Requested From: Toronto Police Service Contact: Detective KAMA Contact Email: missingpersons@torontopolice.on.ca

Name: Ashis THAPA Date of Birth: July 1, 2003 Requested From: Toronto Police Service Contact: Detective Constable O’BRIEN Contact Email: missingpersons@torontopolice.on.ca

Name: Aniya GODDEN Date of Birth: May 20, 1976 Requested From: Toronto Police Service Contact: Detective MISIUDA Contact Email: joel.kirsh@ontario.ca

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New College document: Foundations of Professionalism

At its September 2025 meeting, RCDSO Council approved a new document: Foundations of Professionalism. The document was developed as part of the Access to Care Strategic Project by a dedicated working group, with input from registrants, patients, and other interested parties.

This important resource will: Replace the College’s Code of Ethics; Serve as a foundation for all College Standards, Guidelines, and Advisories; and Help dentists navigate clinical and professional practice.

The document outlines the core principles and duties of the profession, organized around four bioethical principles:

PATIENT AUTONOMY

BENEFICENCE

NONMALEFICENCE

JUSTICE

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Here are some examples of the core principles and duties outlined in the document.

PATIENT AUTONOMY

(Respecting patient choices) Dentists demonstrate this principle by: Encouraging active collaboration and shared decision-making.

Obtaining consent for treatment.

Providing patient-centered care that upholds the standards of practice of the profession.

NONMALEFICENCE (Doing no harm) Dentists fulfill this duty by:

BENEFICENCE (Doing good)

Dentists uphold this principle by: Acting in patients’ best interests.

Creating a safe environment.

Collaborating and communicating effectively and facilitating continuity of care.

JUSTICE

(Being fair) Dentists demonstrate fairness by:

Complying with legal, professional, and ethical obligations.

Meeting legal obligations for human rights and accessibility.

Maintaining competence, recognizing limitations, and referring patients, when necessary.

Promoting fair and equitable access to oral health care.

Disclosing harm, raising concerns, and making mandatory reports.

Understanding and taking reasonable steps to address the determinants of health.

We have also created companion resources, such as Frequently Asked Questions, to help you understand and apply the core principles and duties in your practice. Additional resources (e.g., case scenarios and checklists) are in development, and registrants will be notified as they become available.

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Navigating remediation: taking initiative and responding to the ICRC

Dentistry is evolving, each patient is unique, and there is always something to learn.

Have you been called to submit to the ICRC and want to make a strong impression? Demonstrating your commitment to patient safety and professional growth can make a real difference. The Inquiries, Complaints and Reports Committee (ICRC) uses a risk analysis tool that considers a member’s level of insight, self-reflection, and proactive efforts to address concerns. Showing the ICRC that you’re actively working to enhance your practice is key.

During the Investigation: In your written submissions, share if you have: Made changes to your practice, office management, staff protocols, website, etc.

Self-studied and/or registered for any continuing education; or Completed an educational opportunity.

If you have documentation that reflects the changes you’ve made, include a copy with your submission.

For example, if you created a new record-keeping format, office protocol, patient information sheet, or if you have updated your website.

If you registered for continuing education, provide a copy of your course registration. You may submit your course completion certificate at a later date, and you’re welcome to include any feedback you received from the course provider, if applicable.

Why this matters: The ICRC will consider your submissions before making its decision. Even if the ICRC proceeds to give you feedback (see below), your course registration or completion may help you complete what the ICRC asks of you sooner.

The investigation is complete. The ICRC has asked me to enter into a Remedial Agreement (RA). What is that?

An RA is a signed agreement between a dentist and the College to complete remediation via a self-study and self-reflection (SR) paper. The ICRC uses this outcome to help remediate low-risk level concerns about a dentist’s care or conduct.

What is involved?

Carefully review the College’s correspondence to understand the areas the ICRC expects you to remediate. This is a low-risk outcome and will not appear on the public register. Review the College correspondence carefully to understand what areas the ICRC wants you to remediate. Next, review the College website about self-reflection papers and peer reviews. You can consult with a lawyer if you choose.

If you are willing, sign and return the RA. Once you receive the Committee’s formal decision and reasons (by email), you will have 60 days to submit your self-reflection paper. Take the opportunity during this period to engage in meaningful learning and reflection by actively engaging with current, evidence-based resources. Follow the self-reflection paper template to guide you.

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Your SR paper is not shared with the complainant or others who were part of the investigations.

College staff must approve the RA completion.

If your SR paper is incomplete or fails to address ICRC’s concerns, the process will be prolonged.

What if my RA has a Peer-Review (PR) Component?

The ICRC may ask a dentist to engage in a peerreview (PR) exercise to enhance their SR paper before submitting it. This can help improve a dentist’s knowledge and self-reflection through discussions with another dentist.

You choose the dentist who will act as your peer-reviewer (not the College nor the ICRC).

Your peer must be an active registrant for at least five years. Their public profile must reflect that they are not the subject of any ICRC or disciplinerelated outcomes.

You do not need to disclose that you were the subject of a complaint or a report. Whether or not you share that information with your peer, please do not share any confidential patient health information with them.

Consider discussing a hypothetical practice issue related to the concerns identified by the ICRC. The peer reviewer may be able to share their experience or additional resources to help you address the situation.

Discuss other concerns or questions that might arise and canvass for strategies to help you handle similar situations in the future.

After your peer-review session, you will finalize your SR paper and submit it to the College for approval.

If you are unwilling to enter into a RA (for selfstudy or with peer review), the ICRC will need to reconsider the matter. They may decide on a different outcome.

Have questions about the RA? Contact the assigned investigator or the assigned compliance staff

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INFORMATION SPOTLIGHT 2024 Annual Report: A year of meaningful progress Our 2024 Annual Report, Progress with Purpose, is now available online. This year’s report highlights key milestones in governance modernization, public engagement and quality assurance. These achievements reflect our commitment to safe, ethical and inclusive oral health care across Ontario.

Explore how we advanced our strategic priorities and responded to the evolving needs of patients and the profession throughout 2024.

Read the 2024 Annual Report

DENTAL CT SCANNER AUTHORIZATION & FACILITY PERMIT ONLINE RENEWAL It’s time to renew your Dental CT Scanner authorization & facility permit(s) through the RCDSO Portal! The deadline for renewal is October 31, 2025. For instructions to renew, see our renewal guide. Please carefully review the information related to your facility permit(s) or authorization to verify it is correct. If you have any questions related to your renewal please email ctscanners@rcdso.org.

CONSULTATION ON BY-LAW AMENDMENTS FOR PROFESSIONAL LIABILITY COVERAGE RCDSO is divesting its Professional Liability Program (PLP) to Navacord, with Jones DesLauriers as the broker, effective January 1, 2026. To ensure continued protection for patients and dentists, RCDSO is proposing by-law amendments that mandate minimum liability coverage of $2 million per occurrence and $6 million aggregate. The by-laws also enable three years of comprehensive coverage through Jones DesLauriers. These amendments are open for public consultation until November 21, 2025, with Council reviewing feedback in December.

Always check the public register Dentists should always verify the credentials of potential employees by consulting the RCDSO public register to ensure they are authorized to practice dentistry in Ontario. Before hiring anyone for your practice, be sure to cross-reference their license status on all oral health public registers to maintain compliance and patient trust.

Patients are encouraged to check the register as well to confirm their dentist’s authorization to practice and ensure they are receiving care from a qualified professional.

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UNAUTHORIZED DENTAL PRACTITIONERS The RCDSO is committed to safeguarding public health by ensuring that only qualified and registered professionals practice dentistry within the province. In this regard, we publish a publicly accessible list of individuals who have been legally prohibited from practising for various reasons, including lack of credentials, disciplinary actions, or other legal issues.

If you are aware of these individuals or anyone else working without being registered with the RCDSO, please contact us at info@rcdso.org Dentists should exercise caution when selling used materials and equipment to non-dentists. They may also wish to review the list of unauthorized practitioners available on our website.

Mark your calendars!

Join us at our extended RCDSO Connect event on Wednesday, October 8, 2025, from 7:00 to 8:30 p.m. EDT for a presentation and panel discussion on the Foundations of Professionalism document. This session is eligible for two (2) CE points in Category 1.

Given the significance of the topic, we will offer the session again in late 2025 or early 2026 to ensure broader access, including for those observing religious holidays. Further details will be shared closer to the date.

Register here

GOVERNANCE MODERNIZATION At the September 18th meeting, Council received a substantive governance modernization report (found here) and discussed key elements of the College’s modernization journey. The Council members on the Governance Committee had an opportunity to present to Council on the key design elements of the modernization plan.

Discipline summaries: 2025 ONRCDSO 2 (CanLII) | Royal College of Dental Surgeons of Ontario v Lee | CanLII Heard: June 5, 2025, by videoconference Decision Date: June 5, 2025 Release of Written Endorsement: June 9, 2025 2025 ONRCDSO 3 (CanLII) | Royal College of Dental Surgeons of Ontario v Estrabillo | CanLII Heard: March 18, 2025, by videoconference Decision Date: March 18, 2025 Release of Written Reasons: July 3, 2025

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INFORMATION SPOTLIGHT PROFESSIONALISM DAY AT WESTERN UNIVERSITY On September 12, several senior staff and Council members from RCDSO, representatives from dental associations (ODA and CDA) and defense counsel took part in Professionalism Day at Western University. This event brings together students, educators and regulators to talk about what professionalism means in oral health care.

It was a great chance for RCDSO to connect with future dentists and show our support for professionalism in the profession. The timing was especially important, as it preceded the launch our new Foundations of Professionalism document.

This new resource is meant to help dentists reflect on their responsibilities and support ongoing conversations about professionalism.

During the event, RCDSO staff and Council members led presentations and discussions about ethics,

Important: Standard Rescission Following a comprehensive review of RCDSO’s Standard of Practice Requesting Magnetic Resonance Imaging and Referring to Physician Specialists by Oral and Maxillofacial Surgeons, Council decided at its September 18, 2025 meeting to rescind the Standard and replace it with an updated FAQ. The revised format does not alter the existing requirements for ordering MRIs or initiating physician-specialist referrals. Council determined that an FAQ is the most effective

professional behaviour and the expectations placed on dental professionals. Being part of events like this helps us stay connected to dental education and shows our commitment to supporting professionalism across dentistry.

way to communicate information on this topic, citing its ease of revision and updating as a key advantage. For the full rationale and supporting materials, please refer to the September Council meeting package.

The new FAQ is now available on our website, outlining the conditions under which dentists may order an MRI or request a physicianspecialist referral. It includes relevant links to applicable regulations, the OHIP Schedule of Benefits, and guidance on where to find additional information.

For questions regarding this change please contact practiceadvisory@rcdso.org

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Welcome new registrants Emily George Shruthi Patel Lamiaa M A Elboghdady Mahsa Amini Janki Chetankumar Pandya Arya Sehat-Pour Matthew Kerr - Gagandeep Alain Sangil David Monica Bassi Babasola Olufemi Sodipo Brian Trung Ngo Julia McKay* Alisha Badwal Supriya Jain - Harmandeep Kaur Rahaf Ahmad Hina Hameed Ullah - Sumandeep Kaur Niusha Sohrabi Harshalkumar Arvindbhai Patel Elton Hoi Chan Yeung Evan Tomo Cvitkovic Maurice Asseraf Madison Janet Chambers Mariam Tutarashvili Tithi Falgun Acharya Aanchal Bajaj Sera Sayegh Meeti Charan Amandeep Kaur Dandiana Michael Antonio Joseph Silva** Jordan William Willbanks Rana Hazem Abdelazeem Aly Badewy Hassan Osama Hassan Ahmed Arjun Chawdhry David George Muller Leon Chi Shobhan Nandy Andrew Dumitrache Sara Rahim Khan Fargol Nowghani-Behambari Hai Xin Cheng Negin Sadeghlo Seyedeh Ghazal Fooladi Tanya Nguyen Michael Andrew Tolentino Aman Jaspal Obehi Mary Ikem Gelareh Parvaneh Jonathan Yanhee Mok Jacob Raymond Harter Sadaf Ayazifar Gurulovleen Kaur Brar Avani Mahal Jaspreet Kaur Cheema Alexander Lorenzo Danesi

Ella Suzanne Plante Jethro Chun Ho Cheng Houman Soltani-Hafshejani Lakshmi Vikram Sehrish Mahmood Tavneet Kaur Grewal Kashif Yusuf Gandhi Derya Tabakcilar Alireza Fallah Vinay Tripathi Nitish Shaileshbhai Kansara Pallavi Goel Anum Rehman - Akashdeep Kaur Gaurav Sood Vidhi Prabhakar Shetty Maria Alejandra Izarra Reyes Julia Tinshan Fang Lareb Tahir Khan Vikram Gramopadhye Yasemin Kahraman Hrishabh Piyushkumar Joshi Pavneet Kaur Saini Marium Jagan Khaled Jamal Moh’d Aljabrini Komal Challa Mahalingam Celine Noelia Della-Quercia Chloe Lansens Mehdi Shadaloie Madhur Attray Jagruti Shirish Borse Rajviben Rajendrasinh Kathwadiya Fatima Waqar Grishma Kush Desai Aidin Farughi Manasa Poludasu Madeleine Hui - Maninderdeep Kaur Vijeta Sharma Moussa Mohamed Raouf Moussa Diab Venket Ravivarma Jahan Zeb Divya Gajeshkumar Solanki Savita Sharma Kehzad Kakavand Jessica Crupi Clara Hana Hong Zheng Mehrnoosh Bahari Vaidehi Kishorbhai Patel John P. Wiederholt Pouya Haddad Pour Hiral Jaykumar Shah Dhyey Monarch Doshi - Sandeep Singh Rachel Faith Florence Rula Raad Satar Al-Anbakey

Anabelle Marie-Thérèse Ng Ivan Ruvinov Joseph Ramos Eisha Kaur Aujla Amandeep Singh Basra Jalina Boutros Sandeep Singh Ghotra Nicole Protopapas Nojan Zolfaghari Alexander Terry Stavroullakis Deepak Sud Navjot Kaur Bassi Sandesh Santoshkumar Hegde Lucia Miranda Santos Jude Ritheesh Roy Shinal Sanjay Jain Jasleen Sachdeva - Gurjinder Singh Hind Duraid Sulaiman Al-Zuhair Dhifaf Jaafar Rasool Al Dabbas Lorraine Lea Chan Yuen Amandeep Kaur Jandu Pranav Gupta Hadass Rivka Moyal Praveen Kumar Nethi Balingari Samuel Raj Srinivasan Kamal Saad Christina Stella Attallah Harleen Nijjar Lindsay O’Brien Joanne Lin Noah Harrison Wolfe Samia Zarrad Justin Zhi Trac Jessica Marie D’Ambrosio JiHae Jeon Fatima Abdelgadir Elkendari Trung Minh Dinh Dharani Rajendrakumar Ravalji Amirhossein Saffari Rami Nahil Wadie Khalaf Nada Mahmoud Mohammad Alawady Elaheh Hashemi Kasra Koucheh Baghi Hani Rashid Ahmed Al-Ogaidi Manuel Eduardo Medina Sanchez Alexandra Erica Craciun Zainab Zafer Woohyun Shim Krutika Arvind Yewle Philip Kim Merilyn Manukant Nirmal Royce Christopher Ing Naina Kaushikkumar Panchal Weiwen Tang Vladyslav Andriyovych Podskalniy Shreyank Paresh Badiyani

*Holds General licence since June 7, 2013 and added Specialty (OMFS) on August 8, 2025. **Holds General licence since June 23, 2021 and added Specialty (Perio) on June 2, 2025.

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Siddhi Sudhansubhai Amin Amirali Paknahad Syed Mohammad Abbas Rizvi Ahmed Hussein Hassan Hamed Ibrahim Amna Arshad Neha Baghrecha Matthew James Luciano Greco Tanya Stoeva Maria Louise Petrina Yazhou Zhao Moon Yue Zhang Luciano Fernando William Matthew Irvine Hartirath Kaur Brar Katherine Angela Ferguson Charbel Joseph Tannous Omid Rezvan Rajbir Singh Sidhu Emmy Sun Bohdan Semeliak Mirette Mounir Gurman Pal Mallhi Madison Laramie Olivia Margaret Sulja Ifeanyichukwu Ikechukwu Ezeliorah Turgay Egemen Isikdogan Ian Solomon Mark Hamza Radhwan Abdulwahhab Al-Shammaa Christine Hannah Lee Dania Refaat Hadi Minkyung Song Hemant Seth Ria Patil Susanth Sachithananda Baliga Amna Lone Miral Ankit Makhecha Robert James Mason Sumera Varachhia Gaurav Kumar Dadhich Sharath Krishna Kona Maoia Alkhiyami Sanaya Vispy Engineer Sabatinie Xavier Ikhlas Ahmed Hashi Christian Raffaele Socci Himani Vimalkumar Upadhyay Supriya Shakya Parmis Mesbahian Stefania Angela Priore Rimal deep Kaur Sapna Ghanshyambhai Kankotiya Hazem Abdelmoneim Sayed Azab Abdelaal Bilal Timani Mia Bracanovich Puneet Singh Datewas Kanza Ali Tala Noaman Abduljabbar Qutachi - Ramneek Kamyar Sartipi Swasti Jayesh Rayka Anushree Saraswat Momina Siddiqui Ali Khalid Krinaben Narendrabhai Patel

Kashif Aqib Khan Ashok Binginapalli Arpan Ashwinkumar Bhagat Gokulrich Balendran Harleen Sachdeva Lauren Rebecca Cait Maxime Yves Fournier Geo Mani Rajeev Kumar Mishra Tianxiao Qiu Hee Ran Son Thulfiqar Abdulkareem Mughir Al-Rubaye Adham Adel Saad Kartik Sharma Muhammad Muneeb Shoaib Rachel Amber Shulman Lulua Mustafa Kachwala Troy Kit Chow Sherin Babu Madhubala Ethiraj Mohamed Abdelhamid Ahmed Ali Achini Sucharitha Adikari Meghaben Anilkumar Vegad Christopher Eric Moller Shruti Atul Shah Ryan William Modafferi Lauren Elkada Omar Khaled Hassan Nassar - Jasmine Kaur Bassem Mekhaeil Yugandhara Satish Karale - Ripandeep Kaur Tarek Nabil Metwally Jonathan Matthew Wong Janannii Selvanathan Emma Grace Wilson Marwan El Jadayel Yun Ya Kao Tina Khordehi Jasandeep Singh Sehra Dharm Satishbhai Patel Madeleine Boguta Janak Harish Kumar Junho Lee Michelle Yan-Wing Sim Gloria Shui-Kei Lau Deepak Singh Sran Carson Kennes Ahmed Fattal Paul James Il-Hyuk Kim Shama Sharma Victor Minh Quan Nguyen Shawndeep Chaniana Avreen Kaur Samra Anchu Duggal Justus Tremblay Prateik Murali Nader Karam L Mikhaiel Hanna Riya Eapen George Pranav Nareshbhai Kharod Cassandra Frances Collins Sona Kamala Kunnel Stanly Sherif Mohamed Kamel Taha Alloush Priyanka Reddy Kuntloor

Brianna Nicole Esteves Athman Sivaseelan Sarvenaz Zaree Bavani Anil Kumar Makkar Eman A M Albardawil Sameer Ahmed Kotwal Quinn Patrick Daniel Boyko Suprabath Potnuru Miral Kaushik Patolia - Mahima Pirathapan Sathananthan Karam Neamat Faraj Abo Ualjallow Sarah Mediouni Nicole Ellen Doran Niloofar Rafiei Jasmeen Kaur Sapra Hitesh Chawla Rebecca Kassaw Keni Bhavinbhai Shah Manvir Kaur Gill Karan Prakash Singh Merna Mekhail Aakriti Saggar Pooja Abraham - Arshdeep Kaur Geetanjali Sanduja Targol Ghanbarnia Steven Nguyen Braeden Joel Heninger Peter Richard Siekierski Anthony Bahgat Lotfi Ibrahim Youssef Victoria Nicole Montisano Rachel Imai Armin Farhoudi Mishti Sharma Mohammadali Najimi Amin Asadollahi Hamedani Vrushti Rasang Soni Yan Ning Zang Vineeth Menon Komal Dhiman Lyndsay Marlene Desimone - Tirathjot Kaur Hridya Mohanakrishnan Nair Karla Eva Herrera Quijano Aumkar Bhatt - Gurpreet Kaur Ghadeir Asaad Madlol Mania Nik Kami*** Anna Makarova Marwan Sarmad Bahjat Bahjat Blerina Kadiu Seyed Sina Ghafari Hosseini - Manpreet Kaur David Harold Choo Chong Rebecca Marie Hicks Saumilkumar Patel Reza Shahmohammadi Melissa Gee Ying Leung Amanda Jasmine Zhu-Pawlowsky

***Holds General licence since August 16, 2021 and added Specialty (Dental Anaesthesia) on July 10, 2025.

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COMMEMORATING

NATIONAL DAY

FOR TRUTH

& RECONCILIATION September 30