Ontario • Dentists

    RCDSO Dentist Complaints in Ontario: What Dentists Should Know

    The Royal College of Dental Surgeons of Ontario (RCDSO) is the regulator for dentists in Ontario under Regulated Health Professions Act, 1991; Dentistry Act, 1991. Most concerns are reviewed by the Inquiries, Complaints and Reports Committee (ICRC). Serious matters may be referred to the Discipline Committee for a formal hearing.

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    Regulator

    Royal College of Dental Surgeons of Ontario

    www.rcdso.org

    Governing statute

    Regulated Health Professions Act, 1991; Dentistry Act, 1991

    First-stage decision-maker

    Inquiries, Complaints and Reports Committee (ICRC)

    Registrant response window

    Dentist typically given 35 days to respond; ICRC targets ~150 days for routine complaints

    Mailing address

    6 Crescent Road, 5th Floor Toronto, ON M4W 1T1

    416-961-6555

    Understanding the RCDSO complaints process

    Dentists in Ontario are accountable to the Royal College of Dental Surgeons of Ontario (RCDSO). When a concern is raised about a dentist, intake staff log it, send the dentist a copy of the materials, and invite a written response. The complaints stream is built around the file the Inquiries, Complaints and Reports Committee (ICRC) reviews — the quality and clarity of your written response is the most important factor at this level.

    Most matters resolve at the Inquiries, Complaints and Reports Committee (ICRC) stage through dismissal, advice, a remedial undertaking, or a consent-style resolution. Serious matters that are not resolvable at intake may be referred to the Discipline Committee for a formal hearing on the record. Hearing decisions are typically posted on the regulator's public register.

    Engage your professional liability insurer the day you receive the notice. Do not contact the complainant directly. Preserve all relevant records (clinical notes, billing, schedules, communications). Read the regulator's notice carefully — your deadline, the scope of the allegations, and what is being asked of you are spelled out in it.

    What's distinctive about the RCDSO complaints process

    • Largest dental regulator in Canada (~11,000 dentists)
    • Risk-based ICRC triage model prioritizes complaints by patient safety
    • Public can apply 'as of right' for a hearing before the Discipline Committee
    • Mandatory reporting by dentists, facilities, and employers
    • Seven statutory committees mandated by the RHPA Health Professions Procedural Code

    What triggers complaints against dentists in Ontario

    Administrative concerns

    • Billing and fee disputes
    • Failure to provide or transfer dental records
    • Breach of patient confidentiality
    • Inadequate or absent informed consent

    Conduct or practice concerns

    • Substandard or negligent clinical treatment
    • Sexual abuse or sexual misconduct (mandatory revocation)
    • Unprofessional or disrespectful conduct
    • Practicing while incapacitated or impaired
    • Fraudulent or misleading advertising

    How a RCDSO complaint typically moves

    1. 1

      Complaint received and acknowledged

      The regulator receives the written complaint, assigns a file number, and sends a written acknowledgement to the complainant and the dentist.

    2. 2

      Notice to the dentist

      You are sent the complaint and supporting materials, and invited to provide a written response. The regulator's complaints staff is typically your point of contact.

    3. 3

      Investigation

      An investigator gathers records, may interview witnesses, and asks targeted questions. You have a duty to cooperate but you are entitled to counsel.

    4. 4

      Written response from the dentist

      You submit a written response addressing each allegation with supporting documentation. This is usually the single most important document on the file.

    5. 5

      Review by the Inquiries, Complaints and Reports Committee (ICRC)

      The Inquiries, Complaints and Reports Committee (ICRC) reviews the file on the record. It can take no action, issue advice or a caution, accept an undertaking, require remediation, or refer the matter forward.

    6. 6

      Possible referral to the Discipline Committee

      Serious matters or unresolved factual disputes may be referred to the Discipline Committee for a formal hearing on the merits.

    Possible outcomes

    No further action or dismissal

    The committee determines the complaint is unfounded, outside its jurisdiction, or does not warrant further action. The file is closed and (in most jurisdictions) does not appear on the public register.

    Advice, caution, or reminder

    A non-disciplinary measure intended to support reflection on practice. Usually recorded on your regulator file; often not posted publicly.

    Remedial undertaking or consent agreement

    A structured remedial plan, typically including coursework, mentorship, or a period of practice monitoring. Some appear on the public register.

    Referral to discipline or formal hearing

    A formal hearing-style proceeding before a panel that can issue findings of professional misconduct or incompetence and impose conditions, suspension, or licence revocation.

    Suspension or revocation of registration

    Reserved for the most serious findings, including sexual abuse, criminal-grade conduct, or repeated practice failures. Always published on the regulator's public register.

    Practical tips for dentists in Ontario

    • Read the regulator's notice carefully. Your deadline, the scope of the allegations, and the specific information requested are spelled out in it.
    • Notify your professional liability insurer the same day you receive the complaint — coverage typically includes legal representation.
    • Preserve all relevant records immediately: clinical notes, billing data, schedules, and any text or email communications with the patient or colleagues.
    • Do not contact the complainant directly. Communicate only through the regulator or through counsel.
    • Be calm, factual, and chronological in your written response. The committee reviews the file on the record; the quality of that document drives the outcome.

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