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The Cost of a Broken System

Practice Compliance | October 29, 2026

Dental practice owner and team member reviewing a checklist beside instrument sterilization equipment

When a dental practice is shut down because of infection prevention and sterilization concerns, it is easy to look at the story and think:

“Someone didn't follow the rules.”

But having worked with dental practices and the people running them, I think there is a much bigger business lesson here.

Compliance doesn't live in a binder. It lives in the daily systems of a practice.

A July 2026 CBC News report about a Brantford dental office highlights how quickly infection prevention and control issues can become much bigger than a clinical concern.

The investigation identified multiple lapses involving the disinfection and sterilization of reusable instruments. More than 800 former patients were subsequently encouraged to undergo testing for blood-borne infections.

The dentist has since resigned and is no longer entitled to practise in Ontario, while the regulatory investigation remains ongoing.

Read the full CBC News article →

Looking Beyond Responsibility

For me, the important question as a consultant isn't simply:

“Who was responsible?”

It is:

“What systems were in place to make sure this couldn't happen?”

In the practices I work with, I encourage owners and managers to look beyond simply having policies on paper.

Questions Every Practice Should Ask

  • Are sterilization and reprocessing protocols actually being followed every day?
  • Does every team member understand why the process matters, rather than simply knowing the steps?
  • Are responsibilities clearly assigned?
  • Are training and competency being documented?
  • Are audits actually happening?
  • Does the practice have a mechanism for identifying and correcting problems before they become regulatory or patient safety issues?
  • Does the owner know what is happening operationally when they aren't standing in the sterilization room?

That last question is particularly important.

A practice can have excellent clinicians and good intentions and still have significant operational vulnerabilities.

Leadership Means Building Reliable Systems

The role of leadership is to build a system where doing the right thing is clear, repeatable, monitored and supported.

This is one of the areas where I spend a lot of my consulting work with dental practices: helping owners step back from the day-to-day and examine the systems behind the business from operations and accountability to team structure, workflow, compliance and practice performance.

Because a practice shouldn't have to wait for a complaint, inspection or serious incident to discover that its systems aren't working.

The best time to identify a vulnerability is before someone else does.

An Independent Look at Your Practice

If you're a dentist or practice owner and you'd like an independent set of eyes on your practice operations, systems or team accountability, this is exactly the kind of work I help practices with.

Feel free to reach out to me directly at (519) 722-0648.

Archive

The Cost of a Broken System

Practice Compliance | October 29, 2026

Compliance lives in the daily systems of a dental practice. Learn why clear responsibilities, training and operational oversight matter before problems arise.

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