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ADC Practice Question — Professional Boundaries, Conflicts & Financial Dealings

sexual or personal relationship with a former patient…

Paediatric dentistry questions combine clinical management with age-appropriate considerations — LA dosing by weight, behaviour management. This exam-level vignette tests your ability to work through clinical details and arrive at the correct management.

A dentist has been treating a patient for three years. The patient informs the dentist they have developed romantic feelings. The dentist also feels attracted to the patient. The dentist considers transferring the patient to a colleague at another practice and then beginning a personal relationship after a waiting period. A sexual or personal relationship with a former patient is BEST described under the Code as:

  • A. Prohibited without exception — the Code imposes a permanent prohibition on relationships with any person who has ever been a patient, regardless of circumstances
  • B. Permissible once the professional relationship has been formally terminated, as the power imbalance ceases to exist once the patient is discharged
  • C. Usually inappropriate, depending on the extent of the professional relationship, the vulnerability of the former patient, and the time elapsed since the last consultation
  • D. Permissible as long as the dentist waits at least 12 months after the last clinical contact before initiating a personal relationship
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Sources cited
Therapeutic Guidelines v4 Odell's 3rd & 4th Ed IADT 2020 Code of Conduct CMS (Evans) Infection Control + more
Show the answer and cited explanation
Correct answer: C

Section 8.2c states that sexual and other personal relationships with people who have previously been patients are 'usually inappropriate,' depending on the nature of the previous professional relationship, the duration since the last consultation, whether the patient was particularly vulnerable, and whether the practitioner was the patient's sole or primary provider. This is neither an absolute ban nor a simple waiting period — it's a contextual assessment. Option A overstates the prohibition — the Code says 'usually inappropriate,' not 'always prohibited.' Option B understates the concern — the power imbalance does not automatically vanish upon discharge, especially after a long therapeutic relationship. Option D fabricates a specific waiting period — the Code deliberately avoids setting one because the assessment depends on multiple factors.

Source: Section 8.2(c) — former patients; Section 3.2(g) — power imbalance
Remy's study tip — Always note the child’s age and which tooth is involved. Primary vs permanent changes everything.

Exam preparation FAQ

How do I approach an unfamiliar Professional Boundaries, Conflicts & Financial Dealings vignette?
Extract key clinical data from the stem before reading options. There are usually 3–4 critical variables that determine the correct answer.
How should I prepare for Paediatric Dentistry in the ADC exam?
Build competence across all topics. The exam tests application of guidelines to clinical scenarios, not memorisation.

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