When Infection Control Breaks Down: Lessons From a Board Sanction and a Practical Path Forward

A Dubuque, Iowa, dentist with a long disciplinary history has again come under scrutiny, this time for failures related to infection control. The Iowa Dental Board recently sanctioned the 74-year-old dentist after an inspection revealed deficiencies in instrument sterilization and other infection prevention practices at his dental office.

Although the board noted that the deficiencies were later addressed, the findings resulted in formal discipline.

To resolve the case, the dentist agreed to a settlement that includes a $500 civil penalty, completion of a board-approved infection control education course, and 2 years of probation. During that probationary period, his practice will be subject to worksite monitoring. As part of the agreement, the dentist must hire a registered dental assistant or dental hygienist to assist specifically with infection control and to serve as a monitor. That individual is required to submit quarterly reports to the board documenting compliance with infection control measures, including proper instrument sanitization and adherence to United States Centers for Disease Control and Prevention (CDC) recommendations.

Beyond the individual case, the situation highlights a broader issue in dentistry: the absence of clear accountability for infection prevention in many practices. In 2016, the CDC formally recommended that every dental office designate an infection control coordinator (ICC). This role is intended to ensure that one trained individual is responsible for maintaining infection control knowledge, developing and updating written policies, ensuring compliance with guidance and regulations, confirming adequate supplies and equipment, and communicating expectations to the entire dental team. Despite this recommendation, awareness and implementation of the ICC role remain inconsistent.

The concept of an ICC is not new. The CDC’s 2003 infection control guidelines emphasized the importance of organized infection prevention programs, including education, workplace risk identification, and exposure management. Since then, dental infection control requirements have grown more complex, making a designated coordinator even more critical.

Dental hygienists are particularly well suited to serve as ICCs due to their formal education and required competencies in infection control and prevention. Registered dental assistants may also fill this role with appropriate training. Formal certificate programs and advanced certifications provide structured pathways for building expertise and documenting competency.

An effective ICC helps practices stay aligned with CDC guidance and Occupational Safety and Health Administration requirements, including bloodborne pathogens standards, hazard communication, and respiratory protection. More important, the role provides consistency, oversight, and accountability, key factors in preventing the types of lapses that can lead to inspections, sanctions, and reputational damage.

The Iowa case serves as a reminder that infection control is not a one-time checklist item. Assigning a qualified infection control coordinator can make a meaningful difference in maintaining standards, reducing risk, and protecting both patients and oral health professionals. Click here to read more.