Sexual Misconduct in Dentistry : A Call for Systemic Change and Cultural Accountability

Abstract

Background: Sexual misconduct represents a profound breach of professional ethics and a significant threat to practitioner and patient wellbeing. While increasingly acknowledged in healthcare, its specific manifestations and impacts within dentistry remain inadequately characterized and addressed. Methods: This narrative review synthesizes current literature to map the landscape of sexual misconduct in dental settings. It examines prevalence data across professional roles, identifies contributing factors, outlines consequences, and evaluates existing barriers to reporting and intervention. Results: Evidence indicates that sexual misconduct is a pervasive issue in dentistry, with dental hygienists and students being at highest risk. Prevalence rates vary widely (5%-86%), influenced by professional hierarchy and gender dynamics. Key facilitators include significant power imbalances, informal workplace cultures, and profoundly ineffective reporting mechanisms. The consequences are severe, encompassing psychological trauma, professional disengagement, and erosion of public trust. A critical gap exists in evidence-based interventions. Conclusion: The dental profession requires an urgent, multi-faceted response to sexual misconduct. This must include the development of robust, transparent policies; mandatory, scenario-based training for all staff; the establishment of trusted, accessible reporting systems; and a foundational cultural shift towards zero tolerance and accountability. Future research must prioritize qualitative insights, intervention efficacy, and the underrepresented perspective of patients.