What professional practice boundaries relate to patient sexual misconduct or boundary violations by a dental hygienist?

• A. They are acceptable with consent
• B. They constitute unprofessional conduct and can lead to disciplinary action
• C. They are minor issues
• D. They are never a concern

Answer: (B)

Maintaining professional boundaries is essential in dental hygiene practice because the patient is trusting you in a clinical, vulnerable position. Sexual misconduct or boundary violations violate ethics and the standard of care, and they are treated as unprofessional conduct. Because of the power imbalance and the need to protect patient welfare and trust, any sexual advances, remarks, or inappropriate behavior undermine the integrity of care and can lead to disciplinary action by the licensing board. Sanctions can range from reprimand or probation to suspension or revocation of the license, along with fines or other penalties. Consent does not make these actions acceptable; they are serious breaches that must be addressed.