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GENERAL DENTAL COUNCIL

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					                                GENERAL DENTAL COUNCIL
                         PROFESSIONAL CONDUCT COMMITTEE
                                             July 2009
                                Quraishi, Mohammed Ashfaq
                                       Registration No: 83349


Mohammed Ashfaq Quraishi registered as of West Mount Dental Surgery 1 West Mount Chester
Road High Barnes, SUNDERLAND, SR4 8PY, BDS Newcastle 2004 was summoned to appear
before the Professional Conduct Committee on 6 July 2009 for inquiry into the following charge:
     That being registered under the Dentists Act 1984:
     1.    During July 2007 to January 2008 Patient A, identified in the attached schedule, was a
           patient of yours;
     2.    On 15 July 2007 Patient A attended an appointment “the first appointment” with you at
           the Transform Clinic at Asprey House, Bayswater Road, Jesmond, Newcastle-upon-
           Tyne NE2 3HR where:
           a)    she presented with severe tetracycline staining to her teeth,
           b)    you discussed with her possible treatment options for her teeth including the
                 possibility of veneers,
           c)    you advised her that the desired effect could not be achieved by teeth whitening;
     3.    At the first appointment the advice you gave to Patient A was wrong because:
           a)    you failed to realise that teeth whitening procedures could achieve the desired
                 effect in her case,
           b)    you knew or ought to have known that teeth whitening procedures could have the
                 desired effect in her case,
           c)    you failed to inform her of all the treatment options available to her;
     4.    At the first appointment when discussing the possibility of veneers with Patient A you
           informed her:
           a)    you would have to whiten her teeth before placing veneers,
           b)    there would be no charge for the teeth whitening procedures provided she
                 returned to you to have her veneers fitted;
     5.    At the first appointment:
           a)    Patient A signed a form headed “consent to cosmetic tooth whitening
                 procedures”,
           b)    you undertook teeth whitening treatment for her,
           c)    WITHDRAWN
           d)    you gave Patient A verbal quotation for future treatment as follows:
                 i)    £200 to have a wax-up model made,



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                 ii)     £400 per veneer,
                 iii)    total treatment cost of £7,400 for a wax-up model and 18 veneers,
           e)    you failed to provide Patient A with any written treatment plan or quotation;
     6.    Your conduct as set out at paragraphs 2c, 3 and 5e above was:
           a)    inappropriate,
           b)    below the standard expected from a reasonable competent General Dental
                 Practitioner,
           c)    not in Patient A’s best interests;
     7.    Following the first appointment Patient A decided to undergo further dental treatment
           with you and:
           a)    on 19 July 2007 you attended upon her at her home address and took
                 impressions of her teeth for wax-up models,
           b)    on 12 August 2007 Patient A attended a further appointment with you “the
                 second appointment” where:
                 i)      you showed her the wax-up model of her teeth,
                 ii)     you requested payment from her of £3,800,
                 iii)    you informed her that she would require four further appointments with you
                         to complete her treatment,
           c)    on 21 August 2007 Patient A attended a further appointment with you “the third
                 appointment” the purpose of which was to prepare her upper teeth for veneers
                 where:
                 i)      you failed to identify that she had gum disease,
                 ii)     you did not record the bite registration of her upper to lower teeth using a
                         face bow and articulator,
                 iii)    you did not take radiographs,
                 iv)     her upper front teeth were prepared for veneers,
                 v)      you fitted “temps” to her upper front teeth,
                 vi)     she indicated to you that she was not happy with her “temps”,
                 vii)    you informed her that her veneers would look acceptable once her
                         treatment had been completed,
                 viii)   you undertook no dental treatment to her bottom teeth;
     8.    Your conduct as set out in paragraphs 7 c) i), ii) and iii) was:
           a)    inappropriate,
           b)    below the standard expected from a reasonable competent General Dental
                 Practitioner,
           c)    not in Patient A’s best interests;




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     9.    On 22 August 2007 Patient A telephoned you to tell you that her “temps” had fallen off
           and you attended her at her home address that evening to re-fit “temps” to her upper
           teeth;
     10.   Patient A attended further appointments with you on the following dates:
           a)   3 September 2007 “the fourth appointment”,
           b)   10 September 2007 “the fifth appointment” where:
                i)     you tried the permanent veneers on her upper teeth,
                ii)    she told you she was not happy with the appearance of the veneers for her
                       upper teeth,
                iii)   you advised her that if she was still unhappy with her veneers at the
                       conclusion of her treatment you would “re-do them”,
           c)   24 September 2007 “the sixth appointment” the purpose of which was to prepare
                her lower teeth for veneers where:
                i)     you advised her that crowns would be more appropriate for her two lower
                       premolar teeth,
                ii)    Patient A indicated that she was still unhappy with the appearance of her
                       upper teeth,
                iii)   you re-cemented the veneer to her UR4 tooth which had come off;
     11.   During the course of the sixth appointment there was a verbal altercation between you
           and Patient A during which you:
           a)   shouted at Patient A,
           b)   told Patient A that you were the dentist and you would do the work and if the
                work was wrong you would “re-do” it or words to that effect,
           c)   WITHDRAWN
           d)   told Patient A that you were “cold, hungry and had been working all day” or
                words to that effect,
           e)   told Patient A that you were “not in the mood” or words to that effect,
           f)   apologised to Patient A and said to her “shall we get on with it or do you need to
                come back later”, or words to that effect;
     12.   Your conduct as set out in paragraph 11 a) to f) above was:
           a)   unprofessional,
           b)   inappropriate,
           c)   below the standard expected from a reasonable competent General Dental
                Practitioner;
     13.   Patient A attended further appointments with you on the following dates:
           a)   1 October 2007 “the seventh appointment” during which:
                i)     you re-cemented the veneer to her UR4 tooth which had come off,
                ii)    you fitted permanent veneers to her bottom teeth,



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                iii)   you fitted crowns to her two lower premolar teeth,
                iv)    she told you that she was unhappy with the veneers to her bottom teeth,
                v)     you told her that it was “just the light” or words to that effect,
           b)   9 October 2007 “the eighth appointment” during which you agreed to re-do some
                of her veneers,
           c)   20 October 2007 “the ninth appointment” during which:
                i)     you refitted some of the veneers to her teeth,
                ii)    you re-cemented the veneer to her UR4 tooth which had come off,
                iii)   you broke the veneer to her UL3 tooth,
                iv)    you told her that you were using minimal preparation veneers and if there
                       were any further problems you would change the design of your
                       preparation or words to that effect,
           d)   31 October 2007 “the tenth appointment” during which:
                i)     you noted that there were continuing problems with Patient A’s veneers,
                ii)    Patient A told you that she was still unhappy with her veneers,
                iii)   you replaced the veneer to Patient A’s UL3 tooth,
                iv)    there was a verbal altercation between you and Patient A,
                v)     you walked out of the treatment room;
     14.   Your conduct as set out in paragraph 13 d) iv) and v) was:
           a)   unprofessional,
           b)   inappropriate,
           c)   below the standard expected from a reasonable competent General Dental
                Practitioner;
     15.   Patient A attended further appointments with you on the following dates:
           a)   13 November 2007 “the eleventh appointment” during which:
                i)     she again told you she was unhappy with the treatment she had received
                       from you,
                ii)    you re-cemented the veneer to her UR3 which had come off,
           b)   28 November 2007 “the twelfth appointment” during which:
                i)     she told you that she was still unhappy with her veneers,
                ii)    you re-cemented the veneer to her UR3 tooth which had come off,
           c)   3 December 2007 “the thirteenth appointment” during which:
                i)     you did further preparation work to her upper teeth as her veneers had
                       fallen off again,
                ii)    you advised her that a way to put right the work you had undertaken would
                       be to place crowns on all of her teeth,
                iii)   she became very upset following the advice you gave her in 15 c) ii) above,


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           d)   10 December 2007 “the fourteenth appointment” during which:
                i)    you refitted veneers to two of her front upper teeth,
                ii)   WITHDRAWN
           e)   5 January 2008 “the fifteenth appointment” during which:
                i)    you re-cemented veneers to her upper teeth which had come off,
                ii)   you advised her that her dental problems could be resolved by removing all
                      of her veneers or by fitting crowns or words to that effect;
     16.   In embarking upon and providing the treatment for Patient A during the fifteen
           appointments as detailed above:
           a)   you failed at the outset to recognise that you were not sufficiently experienced to
                undertake Patient A’s treatment,
           b)   you knew or ought to have known at the outset that you were not sufficiently
                experienced to undertake Patient A’s treatment,
           c)   you failed at the outset to refer her case to a more experienced dental
                professional,
           d)   in light of the constant difficulties with Patient A’s veneers you failed
                appropriately to reconsider your proposed course of treatment for her,
           e)   as the problems with Patient A’s treatment continued you failed to refer her case
                to a more experienced dental professional,
           f)   you continued to treat her when you should have realised that you were not
                sufficiently experienced to do so;
     17.   Your conduct as set out in 16 a) to f) above was:
           a)   inappropriate,
           b)   below the standard expected from a reasonable competent General Dental
                Practitioner,
           c)   not in Patient A’s best interests;
     AND, by reason of the facts stated, your fitness to practise as a dentist is impaired by reason
     of your misconduct.




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