An Ottawa man could face criminal charges if it’s found he tried to perform dentistry work, the latest punishment for “professional misconduct” that included cementing human teeth into another patient.

Khaled Hashem cannot call himself a “dentist”, “dental surgeon” or “doctor”, nor say he’s qualified to perform dental work, after an Ontario Superior Court order issued Wednesday.

That decision is the latest in a string of disciplinary moves against Hashem dating back to 1996, which include cautions, suspensions of his licence and ultimately the loss of his certificate of registration in June of this year, according to legal documents provided by the Royal College of Dental Surgeons of Ontario.

“There are so many different areas of reprehensible conduct, from lack of patient informed consent, daring to transplant a tooth from one patient to another, lack of proper infection prevention control,” said Irwin Fefergrad, who’s been managing dentist licences for the College over the last 12 years.

“Each one of those in and of themselves is problematic but when you combine them and have them all residing with one practitioner, it’s probably the most egregious case I’ve seen.”

According to the College, Hashem had been working in Ottawa since 1985.

He was cautioned in 1996 for not completing a procedure that was charged for, then twice again in 2011 for improper infection control and bookkeeping concerns.

Hashem then lost his licence for five months last year, again over health and financial concerns but also when he was found to have performed a partial, “substandard” root canal on a patient without her consent.

Patient ‘disgusted and mortified’

The incident that ultimately led to the loss of his licence happened March 24, 2012, according to the legal documents.

A 23-year-old female Carleton University student identified only as K.W. had lost her retainer, leaving her with a gap in her teeth.

She called two emergency clinics she found online and got a hold of Hashem, who told her to come into his clinic.

After she said she wanted a “full smile”, K.W. said they discussed “putting crowns in” and the procedure was done.

The legal documents describe what followed with K.W., Hashem and K.W.’s regular dentist, Dr. Tadeusz Henike:

“K.W. was able to observe her appearance, and became dissatisfied. To her, it looked like a piece of chewed up gum had been put into her mouth,” the disciplinary panel wrote.

“On inspection, Dr. Henike ‘thought the work looked a little rough’ … X-rays confirmed that these were someone else’s teeth.

“It was Dr. Henike’s evidence that he had never before encountered the situation of someone else’s teeth being cemented into a patient’s mouth … He informed K.W. that the dentist who had done this work had not met the standard of care in Ontario.

“K.W. testified that on learning that Dr. Henike suspected that these were human teeth, she was ‘completely disgusted and mortified.’”

Dr. Henike removed the tooth fragments and later called Hashem, who told him he did what he did because K.W. was “pleading for teeth.”

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Loss of licence rare

Fefergrad said when they found out Hashem was practising “underground” without a licence, they asked for and received a court order banning him from identifying himself as a dentist or saying he’s qualified to practice dentistry or give substantial medical advice.

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