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The Case Examiners considered allegations that the Registrant’s fitness to practise is impaired by reason of misconduct. Allegations related to failing to provide an adequate standard of care to one patient and failing to maintain an adequate standard of record keeping on 4 August 2021. The Case Examiners were satisfied that the following General Dental Council ‘Standards for the Dental Team’ (September 2013) could be engaged in this case at: Standard 1.7: ‘You must put patients’ interests before your own or those of any colleague, business or organisation.’ Standard 4.1: ‘You must make and keep contemporaneous, complete and accurate patient records.’ Standard 7.1: ‘You must provide good quality care based on current evidence and authoritative guidance.’ Standard 9.1: ‘ You must ensure that your conduct, both at work and in your personal life, justifies patients’ trust in you and the public’s trust in the dental profession.’ Having determined that there is a real prospect of most of the facts alleged being proved, and of the statutory ground of misconduct being established, but no real prospect of a Practice Committee finding the Registrant’s fitness to practise to be currently impaired, the Case Examiners are satisfied that this case ought not to be considered by a Practice Committee. However, the Case Examiners consider that although there is no real prospect of a finding of current impairment being made, there is evidence to suggest that the Registrant’s overall conduct has fallen below the standard expected to a degree warranting a formal response from the General Dental Council. To dispose of this case without further action would, in the Case Examiners’ view, fail to declare and uphold proper standards of behaviour and conduct, nor would it help to maintain confidence in the dental profession. The Case Examiners accordingly consider that a warning, published for 12 months, would be a proportionate response to the Registrant allegedly breaching the General Dental Council’s Standards and indicate to him that this conduct should not be repeated. This has taken into account that the incident involving the one patient appears to have been an isolated and unrepeated matter and the risk of repetition of the conduct detailed in the relevant allegations is considered to be low. The Registrant is reminded that this warning will form part of his fitness to practise history, and he may be required to disclose it even after the period for publication has expired. The Case Examiners formally warn the Registrant that: • Failure to maintain an adequate standard of record keeping can impact upon ongoing patient care. Clinical records must be sufficiently detailed so as to allow future audit or review, to understand any and all clinical considerations, justifications and potential diagnostic conclusions. • Failure to undertake full diagnostic assessments can have significant impact upon patients. The Registrant must undertake a full assessment at the beginning of any treatment. • Failure to undertake sufficient pre-treatment investigations can have a significant impact upon the patient’s oral health and can lead to inappropriate treatment being provided. The Registrant must undertake full pre-treatment investigations at the beginning of any treatment. • Failure to ensure that sufficient treatment planning is carried out, particularly when embarking on extensive restorative treatment can have adverse effects on the outcome. Sufficient planning must always be carried out when commencing treatment.