NEW HAMPSHIRE BOARD OF DENTAL EXAMINERS

PUBLIC MINUTES

| January 5, 2004 | February 2, 2004 | March 1, 2004 | April 5, 2004 | May 3, 2004 |
| June 7, 2004 | July 12, 2004 | August 2, 2004 | August 30, 2004 | October 4, 2004 |
| November 1, 2004 | December 6, 2004 |

January 5, 2004

The January 5, 2004 meeting of the New Hampshire Board of Dental Examiners convened at 4:00 p.m. with the following members present:

Ronald J. Hrinda, DMD, President
Neil S. Hiltunen, DMD
Debra A. Albrecht, RDH
Linda M. Seedner, RDH
Charles F. Post, DMD
Karen Clough, Public Member
Marjorie J. Chema, DDS
Stephen A. Sewall, DDS

Absent: Eliot L. Paisner, DMD, Vice President

* The Board approved the minutes of the December 1, 2003 as amended.

Administrative

1. Statute and Rules

a. Statutory Proposals

1) Board/Society Meeting, December 9, 2003 - At this meeting the Board's statutory subcommittee met with members of the New Hampshire Dental Society to discuss amending the Dental Practice Act. There was agreement on most issues. There were also a few issues which cannot be resolved at this time.

a) The Board's executive secretary will meet with his counterparts in the Dental Society and Medical Society to discuss whether and how other states address physicians in the Dental Practice Act

b. Rule Proposals

1) Rule Package 2004-I. The Board voted to approve an initial draft of rules which address the duties of dental hygienists and dental assistants.

2. Dental Pamphlet - The Board voted to approve a redraft of the pamphlet addressing the risks and benefits of dental restorative materials. HB 201 (2003) requires that dentists make this information available to patients.

3. Registration Materials - The Board voted to approve the letter and form to be issued for the 2004 biennial registration of dentists.

4. Mouth Guard Program - The Board voted to not approve a mouth guard program being proposed by a dental hygienist. The program would not have the degree of supervision by a dentist required.

5. Deployed Dentists Continuing Education Requirements - The board will give reasonable consideration to the waiving of continuing education requirements to any licensee that who is militarily deployed.

6. Status of Board Projects - informational.

7. Late Registration - Dental licensees who fail to register and license before April 1, 2004 shall have their licenses suspended. The Board voted to allow the Board's office to register and license suspended licensees when their registration materials are received and fines paid before July 1, 2004.

8. Gina Carucci, RDH - The Board voted to ascertain whether Ms. Carucci is following the program stipulated in her settlement agreement with the Board.

9. Resignation - The Chairman of the Anesthesia/Sedation Evaluation Committee, Dr. Robert Provencher, has resigned due to other professional commitments. The Board will ask the remaining members of the Committee to choose a new chairman and nominate a new member.

10. Informational

a. Status of Sanctions b. Appropriate Prescribing (video available) c. NH Oral Health Plan d. Emergencies e. Granite State Dentist f. NH Tech Courses

* Public member Karen Clough abstained.

QUALIFICATION AND LICENSURE

1. LOCAL ANESTHESIA

The Board voted to issue permits to administer local anesthesia to the following hygienists:

BY EXAMINATION

Glenda Milliman, RDH
Mary Hewitt, RDH
Jodi Carnes, RDH
Jessica Mattice, RDH
Michele M. Gage, RDH
Deborah L. Hann, RDH
Henny Bogardus, RDH
Dorinda C. Priebe, RDH
Susan DerManoogian Galli, RDH
Virginia A. Barunas, RDH
Jeanne-Marie Bolduc, RDH

BY ENDORSEMENT

Gracene Mehlman, RDH

2. ANESTHISIA EVALUATION

The Board voted to accept the anesthesia evaluation of William Dobbin, DMD.

3. PUBLIC HEALTH SUPERVISOR SUMMARY REPORTS

The Board voted to accept as satisfactory an interim report from the following program conducted under public health supervision:

Seacoast Healthy Grins

4. COURSE APPROVAL

The Board voted to accept a two day radiology course offered by Boston University on January 28 and February 7, 2004 for qualification in radiology, if it is supplemented by 4 hours of clinical instruction attested to by a time log maintained by the students supervising dentist.

5. APPLICATIONS APPROVED

INITIAL

Edward James Detolla, DDS
Susan Ann Diamond Johnston, RDH
Michael Irwin Kramer, DMD
Lisa Anne Evans, RDH
An-I Tsai, DMD
John Thomas Bowman, DMD
William Hyunchul Park, DDS

Members of the Board voted unanimously, unless otherwise indicated.

Members of the Board voted unanimously to go into non-public session for the purpose of discussing investigations of alleged licensee misconduct, noting that such a non-public session is authorized by RSA 91-A:3 and the Board's executive and deliberative privileges.

February 2, 2004

The February 2, 2004 meeting of the New Hampshire Board of Dental Examiners convened at 4:00 p.m. with the following members present:

Eliot L. Paisner, DMD, Vice President
Neil S. Hiltunen, DMD
Debra A. Albrecht, RDH
Linda M. Seedner, RDH
Charles F. Post, DMD
Karen Clough, Public Member
Stephen A. Sewall, DDS

Absent: Ronald J. Hrinda, DMD, President
Marjorie J. Chema, DDS

* The Board approved the minutes of the January 5, 2004, as amended.

Administrative

1. Statute and Rules

a. Statutory Proposals

1) RSA 317-A:20 - The Board's executive secretary met with his counterparts of the Medical Society and the Dental Society on January 22, 2004 for a preliminary discussion about the manner in which physicians are addressed in dental practice acts in New Hampshire and other states. The Board's subcommittee on statutory amendments is scheduled to meet with representative of the Medical Society and Dental Society on February 24, 2004 to further discuss this topic.

2) RSA 317-A:8 IV - The Board reviewed an initial draft of a statutory amendment regarding licensure to provide volunteer services.

3) RSA 317-a:7-A - The Board voted to seek an amendment requiring dentists applying for licensure by endorsement to have previously been eligible for licensure by examination in New Hampshire.

b. Rule Proposals

1) Rule Package 2004-I. The Board has scheduled a public hearing, pursuant to RSA 541-A, on March 1, 2004 at 5:00 p.m. at the Board's office. This package of rules is about auxiliary duties.

2) Rule Package 2004-II. The Board reviewed an initial draft of changes to administrative rules addressing voluntary services, license activation, oral examinations, qualification records and CPR.

3) Rule Package 2004-III. Tabled until next month.

2. Sealants - The American Dental Association Council on Scientific Affairs sent to the Board two recent papers on sealants. The papers elicited the question as to whether hygienists should be allowed to place sealants without a diagnosis being rendered by a dentist. The lack of dentists in public health programs is the underlying problem. It has prompted the Dental Society to initiate a program whereby volunteer dentists would provide pre-sealant diagnosis. The Board voted to table this matter until the results of the Dental Society program are known.

3. Clinical Examination - The Board voted to require passage of a third party clinical examination acceptable to the Board before an applicant is eligible for licensure by endorsement.

4. Fluoride - The Board voted to submit a request to the Pharmacy Board for its support for an amendment to RSA 318; 42 VIII, Pharmacy Law, to allow dental hygienists to make dilutions from concentrate fluoride solutions or pre-weighed or pre-measured packets.

5. Administrative Prosecution Unit (APU) - Attorney Marguerite Wageling of the APU will no longer be a Board prosecutor. She has been appointed Hillsborough County Attorney.

6. Amalgam - The Board and the Dental Society have composed a new draft of the pamphlet required by HB 1251, with input from the Department of Health and Human Services. The draft reiterates the information in the first draft in a slightly different format. The Board voted to not replace at this time the initial draft which was distributed in December, 2002.

7. Jurisprudence Test - The Board voted to allow no more than 60 minutes for license applicants to complete the jurisprudence test.

8. Informational

a. Status of Sanctions
b. DDS/MD
c. Oral Health Database Committee
d. AADE Bulletin
e. Amalgam
f. Enteral Conscious Sedation
g. Oral Health, Maps
h. CDC Infection Control
i. ADA Call for Comments
j. AADE Mid Year Meeting
k. NERB/NBDE Comparability Study
l. Clinical Licensure Examination

QUALIFICATION AND LICENSURE

1. LOCAL ANESTHESIA

The Board voted to issue permits to administer local anesthesia to the following hygienists:

BY EXAMINATION

Donna Hinch, RDH, #04-58
Charlene C. Ouellette, RDH, #04-59

APPLICATION REVIEW

The Board voted to require Elaine Nelson, RDH to take and pass the anesthesia exam of the Northeast Regional Board. The Board will also require Ms. Nelson to provide the Board a letter from a dentist attesting to her use of local anesthesia.

2. ANESTHESIA EVALUATION

The Board voted to accept the anesthesia evaluations of the following:

Karen E. Crowley, DDS
Jonathan C. Sudol, DMD

3. PUBLIC HEALTH SUPERVISION APPROVAL

The Board voted to approve the application of Monadnock Healthy Teeth as a public health supervision program.

4. CONTINUING EDUCATION

The Board voted to approve a 30 day extension to May 1, 2004 for Robert J. Skinner, DDS to complete continuing education.

5. APPLICATION APPROVED

Hamed Hassan Ali Al-Bargi, DMD
Jennifer Maghan Hannemann, RDH
Christopher Michael Bougopoulos, DMD
Crystal Lee Hutchings, RDH
Young Chan Park, DMD
Holly Almanda Dionne, RDH
Tracey Lynn Osborn, DMD
Hidetada Moroi, DMD

Members of the Board voted unanimously, unless otherwise indicated.

Members of the Board voted unanimously to go into non-public session for the purpose of discussing investigations of alleged licensee misconduct, noting that such a non-public session is authorized by RSA 91-A:3 and the Board's executive and deliberative privileges.

March 1, 2004

The March 1, 2004 meeting of the New Hampshire Board of Dental Examiners convened at 4:00 p.m. with the following members present:

Eliot L. Paisner, DMD, Vice President
Neil S. Hiltunen, DMD
Debra A. Albrecht, RDH
Marjorie J. Chema, DDS
Charles F. Post, DMD
Karen Clough, Public Member
Stephen A. Sewall, DDS

Absent: Ronald J. Hrinda, DMD, President
Linda M. Seedner, RDH

* The Board approved the minutes of February 2, 2004, as amended.

Administrative

1. Statute and Rules

a. Statutory Proposals

1) SB 441 - This bill addresses the operation of dental clinics by health care charitable trusts. The Board does not support SB 441 because it does not adequately protect the public.

2) RSA 317-A:20 - Practice of Dentistry. The Board has been discussing amendments to this section of the Dental Practice Act with the New Hampshire Medical Society and New Hampshire Dental Society.

3) RSA 317-A:7-a - Licensure by Endorsement. The Board voted to approve a draft of an amendment to be proposed in the 2005 legislative session.

4) RSA 317-A:8 - Applications. The Board also voted to approve a draft proposal to RSA 317-A:8 for the 2005 legislative session.

b. Rule Proposals

1) Public Hearing. Pursuant to the Administrative Procedures Act, vice president of the Board, Eliot Paisner, DMD, commenced a public hearing at 5:00 p.m. to hear testimony on rule changes primarily concerning the duties of dental hygienists and dental assistants. Testimony was heard from Jim Williamson, Executive Director of the New Hampshire Dental Society and Joan Kenny Fitzgerald, RDH representing the New Hampshire Dental Hygienists' Association. The hearing was concluded at 5:30 p.m.

2) Rule Package 2004-II. The Board voted to accept as ready to begin the rule making process a draft of rules addressing clinical examinations, license activation, licensure to provide voluntary services, and CPR.

3) Auxiliary Duties Package II. The Board voted to ask dental boards in other states whether they have had problems in allowing dental auxiliaries to perform the duties in this package.

4) Part Env-Ws 905 (informational) - These rules implement environmentally appropriate disposal equipment and methods to trap and dispose mercury in dental amalgam waste.

2. Monitoring Disclosure - The Board received a request from the Bureau of Health Facilities Administration to mail documentation regarding the ownership requirements of RSA 125:25-c. The Board voted not to comply with this request because this is a responsibility of the Bureau of Health Facilities Administration as stated in the Bureau's April 2, 2003 letter to the Board.

3. Enteral and/or Combined Conscious Sedation - The Board received a letter from a dentist inquiring as to what he must do to obtain a permit to administer enteral conscious sedation. The Board voted to inform the dentist that the Board regulates sedation by the level of sedation not by the route of administration of sedative agents. Requirements are based on the guidance of the American Dental Association and the dental specialties, and can be found in the Board's administrative rule Den 304.

** 4. Public Health Dental Screening - In answer to a question from the "Greater Nashua Dental Connection", the Board voted to confirm that dental screenings performed by a dental hygienist under public health supervision are allowed pursuant to Den 402.-1(c) as a preliminary inspection of the oral cavity.

5. Local Anesthesia - In answer to a question from the Forsyth School of Dental Hygiene, the Board voted to reply that hygienists who have qualified to administer local anesthesia in New Hampshire may do so regardless of the method of administration.

6. Informational

a. Status of Sanctions
b. Attorney Wageling
c. ADA Policy
d. NERB Exam

* Dr. Chema abstained.
** Dr. Paisner recused.

QUALIFICATION AND LICENSURE

1. LOCAL ANESTHESIA

The Board voted to issue permits to administer local anesthesia to the following hygienists by examination:

Denise Stuart, RDH
Nicole Tearno, RDH
Susan M. Melo, RDH
Michele Bourque, RDH
Patricia Morz, RDH

2. PUBLIC HEALTH SUPERVISION SUMMARY REPORTS

The Board voted to accept the reports of:

Interlake's School Dental Program
Rock Dental Clinic

3. CONTINUING EDUCATION

a. The Board voted to give 30 day extensions to dentists who request an extension to meet their biennial continuing education requirements.
b. The Board voted to give a 60 day extension to Michael J. Glich, DMD to complete his CE requirements of 30 more hours, including CPR.

4. REACTIVATION OF LICENSURE

a. John W. Hurley, DDS - The Board voted to inform Dr. Hurley that he does not need a license to teach or consult, and if he wishes to take part in a program providing mouth guards to athletes, he can do so without a license under the supervision of a licensed New Hampshire dentist.
b. Phyllis W. Wagstaff, DMD - The Board voted to inform Dr. Wagstaff that the New Hampshire dental jurisprudence test may be taken at 10:00 a.m. or 1:00 p.m., Monday through Friday.

5. BIENNIAL REGISTRATION

a. Robert S. Karelitz, DDS - informational
b. Craig A. Rothenberg, DMD - The Board voted to consult with its legal counsel regarding this matter
c. Barry R. Zerder, DDS - The Board voted to not waive any part of the biennial registration fee for Dr. Zerder.
d. Jeffrey A. Medeiros, DDS - The Board voted to inform Dr. Mederios that he is to answer yes to the question on the biennial registration form about which he is confused.

6. APPLICATIONS APPROVED

INITIAL

Kalina Pluta, DDS
Anita Emma Robbio Basile, RDH
Robert Leonard Schmidt, DMD
Erin Jennifer Pottier, RDH
Olga Minukhin, DDS
Abdullaibrahim Abdulwaheed, DMD
Michael Fiorenza, Jr., DDS
Jhujhar Sjngh Bhambra, DMD

APPLICATION DENIED

Kailash Chander Suri, DMD

LICENSE ACTIVATION

Lazaros C. Vandis, DMD
Jennifer Michaud, RDH

7. CLINICAL REFRESHER COURSE

The Board voted to inform Mary E. Terkoski, DDS that in order to qualify for licensure she will have to have 60 hours of training in clinical dentistry, including infection control and CPR.

Members of the Board voted unanimously, unless otherwise indicated.

Members of the Board voted unanimously to go into non-public session for the purpose of discussing investigations of alleged licensee misconduct, noting that such a non-public session is authorized by RSA 91-A:3 and the Board's executive and deliberative privileges.

April 5, 2004

The April 5, 2004 meeting of the New Hampshire Board of Dental Examiners convened at 4:00 p.m. with the following members present:

Ronald J. Hrinda, DMD, President
Eliot L. Paisner, DMD, Vice President
Neil S. Hiltunen, DMD
Debra A. Albrecht, RDH
Marjorie J. Chema, DDS
Charles F. Post, DMD
Karen Clough, Public Member
Stephen A. Sewall, DDS
Linda M. Seedner, RDH

Absent: None

The Board approved the minutes of March 1, 2004, as amended.

Administrative

1. Statute and Rules

a. Statutory Proposals

* 1) SB 441 - This bill addresses the operation of dental clinics by health care charitable trusts. The Board voted to Support SB 441. The bill legalizes some non-dentist ownership of dental practices by allowing healthcare charitable trusts to operate clinics to help meet the dental needs of the underserved. The Board has several concerns about SB 441 and wishes to ensure:

a. That there be no interference with the professional judgment of dentists.

b. That the clinics be supervised by a dentist licensed by the Board.

c. That the practice of dentistry and dental hygiene in the clinics be only by dentists and dental hygienists licensed by the Board.

d. That clinics which are not owned by healthcare charitable trusts or dentists, but are meeting the dental needs of the dentally underserved, be grandfathered.

b. Rule Proposals

1) Rule Package 2004-I - The Board voted to approve suggested editorial changes made by the office of administrative rules. This package mostly addresses auxiliary duties.

2) Rule Package 2004-II - The Board voted to add a proposed amendment to Den 304.02, addressing nitrous oxide/oxygen anxiolysis.

3) Rule Package 2004-III - This package will address further possible additions to the duties dental auxiliaries may perform.

2. Disclosure of Ownership Interests - The Board voted to supplement the efforts of the Bureau of Health Facilities Administration in informing dentists of the ownership requirements of RSA 125:25-c. The Board will publicize the requirements on its web site and in the information letter sent to dentists at the next biennial registration. In the meantime the Board will ask the Dental Society to cite the requirements in its quarterly newsletter.

3. Sleep Dentistry - Dr. Paisner, the Board's vice president, gave a synopsis of an American Dental Association publication addressing oral sedation dentistry, also know as "OSP" or "sleep dentistry". The Board requires dentists who sedate their patients to obtain a sedation permit from the Board regardless of the route of administration. "Sleep dentistry" has been a problem in other states because of the inherent unpredictability of the level of sedation incurred by oral (enteral) sedation techniques and the irreversibility of such sedation by oral means.

4. Laser Dentistry - Paul D. Silver, DMD gave a 20 minute presentation to the Board regarding laser use in dentistry by dental hygienists. Eleven states currently allow dental hygienists to use lasers to do procedures that hygienists are allowed to do under their Dental Practice Acts.

5. Informational

a. Accreditation - The Board reviewed information sent by the American Dental Association about the Association's Commission of Accreditation of Dental and Auxiliary Educational Programs.
b. Testing Centers
c. Status of Sanctions

* Dr. Post voted against. Dr. Sewall abstained.

QUALIFICATION AND LICENSURE

1. LOCAL ANESTHESIA

1. LOCAL ANESTHESIA

The Board voted to issue permits to administer local anesthesia to the following hygienists:

Lauren A. Stiles, RDH by examination
Jennifer Reilly Marr, RDH by examination
Joan M. Vars, RDH by endorsement

The Board voted to seek more information regarding local anesthesia administration from Taryn Hunt, RDH.

2. CONSCIOUS SEDATION

The Board voted to issue a permit to administer conscious sedation to Roger England, DDS.

3. CONTINUING EDUCATION

The Board voted to give extensions to complete continuing education for the biennium April 1, 2002 to March 31, 2004 to the following dentists with the stipulation that they will be audited in 2006.

Ryamond J. Sirois, DDS - 120 days
George A. Biron, DMD - 120 days
Thomas V. Matheson, DDS - 120 days
Thomas A. Hillebrand, DMD - 60 days
Robert F. Pinnard, DMD - 60 days
Paul T. Tousignant, DMD - 60 days
Daniel Brodkowitz, DDS - 60 days
Robert W. Seniff, DDS - 60 days

The Board voted to license the following dentists with the stipulation that they be audited for continuing education in 2004.

James B. Manning, DDS
James S. Fishbein, DDS

4. BIENNIAL REGISTRATION

The Board voted to register and re-license with an active license David E. Altobelli, DMD

5. APPLICATIONS APPROVED

INITIAL

Matthew Scott Heimbach, DMD
Francoise Marie-Claire Maguire, RDH
Kristen Jiyoung Choe Dority, DMD
Claudia Marie Brzozowski, RDH
Paul Henry Rigali, Jr., DDS
Joanne Catherine Zauel Schultz, DDS

INACTIVE TO ACTIVE

a. Approved

Cyrena L. Mandel, RDH
Joan M. Vars, RDH

b. Approved - must take CPR within 30 days

William A. Barr, DDS
Mahpareh P. Marefat, DMD

c. Denied

Susan McCullom-Barry, DDS - Needs a clinical refresher course of 60 hours including infection control and CPR.

Members of the Board voted unanimously, unless otherwise indicated.

Members of the Board voted unanimously to go into non-public session for the purpose of discussing investigations of alleged licensee misconduct, noting that such a non-public session is authorized by RSA 91-A:3 and the Board's executive and deliberative privileges.

May 3, 2004

The May 3, 2004 meeting of the New Hampshire Board of Dental Examiners convened at 4:00 p.m. with the following members present:

Ronald J. Hrinda, DMD, President
Eliot L. Paisner, DMD, Vice President
Neil S. Hiltunen, DMD
Debra A. Albrecht, RDH
Charles F. Post, DMD
Stephen A. Sewall, DDS
Linda M. Seedner, RDH

Absent:
Marjorie J. Chema, DDS
Karen Clough, Public Member

The Board approved the minutes of April 5, 2004, as amended.

Administrative

1. Statute and Rules

a. Statutory Proposals

1) SB 441 - This bill addresses the operation of dental clinics by healthcare charitable trusts. It will be addressed by the full House on May 6, 2004.

2) Amendments to RSA 317-A:7-a, A:8 and A:20 - These are tentative proposals for submission to the 2005 legislative process. The Board has been seeking input from affected parties.

b. Rule Proposals

1) Rule Package 2004-I - This package is in the latter stages of the rule making process. It addresses auxiliary duties.

2) Rule Package 2004 - II - This package will be ready for final review by the Board next month, prior to beginning the rule making process.

3) Rule Package 2004 III - This package will address further additions to the duties dental auxiliaries may perform. As with rule package 2004-I, the Board will meet with representatives of the New Hampshire Technical Institute, Dental Assistants Association, Dental Hygienists Association and Dental Society to discuss dental auxiliary duties.

2. Dental Auxiliary Duties - The Board discussed a letter from the Dental Program Coordinator of the New Hampshire Technical Institute which addressed issues reported to instructors or experienced by them. The issues involved dental assistants performing duties for which they were not qualified or not authorized and dental assistants with work experience who have inadequate training in infection control. The Board voted to:

a. Send a letter to all dentists, after auxiliary duties rule package 4004-I is adopted, explaining the newly authorized duties and the training dental assistants need to perform them. In the same letter the Board will address the problems referred to above.

b. The Board will remind dentists at their biennial registration that:

1) The Dental Practice Act (section A:12-b) authorizes the Board to specify in the Board's administrative rules the duties dental auxiliaries may perform. Before doing so, the Board consults the dental community, including ascertaining the experience of other states.

2) The dental team should work within the system, while feeling free to suggest new duties, changes in supervision, and changes in training as they feel appropriate.

3. Oral Health Workforce - Board counsel has advised the Board that it cannot submit a questionnaire to its licensees to gather oral health workforce data for private organizations.

4. Dentist 2004-06 Registration - The Board mailed license renewal material on February 6, 2004 to dentists holding New Hampshire dental licenses with an expiration date of April 1, 2004. The Board informed licensees that licenses would be suspended on April 1st if they did not renew, and they could not practice. As of April 5, 2004, there were 145 dentists with active licenses and 82 dentists with inactive licenses who had not renewed or who had their registrations returned to correct errors. By May 3, 2004, these numbers had fallen to 41 active and 45 inactive.

The Board is aware that late dental license registrations have been a chronic problem in New Hampshire and many other states despite license suspension and fines. Late registrants significantly increase the Board office workload. The Board voted to take the following measures against licensees holding active licenses who do not register before April 1st.

a. Increase fines for late registration.
b. Require a hearing before lifting the suspension. The suspension is required by statute.
c. Make the date on the license the date the suspension is lifted.
d. Require that faulty license applications be corrected by April 15th unless a continuing education extension is granted.
e. Clarify the status of malpractice liability for suspended licensees.
f. Post names of suspended licensees on the Board's web site.
g. Outline the above measures on the Board's web site and in the registration material sent to all licensees. Dr. Post opposed.

5. Citizen of the Year - The American Association of Dental Examiners (AADE) is seeking nominations for citizen of the year. The nominee must be an AADE member. The Board did not choose to make a nomination.

6. Informational

a. Status of Sanctions
b. Dental Hygiene Program Expansions
c. Curriculum of the Dental Organization for Conscious Sedation
d. Mercury Pollution

QUALIFICATION AND LICENSURE

* 1. WAIVER REQUEST

The Board voted to deny a waiver of the requirement to pass the Northeast Board Examination by James Gerwick, DDS.

The Board voted to issue a general anesthesia permit to work in conjunction with a hospital anesthesiology staff to Earl W. Simpson, DMD

The Board voted to give extensions to complete continuing education for the biennium April 1, 2002 to March 31, 2004 to the following dentists with the stipulation that they will be audited in 2006:

John Kovalik Jr., DMD
William F. Argue, DDS. Dr. Sewall opposed.

The Board voted not to approve the application for a license to provide volunteer dental services to Alexander MacIsaac, DDS. The Board will request further information from Dr. MacIsaac.

The Board voted to approve the request of Paul R. Wonsavage, DDS to activate his license.

Norman Adam Roswick, DDS
Christina Ann Conklin, RDH
Rajani Reddy Nalla, DMD
Linda Marjorie Fircha, RDH
Nadarajah Ganeshkumar, DMD
Nii Norte Lokko, DMD

Members of the Board voted unanimously, unless otherwise indicated.

Members of the Board voted unanimously to go into non-public session for the purpose of discussing investigations of alleged licensee misconduct, noting that such a non-public session is authorized by RSA 91-A:3 and the Board's executive and deliberative privileges.

June 7, 2004

The June 7, 2004 meeting of the New Hampshire Board of Dental Examiners convened at 4:00 p.m. with the following members present:

Ronald J. Hrinda, DMD, President
Marjorie J. Chema, DDS
Karen Clough, Public Member
Neil S. Hiltunen, DMD
Debra A. Albrecht, RDH
Charles F. Post, DMD
Stephen A. Sewall, DDS
Linda M. Seedner, RDH

Absent: Eliot L. Paisner, DMD, Vice President

The Board approved the minutes of May 3, 2004, as amended.

Administrative

1. Statute and Rules

a. Statutory Proposals

1) SB 441 - This bill addresses the provision of dentistry by healthcare charitable trusts. It was signed by the governor and will become effective on or about July 24, 2004.

2) Amendments to RSA 317-A:7-a, A:8 and A:20 - The Board's Statutory Committee is scheduled to meet members of the Dental Society in the Board's conference room on Thursday, June 17th at 6:00 pm.

a) A:7-a - The Board discussed how to insure that dentists and hygienists, when applying for licensure by endorsement, have practiced clinically in the last 3 years. Also, the Board discussed the advent of general practice residencies being substituted for testing by an independent testing agency to demonstrate at least minimum competency. This is allowed in a few states. The Board will discuss this issue with the New Hampshire Dental Society.

b) A:8 - The Board is proposing to amend paragraph IV of this section to encourage volunteerism.

c) A:20 - This section of the Dental Practice Act is entitled Practice of Dentistry. The Board is seeking six amendments in consultation with the New Hampshire Dental Society and the New Hampshire Medical Society.

b. Rule Proposals

1) Rule Package 2004-I - The Board voted to adopt this package of rules addressing auxiliary duties.

2) Rule Package 2004-II - The Board reviewed these rules proposals, which address a variety of topics, and voted to start the rule making process.

3) Rule Package 2004 III - This package will address further additions to the duties dental auxiliaries may perform. As with rule package 2004-I, the Board will meet with representatives of the New Hampshire Technical Institute, Dental Assistants Association, Dental Hygienists Association and Dental Society to discuss dental auxiliary duties.

3. Boards and Consumer Access - The American Association of Dental Examiners (AADE) has called for comments regarding a draft of the "Role of Regulatory Boards in Improving Consumer Access to Dental Services". Regarding consumer access, the Board is charged with protecting and enhancing the public welfare as it relates to oral health. To that end the Board has tried to improve consumer access to healthcare in a variety of ways, for example:

a. Licensure by Endorsement - To facilitate the movement of qualified dentists and dental hygienists into New Hampshire, the Board has for many years licensed applicants after reviewing their credentials and experience. Many states have resisted this pathway to licensure, despite the excellent subsequent records of those dental professionals who were so licensed.

b. Expanding Auxiliary Duties - The Board has been vigorously seeking expansion of the duties dental auxiliaries may perform after obtaining adequate training. This will tend to decrease the rate of future increases in the cost of dental services and increase access to care by:

1) Increasing the efficiency of the dental team.

2) Decreasing dental auxiliary turn-over as auxiliary careers become more interesting and challenging.

c. Practice Ownership - The Board is attempting to legalize the ownership of dental practices by non-dentists as long as there is no interference with the professional judgment of the dentists employed. The Board believes that market driven innovations, an essential component of a capitalistic society, can and will bolster new practices model that could increase dental practice efficiency, especially the business aspects thereof.

d. The Board has strongly defended the use of relatively inexpensive dental amalgam, given the fact that the major United States and world scientific organizations have stated that there is no valid scientific evidence that shows mercury in amalgam is dangerous to patients. Because the chief substitute for amalgam, i.e. composite, is initially more expensive and is more technique sensitive, long term overall costs can be multiples of the amalgam costs, thereby pricing people out of the market for routine dental care.

5. Clinical Refresher Courses - Applicants for an active dental or dental hygiene license who have not practiced for 3 or more years are required by the Board to take a clinical refresher course. Those who have not practiced for more than 5 years must also pass the Northeast Regional Board Examination. The Board voted to make the following requirements of the clinical refresher course:

a. The course must be a minimum of 60 hours.

b. Course content must be clinical in nature.

c. Courses must have a "hands-on" component. Manikins may be substituted for patients.

d. CPR, infection control and medical emergencies in the dental office must be thoroughly addressed.

e. Further details are to be arranged between the practitioner and the school.

6. Informational

a. Limited Licensure and Consumer Access
b. Status of Sanctions
c. 2004 Registration Status - The Board voted to amend the registration form so practitioners can indicate they will not be licensing.
d. Program Monitoring
e. Dental Consultants
f. ADHA
g. Professional Boundaries
h. "Prosthodontics" Definition
i. DANB
j. AADE Editorial
k. NERB Exam

QUALIFICATION AND LICENSURE

1. LOCAL ANESTHESIA

The Board voted to approve the administration of local anesthesia by the following hygienists:

Credentials:

Carlene M. Garneau, RDH
Mary C. Gosling, RDH
Michelle C. Michaud, RDH
Cynthia M. Carrier, RDH
Elaine M. Thomas, RDH

Endorsement:

Jessica B. Shipman, RDH
Taryn Hunt, RDH

The Board will advise Kellie Melkonian, RDH that she needs to submit a certificate of local anesthesia training to the Board.

2. GENERAL ANESTHESIA PERMITS

The Board voted to issue general anesthesia permits to Bahar Anooshahr, DMD and Louis F. Clarizio, DDS

3. PUBLIC HEALTH SUMMARY REPORTS

The Board voted to approve the annual reports of the following programs using public health supervision:

Lamprey Healthcare School Based Dental Program
Seacoast Healthy Grins

4. CONTINUING EDUCATION EXTENSIONS

The Board voted to grant extensions for the completion of biennial continuing education requirements to:

Ronald J. Henderson, DDS
Gary D. Wenbdell, DDS
Anastasia Theodorou, DMD
Dennis R. Moren, DMD

5. CONTINUING EDUCATION REVIEW

Barton E. McGirl, DDS submitted a listing of continuing education credits which the Board preliminarily accepted.

Michael J. Glick, DMD - The Board determined that Dr. Glick needs 14.5 CEU's to meet the clinical CE requirement for 2002 - 2004.

6. INITIAL LICENSING WAIVER REQUESTS

The Board voted to waive the 3 years of dental practice required immediately prior to applying for licensure by endorsement for Herbert Moskowitz, DDS. Dr. Moskowitz practiced full time for 21 years and has practiced 50 hours per week for the last 26 months.

7. LICENSURE APPLICATIONS

The Board approved licensure for the following applicants pending their successful completion of the New Hampshire Jurisprudence test.

INITIAL

Alphonse Joseph Matrone, DMD
Theresa Louise Bevins, RDH
Ivy Shing Chen, DDS
Anne Marie Giuliano, RDH
Audrey Louise Elliott, DMD
Kathleen Ann Cote, RDH
Melissa Marie Thompson, DMD
Lise Martin Smith, RDH
Jong Min Kim, DMD
Kelly Jean Dodge, RDH
William Marc Bowers, DMD
Jennifer Lynn Moquin, RDH
Magdalena Soutcheva, DMD
Laura Elizabeth Hudson, RDH
Marc Evan Pearlstein, DMD
Tiffany Marie Fernandes, RDH
Bahar Anooshahr, DMD
Richard Thomas Gouin, RDH
Denise Marie Theriault, DMD
Mary Therese Saraceno, RDH
Mathew Bok Walsh, DMD
Tiffiny Louise Chase, RDH
Denise Irene Chow, DDS
Denise Tousignant, RDH
Sandra Elaine Goutier, RDH
Marcy Lenore Landford Shumway, RDH
Jody Michelle Kipnis Pergament, RDH
Gail Marie Bigelow, RDH
Arlene Ivette Rodriguez, RDH
Jennifer Lynne Carberry, RDH
Andrea Lynn Soucy, RDH
Chuan-Jun Wu, RDH
Contance May O'Connor, RDH
Cherie Amanda Simons, RDH
Elizabeth Jill Benoit, RDH
Crystal Gayle Buswell, RDH
Jaclyn Aimee Dockx, RDH
Jennifer Shayle Simons, RDH
Randee Michelle Slocum, RDH
Jeanne Lisette Salmon, RDH
Patricia Ann Gibowicz, RDH
Marlo Webber Farr, RDH

INACTIVE TO ACTIVE

The Board voted to activate the dental hygiene license of Brenda Chouinard, RDH.

The Board voted to have Jennifer A. Michaud, RDH take a refresher course of 60 hours in clinical dental hygiene.

Members of the Board voted unanimously, unless otherwise indicated.

Members of the Board voted unanimously to go into non-public session for the purpose of discussing investigations of alleged licensee misconduct, noting that such a non-public session is authorized by RSA 91-A:3 and the Board's executive and deliberative privileges.

July 12, 2004

The July 12, 2004 meeting of the New Hampshire Board of Dental Examiners convened at 4:00 p.m. with the following members present:

Ronald J. Hrinda, DMD, President Eliot L. Paisner, DMD, Vice President Marjorie J. Chema, DDS Karen Clough, Public Member Neil S. Hiltunen, DMD Debra A. Albrecht, RDH Charles F. Post, DMD Stephen A. Sewall, DDS Linda M. Seedner, RDH

Absent: None

The Board approved the minutes of June 7, 2004, as amended.

Administrative

1. Statute and Rules

a. Statutory Proposals

1) Amendments to RSA 317-A:7-a, A:8 and A:20 - The Board addressed the amendments, made some further changes as discussed with the New Hampshire Dental Society and the New Hampshire Medical Society, and voted to submit the proposed amendments to state representative Jane Langley of Rye for sponsorship. 2) RSA 332-G:6, Scope of Practice - The following new provision was added to RSA 332-G: "Any expansion in the scope of practice of a profession regulated under this title shall be adopted by legislation and not by administrative rule."

a) This provision applies to dentists and dental hygienists.
b) Board rules may specify and expand duties within the scope of practice defined in the Dental Practice Act.

b. Rule Proposals

1) Rule Package 2004 I - informational.

2) Rule Package 2004-II - The Board reviewed changes suggested at the Board's July 12, 2004 meeting. The Board will begin the rule making process.

3) Rule Package 2004-III - The Auxiliary Duties Committee will be meeting on July 26, 2004 to discuss further additions to the duties dental auxiliaries are allowed to perform.

3. Dental Amalgam - The Board received a copy of a letter criticizing the Board's conformance to HB 1251 (2003). As directed by HB 1251, the Board created a pamphlet in consultation with Health and Human Services and the Dental Society. The pamphlet is based on a pamphlet developed by the American Dental Association which, in turn, is based on current scientific conclusions published by the most respected national and international scientific organizations. The pamphlet addresses the advantages and disadvantages of dental restorative materials; said information to be provided to patients by New Hampshire dentists. Board legal counsel advised the Board that the pamphlet and its distribution meet statutory requirements. The Board will ask its legal council to respond to the letter regarding Board adherence to HB 1251.

4. Wrinkle Dentistry - The Board discussed an advertisement touting the use of Botox to alleviate dento-facial pain while removing wrinkles. The advertisement was sent to the Board's president. The Board will ascertain at the upcoming meeting of the American Association of Dental Administrators if and how other states are addressing this issue.

5. Infection Control - Informational.

6. Accepted Practice - In response to an inquiry, the Board voted to inform the Director of Human Resources of a medium size New Hampshire company that composite dental fillings, as well as nitrous oxide sedation, meet accepted standards of dental care.

7. Board Terms - Board members Eliot L. Paisner, DMD, Charles F. Post, DMD and Linda M. Seedner, RDH have been appointed to second 5 year terms by Governor and Council - Congratulations!

8. Semi-Annual Project Update - Informational.

9. Board Officers - Pursuant to RSA 317-A:4 II, the Board traditionally appoints its officers in July. The Board voted to re-appoint Ronald J. Hrinda, DMD, as president and Eliot L. Paisner, DMD as Vice President.

10. National Clinical Examination - Informational

11. 2004 Registration Update - Informational

12. Board Office Comments

13. Radiation Badge and Spore Tests - The Board received an inquiry as to how long records derived from radiation badges and spore tests had to be retained by dentists. The Board concluded that it has no authority regarding these matters.

14. Informational

a. Status of Sanctions
b. Advertisement (AAO)
c. AADE Database Project
d. UNLV Dental School
e. APU Staffing
f. NERB Consultants
g. ADA Definitions
h. NERB/Vermont
i. Yankee Dental Letter
j. Meeting Schedule 2005

QUALIFICATION AND LICENSURE

1. LOCAL ANESTHESIA

The Board voted to issue permits to administer local anesthesia to the following hygienists:

BY EXAMINATION

Margaret A. Stolley, RDH
Debra D. Garg, RDH
Diane Kwasnik, RDH
* Therese Huot, RDH
Jeannette M. Lipka, RDH
Alanna K. Infinger, RDH
Lisa Cornellier, RDH
** Linda M. Seedner, RDH

2. ANESTHESIA PERMIT

The Board voted to issue a permit to administer general anesthesia to Robert A. Alvarenga, DMD.

The Board voted to approve the annual reports of the following programs using public health supervision:

Miles of Smiles in the Great North Woods
Speare Memorial Hospital School Dental Program
Health Reach Mobile Dental Program

The following health care charitable trust notified the Board of the location of its dental clinic and the name of the supervising dentist pursuant to SB 441 (2004):

Capital Region Family Health Center Dental Clinic

Special Olympics - "Special Smiles Program" - The Board voted to grant the continuing education credits requested by Dr. Fishbein and Dr. Manning for this program. The granting is for the 2002 - 2004 biennium only. The Board is concerned that dentists or dental hygienists who repeatedly take part in the same program may not be enhancing or preserving their professional skills to the extent intended by continuing professional education requirements.

The Board voted to grant an extension for the completion of the biennial continuing education requirement to:

Thomas V. Matheson, DDS

The Board voted to approve the conscious sedation evaluations of:

James B. Manning, DDS
Warren Bruce Houghton, DMD

The Board voted to require Dr. Denise Marie Theriault, DMD to take the New Hampshire dental jurisprudence test on a Tuesday or Thursday.

The Board approved licensure for the following applicants pending passage of the jurisprudence test.

INITIAL

Ashkan Samadzadeh, DMD
Michelle Nichole Santoro, RDH
Wayne Michael Baker, DMD
Andrea Lee Cormier, RDH
Jasper St John Ainslie, DDS
Ekaterini (Kathy) Pappas, RDH
Kavitha Rajavelo, DMD
Jennifer Lynn Turner, RDH
Mahshid Mirghassemi, DDS
Jennifer Lynn Gammon, RDH
Kevin Chi-Chien, Tan, DMD
Juli Ann Malfatti-Monty, RDH
Richard Todd Lawson Dumas, DDS
Jessica Harlow Boulter, RDH
Katherine Eloise Jones, RDH
Michele Hiedi Moore, RDH
Anastasia Irene Skipitaris, RDH
Cristin Lynn Richardson, RDH
Ivanka Elaine Almonte, RDH
Barbara Ruth Tilders, RDH
Addie Elizabeth Vega, RDH
Lynne Ann McAuliffe Bilodeau, RDH
Kathleen Ann Silva, RDH
Leslie Ann Bernier, RDH
Kristine Kelly Cunningham, RDH
Rebecca Lyn Fornier, RDH
Deirdre Ann Gormley, RDH
Kristalenia Palaskas, RDH
Katrina Ann Magee, RDH
Michelle Welch, RDH

INACTIVE TO ACTIVE

Ellen M. Legg, RDH

* Ronald J. Hrinda, DMD - Recused
** Linda M. Seedner, RDH - Recused

Members of the Board voted unanimously, unless otherwise indicated.

Members of the Board voted unanimously to go into non-public session for the purpose of discussing investigations of alleged licensee misconduct, noting that such a non-public session is authorized by RSA 91-A:3 and the Board's executive and deliberative privileges.

August 2, 2004

The August 2, 2004 meeting of the New Hampshire Board of Dental Examiners convened at 4:00 p.m. with the following members present:

Ronald J. Hrinda, DMD, President
Eliot L. Paisner, DMD, Vice President
Marjorie J. Chema, DDS
Karen Clough, Public Member
Neil S. Hiltunen, DMD
Linda M. Seedner, RDH

Absent: Charles F. Post, DMD
Stephen A. Sewall, DDS
Debra A. Albrecht, RDH

The Board approved the minutes of July 12, 2004, as amended.

Administrative

1. Statute and Rules

a. Statutory Proposals

Amendments to RSA 317-A:7-a, A:8 and A:20 - The Board approved the final drafts to these amendments made in consultation with the New Hampshire Dental and Medical Societies. The proposed amendments will be submitted to Representative Jane Langley of Rye for sponsorship.

b. Rule Proposals

1) Rule Package 2004-II - in the rule making process.

2) Rule Package 2004-III - These rules will address further additions to the duties dental auxiliaries will be allowed to perform.

3. PGY-1 - (Post Graduate Year One) - informational. This term refers to the New York state post graduate residency in general dentistry which, beginning in 2007, will be required of all applicants for dental licensure in New York who do not qualify for licensure by endorsement.

4. AADE Update - Informational concerning the development of a national uniform dental examination.

5. Advertisements - The North Carolina Board of Dental Examiners asked whether the Board (N.H.) has any positions regarding certain North Carolina dental advertisements. The Board will consult with its legal counsel before replying.

6. Northeast Regional Board (NERB) Nitrous Exam - The Board voted to inform NERB that the Board is interested in this exam. The Board recently authorized certain dental auxiliaries to monitor the administration of nitrous oxide after Board specified training.

7. Amended Registration Forms - The Board voted to amend its license registration forms.

8. Miscellaneous Informational

a. Status of Sanctions
b. Minesota Dental Board
c. National Board Examination
d. FY 04 Action Reports

QUALIFICATION AND LICENSURE

1. LOCAL ANESTHESIA

The Board voted to approve the administration of local anesthesia by the following hygienists:

EXAMINATION

Rebecca R. Clinch, RDH
Beth F. Birkett, RDH
Nancy A. Kolios, RDH
Kristen Redman, RDH
Paula M. Bourassa, RDH
Karen H. Rezzarday, RDH

The Board voted to approve the annual report of the following program using public health supervision:

Monadnock Healthy Teeth
Manchester Health Dept. Dental Program
Cheshire Smiles

a. Mahpareh Marefat, DMD - The Board voted to contact Dr. Marefat to determine whether he satisfied the CPR requirement.

b. Thomas Hillebrand, DMD - The Board voted to approve as completed Dr. Hillebrands continuing education for the biennium April 1, 2002 - March 31, 2004.

c. Raymond Sirois, DMD - The Board will determine whether Dr. Sirois intends to provide voluntary services only. If so, he needs to have a voluntary license and is responsible for a CPR course. Otherwise, he needs to have 40 CEU's per biennium like other New Hampshire dentists.

The following health care charitable trust notified the Board of the location of its dental clinic and the name of the supervising dentist pursuant to SB 441 (2004):

Matrix Health Inc.

The Board voted to approve the conscious sedation evaluation of:

Martin Dunn, DMD

The Board voted to approve a permit to administer conscious sedation to Martin Heimbach, DMD

INITIAL

Thomas Allan Coleman, DDS
Erin Leigh Warren, RDH
Ralph Joseph, Cimon, III, DMD
Ruth Hannah Grimes, RDH
Steven Adam Blum, DMD
Terry Elaine Steller, RDH
John Wei-Chun Diune, DDS
Peter Lionel Tyks, DMD
Preetha Mariappan, DMD
Christopher William Arbuckle, DDS

INACTIVE TO ACTIVE

Gregg T. Hillery, DMD
Susan McCullom-Barry, DDS

Members of the Board voted unanimously, unless otherwise indicated.

Members of the Board voted unanimously to go into non-public session for the purpose of discussing investigations of alleged licensee misconduct, noting that such a non-public session is authorized by RSA 91-A:3 and the Board's executive and deliberative privileges.

August 30, 2004

The August 30, 2004 meeting of the New Hampshire Board of Dental Examiners convened at 4:00 p.m. with the following members present:

Ronald J. Hrinda, DMD, President
Eliot L. Paisner, DMD, Vice President
Marjorie J. Chema, DDS
Karen Clough, Public Member
Neil S. Hiltunen, DMD
Charles F. Post, DMD
Stephen A. Sewall, DDS
Debra A. Albrecht, RDH

Absent: Linda M. Seedner, RDH

The Board approved the minutes of August 2, 2004, as amended.

Administrative

1. Statute and Rules

a. Statutory Proposals

1) The Board will submit proposed amendments to RSA 317-A (the Dental Practice Act) to Representative Jane Langley of Rye for her sponsorship in the 2005 legislative session.

b. Rule Proposals

1) Rule Package 2004 II - A public hearing addressing these rule changes will be held at the next Board meeting on October 4, 2004

2) Rule Package 2004 III - These rules will address further additions to the duties of dental auxiliaries. The Dental Auxiliary Committee, composed of members of the dental community, will be meeting on Monday, September 13th at 6:00 pm at the Board's office.

3. Amended Registration Form - The Board reviewed and made further amendments to a registration form for dentists who wish to provide volunteer services only.

4. AADA Meeting Topics - The Board suggested topics for discussion at the meeting of the American Association of Dental Administrators on September 26 - 28, 2004.

5. FY 04 Budget - Board expenses in FY 04 equaled 97.5%, of its FY 04 budget. FY 04 ended on June 30, 2004.

6. Deployed Military Personnel - Pursuant to the Board's administrative rule Den 403.05 Waivers, military dental personnel who are deployed or otherwise unable to fulfill their dental professional continuing education requirements may seek a waiver of the requirements from the Board.

7. Hygiene Report - The Board will send a report of recent changes in dental hygiene in New Hampshire to the Dental Hygiene Caucus Chair at the annual meeting of the American Association of Dental Examiners.

8. Informational

a. NHTI Courses
b. "President's Address" (NHDHA)
c. "Local Anesthesia: One Year Later"
d. AADE Annual Meeting
e. ADA Well-Being Program Handbook
f. Guide to Clinical Endodontics
g. Healthcare Workforce
h. Stanley Patch, DDS

QUALIFICATION AND LICENSURE

1. LOCAL ANESTHESIA

The Board voted to issue permits to administer local anesthesia to the following hygienists:

EXAMINATION

Meghan L. Bell, RDH
Stefanie L. Wallingford
Linda Masucci, RDH
Irmina Bond, RDH
Laura Leblond, RDH
Margaret M. Cardin, RDH
Aline Gamache, RDH
Polly A. Macaione, RDH
Barbara Studley, RDH
Laura Balestreri, RDH
Anne Michaud, RDH

Endorsement

Lise M. Smith, RDH

The Board voted to approve the annual report of the following programs using public health supervision:

Kiwanis/PTA Community School Dental Program
School Smiles of Southern Carroll County

The Board voted to accept as meeting the requirements of RSA 317-A:20, III notification by the following healthcare charitable trusts of the location of their dental clinics and the names of their supervising dentists:

Dental Health Works
Families First of the Greater Seacoast
Avis Goodwin Community Health Center

Mahpareh Marefat, DMD has sent documentation of CPR training to the Board.

INITIAL

Bridget Elaine Chow, DMD
Jamie Lee Morin, RDH
Travis Anthony Sorensen, DMD
Elaine Denise Turner, RDH
Sandhya Goli, DMD
Rhonda Weinstein Fineburg, RDH
Anita Beatrice Johnson, RDH
Daniel Roy Prescott, RDH
Rhonda Jeanne Sicard, RDH

INACTIVE TO ACTIVE

Grant G. Greene, DMD

* Debra A. Albrecht, RDH recused
Charles F. Post, DMD recused
Stephen A. Sewall, DDS recused

Members of the Board voted unanimously, unless otherwise indicated.

Members of the Board voted unanimously to go into non-public session for the purpose of discussing investigations of alleged licensee misconduct, noting that such a non-public session is authorized by RSA 91-A:3 and the Board's executive and deliberative privileges.

October 4, 2004

The October 4, 2004 meeting of the New Hampshire Board of Dental Examiners convened at 4:00 p.m. with the following members present:

Ronald J. Hrinda, DMD, President
Eliot L. Paisner, DMD, Vice President
Marjorie J. Chema, DDS
Karen Clough, Public Member
Neil S. Hiltunen, DMD
Charles F. Post, DMD
Stephen A. Sewall, DDS
Debra A. Albrecht, RDH
Linda M. Seedner, RDH

Absent: NONE

The Board voted to approve the minutes of August 30, 2004.

Administrative

1. Statute and Rules

a. Statutory Proposals

1) The Board has submitted proposed amendments to RSA 317-A (the Dental Practice Act) to Representative Jane Langley of Rye for her sponsorship in the 2005 legislative session.

b. Rule Proposals

1) PUBLIC HEARING - The Board's president, Ronald J. Hrinda, DMD commenced a public hearing at 5:00 p.m. pursuant to RSA 541-A addressing the following dental administrative rules and topics:

a) Den 101 - definitions "clinical", "vice president", "volunteer", remove "Secretary-treasurer
b) Den 301.01 - regional board passing standards
c) Den 301.02 - regional board passing standards
d) Den 301.02 (i) - practice requirement
e) Den 301.03 - remove licensure for volunteer
f) Den 301.04 - license activation requirements
g) Den 301.05 - licensure for volunteer
h) Den 301.06, 301.07, and 301.08 - "housekeeping"
i) Den 302.02 - direct supervision
j) Den 302.05 (o) - "housekeeping"
k) Den 304.02 (a) - Nitrous Oxide permit
l) Den 304.02 (b) and (c) - "housekeeping"
m) Den 402.01 - oral examination
n) Den 403.07 - CPR
o) Den 501.01 - records

The only substantive change suggested and made during the hearing concerned the edition of the "Office Anesthesia Evaluation Manual" of the American Association of Oral and Maxillofacial Surgeons. In Den 304.02 the 1995 edition referenced will be updated to the 2000 edition. Dr. Hrinda closed the hearing at 5:15 p.m.

2) Rule Package 2004 III - This package of rules has yet to be drafted, being still in the discussion stage with members of the dental community. The package will consist of rule amendments that expand the duties that dental auxiliaries may perform. Discussion focused on the bending of arch wires, the use of lasers and the recording of occlusal registrations.

Of a related matter, the Board voted to invite members of the dental community to establish a committee to study the feasibility of establishing advanced auxiliary positions such as an "expanded function dental assistant" and an "advanced dental hygiene practitioner."

3. Urgent Care - A dentist is proposing to reopen his closed dental practice as an "urgent dental care facility", i.e., one that offers treatment to patients with immediate needs when their own dentists are not available. Board members agreed that such a practice would not violate the Dental Practice Act.

4. Volunteer Form - The Board voted to approve an application form for dentists wishing to provide volunteer services.

5. Hygienists Registration Form - The Board reviewed this form and will address it again at its next meeting.

6. Hygienists Initial Registration and Licensure - The Board voted to allow its staff to complete this process. This will help the public and the profession by preventing the present situation whereby hygienists who have completed their license applications have to wait until the Board's next monthly meeting for approval to begin practicing. Staff would refer to the Board any application that elicited questions.

7. Local Anesthesia by Hygienists - The Board voted to allow its staff to complete the application process whereby dental hygienists qualify to administer local anesthesia. Again, questionable applications would be referred to the Board.

8. Anesthesia and Sedation Committee - This committee is made up of oral and maxillofacial surgeon consultants to the Board who perform evaluations of the facility, equipment, records and personnel of dental offices providing general anesthesia and or deep sedation for outpatient dental treatment. The Committee submitted nominees to the Board for appointment as new consultants.

9. Amalgam - The Board voted to reconvene the committee that developed a pamphlet in 2002 explaining the indications and contraindications of dental restorative materials, pursuant to RSA 317-A:38. The committee was composed of representatives of the New Hampshire Dental Society, the Board and the New Hampshire Department of Health and Human Services. The Board wishes to keep an open dialogue with those who are concerned about safety issues. Although dentistry, as a branch of medicine, is a scientific discipline, the Board is not a scientific body. It looks to scientists of the most respected national and international scientific organizations for guidance.

10. Transfer of Board Adjudicating Functions - The legislature has established a committee to study transferring adjudicatory functions to an Office of Administrative Adjudications (SB 534, Ch. 257:58, Laws of 2004). An Administrative Law Judge (ALJ) would assume the legal and procedural functions associated with administrative hearings. This would be very helpful to those Boards which are having difficulty creating legal documents and holding hearings. This is not a significant problem for the Board of Dental Examiners because it has excellent support from the Administrative Prosecutions Unit (APU) of the Consumer Protection Agency. Transferring adjudicatory functions would, however facilitate the separation of investigative and adjudicatory procedures and give a greater impression of fairness to the public. The Board has two concerns:

1. That the Board be able to provide dental professional expertise either by providing an assistant to the judge or by providing expert witnesses; and

2. Draft legislation presently requires that the ALJ approve Board settlement agreements. The Board thinks this is inappropriate because settlement agreements are already drafted by a state attorney, so there is legal sufficiency. In addition, the Board has a long history of entering into settlement agreements that are fair and take into account the uniqueness of the dental profession.

11. Informational

a. Status of Sanctions
b. NH Board of Medicine Newsletter
c. National Examination
d. ADA PGY Study
e. Citizen Advocacy Meeting
f. Birthdates
g. Nebraska Survey

QUALIFICATION AND LICENSURE

1. LOCAL ANESTHESIA

The Board voted to approve the administration of local anesthesia by the following hygienists:

EXAMINATION

Margarita Ramirez-Lansing, RDH
Judith C. Geyer, RDH
Denise M. Wilkinson, RDH
Laureen Sullivan, RDH

Endorsement

Katrina A. Magee, RDH

The Board voted to give conscious sedation permits to the following dentists:

Dominic P. Rachiele, DMD
Robert O. Wilson, DDS

The Board voted to approve public health supervision for the New Hampshire Statewide Sealant Project.

The Board voted to approve the annual report of the Greater Nashua Dental Connection.

The Board voted to offer volunteer licensure to George A. Biron, DMD.

Pursuant to RSA 317-A:12, XI and Den 403.04, the Board conducted a biennial audit of 3% of licensed dentists. Four dentists did not pass the audit. Board member Marjorie J. Chema, DDS will further review their records. The board voted to issue a Notice of Hearing if so indicated by Dr. Chema's review.

INITIAL

Sasha Beth Stasko, DDS
Debroah Marie Shea, RDH
Thomas Raymond Miller, DDS
Elizabeth Joan McElwain, RDH
Michael Jeffrey Williams, DMD
Erin Anne O'Neil, RDH
Sreemali Vasantha, DMD
Janis Ann Wadden, RDH
Swaroopa Chowbene Seetaram, DMD
Jennifer Lynn Blair, RDH
Vivek Shrikant Mehta, DMD
Patricia Ann Lamont, RDH
Ronald Stephen Stanko, DDS
Nancy Jean Shepard, RDH
Vickie Lynn Wintersteen, RDH

INACTIVE TO ACTIVE

Mina H. Kalali, DMD - #04 - 395
Lisa Pastro, RDH - #04 - 394
Ellen Marie Legg, RDH

* Linda M. Seedner, RDH recused

Members of the Board voted unanimously, unless otherwise indicated.

Members of the Board voted unanimously to go into non-public session for the purpose of discussing investigations of alleged licensee misconduct, noting that such a non-public session is authorized by RSA 91-A:3 and the Board's executive and deliberative privileges.

November 1, 2004

The November 1, 2004 meeting of the New Hampshire Board of Dental Examiners convened at 4:00 p.m. with the following members present:

Ronald J. Hrinda, DMD, President
Eliot L. Paisner, DMD, Vice President
Marjorie J. Chema, DDS
Karen Clough, Public Member
Neil S. Hiltunen, DMD
Charles F. Post, DMD
Stephen A. Sewall, DDS
Debra A. Albrecht, RDH
Linda M. Seedner, RDH

Absent: NONE

The Board voted to approve the minutes of October 4, 2004 as amended.

Administrative

1. Statute and Rules

a. Statutory Proposals

1) The Board has submitted proposed amendments to RSA 317-A (the Dental Practice Act) to Representative Jane Langley of Rye for her sponsorship in the 2005 legislative session. The New Hampshire Dental Society supports the amendments and has offered to seek co-sponsors. The Board welcomes such support.

b. Rule Proposals

1) Rule Package 2004 II - There was a public hearing on this package of proposed amendments to the Board's administrative rules on October 4, 2004. Unfortunately, comments on this initial proposal were not received from the Joint Committee on Legislative Rules until after the hearing. Some of the comments are substantive and require resolution before a final proposal can be made. The Board thinks such problems should be addressed earlier in the rules making process. To that end, the Board has three suggestions to improve the process:

a) A courtesy review of the initial draft of the proposed change would greatly smooth the process. Minor changes could be made and most substantive issues resolved before beginning the formal process.

b) The rules attorney who does the courtesy review should also shepard that package of rules through the rule making process. What happens now is that the Board makes the changes suggested by one rules attorney, and then a second attorney suggests another group of changes, often contradicting the first attorney! Frustration mounts and the process drags on.

c) The rules attorney who did the courtesy review should be the attorney who does the regular review which is now scheduled before the public hearing. This regular review should be quite simple, since the suggestions made at the courtesy review have already been made.

These suggestions would open communication, encourage resolution of differences, smooth and shorten the rules making process.

2) Rule Package 2004 III (auxiliary duties) - There is a meeting scheduled for Monday, November 8, 2004 to address rule amendments that increase the duties dental auxiliaries may perform. Attendees will represent the entire dental community.

3. Hygienist Registration Form - The Board made some minor amendments to the form and then voted to approve it.

4. American Association of Dental Administrators (AADA) Meeting - The meeting took place September 26 - 29, 2004 in Orlando, Florida. AADA meetings traditionally allot almost all their time to addressing issues facing boards of dentistry. This meeting addressed denturism, the use of botox and hair transplants by dentists, the use of lasers by dental auxiliaries, oral conscious sedation, continuing education, on-line renewals, and licensure- specifically post graduate training and the development of a national clinical dental examination.

5. National Licensure Exam - tabled. Dr. Hiltunen will summarize developments in this rapidly changing issue.

6. Dental Amalgam Pamphlet - The Dental Society will be addressing this topic at its meeting on November 18, 2004. The Board wants to send a Board representative, since the Board is required by law to develop the pamphlet.

7. Informational

a. Status of Sanctions
b. Lasers in Periodontics
c. Bureau Chief
d. MD/DDS

QUALIFICATION AND LICENSURE

1. LOCAL ANESTHESIA PERMITS ISSUED

EXAMINATION

Erin Anne O'Neil, RDH
Margaret Higginbotham, RDH

The Board voted to approve public health supervision for the White Mountain Community Health Center.

The Board voted to approve the annual report of the:

Coos County Family Health Services
Alexander Eastman Foundation School Dental Program

* The Board voted to approve licensure for Kailash C. Suri, DMD after hearing testimony from Dr. Suri and his attorney, Thomas G. Cooper, Esq. regarding issues that arose during the licensure process.

Claudia Muscoiu, RDH
Lisa Carolyn Gregory-Molloy, RDH

The Board voted to approve licensure for the following dentists:

INITIAL

Howard Hy Duchon, DDS
Monica Arabelle Garnache, DMD
Marina Eugene Becker, DMD
Isam F. Hamati, DDS
Sreelatha Devi Avvaru, DMD

* Marjorie J. Chema, DDS and Debra Albrecht, RDH voted against approval.

Members of the Board voted unanimously, unless otherwise indicated.

Members of the Board voted unanimously to go into non-public session for the purpose of discussing investigations of alleged licensee misconduct, noting that such a non-public session is authorized by RSA 91-A:3 and the Board's executive and deliberative privileges.

December 6, 2004

The December 6, 2004 meeting of the New Hampshire Board of Dental Examiners convened at 4:00 p.m. with the following members present:

Ronald J. Hrinda, DMD, President
Eliot L. Paisner, DMD, Vice President
Karen Clough, Public Member
Neil S. Hiltunen, DMD
Charles F. Post, DMD
Stephen A. Sewall, DDS
Debra A. Albrecht, RDH
Linda M. Seedner, RDH

Absent:  Marjorie J. Chema, DDS

* The Board voted to approve the minutes of November 1, 2004.

Administrative

1. Statute and Rules

a. Statutory Proposals

1) The Board has submitted amendments to RSA 317-A for sponsorship in the 2005 legislative session.

b. Rule Proposals

1) Rule Package 2004-II. This package of rules was officially divided into 2004-135 and 2004-136.

a) 2004-135 - The Joint Legislative Committee on Administrative Rules (JLCAR) voted to approve the final proposal of this rule which addresses definitions. The Board voted to adopt.
b) 2004-236 - JLCAR voted to approve final proposal 2004-136, conditioned upon insertion of the words "if any" at the end of the sentence in Den 301.07(a). The Board voted to approve the amendment.

2) Rule Package 2004-III - Debra Albrecht, RDH reviewed the minutes of the November 8, 2004 meeting of the Dental Auxiliary Duties Committee. The Board will take the following measures before the February 16, 2005 meeting of the Committee:

a) Canvas other state dental boards to determine what training they require before dental auxiliaries can use lasers.

b) Canvas other state dental boards to determine what supervision of dental auxiliaries is required to fabricate sports mouthguards and what types of mouthguards may be made under that supervision.

c) Draft rules for new additional auxiliary duties already supported by committee members.

3. Dentists 2005 Information Letter (Draft) - The Board voted to approve the letter and two attachments.

4. Needleless Local Anesthesia - Board member Linda Seedner, RDH addressed this topic. The FDA has approved a needleless local anesthetic. The Board will require more information before it can decide who and under what supervision a dental auxiliary may use the anesthetic. Allergenicity and toxicology are among the Board's concerns.

5. Exam Funding - The Board is a member of the American Association of Dental Examiners (AADE). The AADE is seeking financial support for the development of uniform national dental and dental hygiene licensure examinations. While the Board seeks more information concerning the development of the examination, it will explore its financial options under New Hampshire statutes.

6. Dental Restorative Materials Pamphlet - The Board voted to make a minor change to this pamphlet. The Board will seek the input and concurrence of the Department of Health and Human Services and the New Hampshire Dental Society. The Board believes the present pamphlet is succinct, clear and based on current science as accepted by the principle national and international scientific organizations.

7. Input to Training - In answer to a letter from the Attorney General's office regarding investigative training the Attorney General intends to conduct next spring, the Board had no specific suggestions.

8. Orthodontic Duties - The Board addressed the problem of damage to tooth enamel caused by dental auxiliary's removing bonding cement with rotary instruments. The problem usually occurs when attempting to remove clear or tooth colored cement. For this reason, the Board voted to continue to allow only hand instruments to be used to remove cement.

9. Endorsement/Examination - The Board is concerned that, with the advent of dental licensure without examination, applicants for licensure by endorsement (of credentials) will not have a history of passing a state or regional examination measuring clinical dentistry skills. Pursuant to RSA 317-A:8, the Board voted to specify in its administrative rule that applicants for licensure by endorsement must have a history of passage of a state or regional clinical dentistry examination acceptable to the Board.

10. Late Registration - the Board sends re-licensure documents to all dentists and dental hygienists holding New Hampshire dental licenses. Licensees receive the documents before mid-February, so they have at least six weeks to license before the April 1st deadline. After March 31st licenses of those who have not re-licensed are suspended. After July 1st they lapse. In 2004, 140 of the 915 dentists holding active licenses had a license suspended for failure to register. Many of these apparently continued to practice. Late registration is a problem in many other states, as well. The Board voted to draft a rule raising fines for late registration, as one of several measures it will take to discourage late registration.

11. Homebound Patients - Board member Linda Seedner, RDH inquired as to what supervision was necessary when a dental hygienist visited a homebound person to perform an oral prophylaxis. The Board will determine what other states require and their experiences before making a decision.

12. NERB Committee - Board members Neil S. Hiltunen, DMD and Linda M. Seedner, RDH attended Committee meetings in Washington, DC on October 28 - 31, 2004. They provided the Board with a report which focused on the primary meeting topics of a single national licensure examination and postgraduate residencies as paths to licensure.

13. Informational

a. Status of Sanctions
b. Laser Training
c. ADA News re Amalgam
d. NERB Committee
e. Examining Community
f. NHDHA Report
g. ADA Vacancy
h. WREB
i. Project Coordinator
j. Dental Licensure Conference

QUALIFICATION AND LICENSURE

1. Local Anesthesia Permits Issued

By Examination - Christine Neverett, RDH

2. Public Health Supervision Program

The Board voted to approve the report of the Milford School Dental Program.

3. Conscious Sedation Permit

The Board voted not to approve a conscious sedation permit for Joshua D. Howard, DMD, because it is unclear whether his enteral conscious sedation training meets the requirements of Part I or Part III of the American Dental Association "Guidelines for Teaching the Comprehensive Control of Pain and Anxiety in Dentistry" as required by the Board's Administrative Rule Den 304.2(c)(3) a. The Board voted to review the credentials of New Hampshire dentists holding permits to administer conscious sedation.

4. Hygiene Application Approved

Susan Mary Bonagura Sanders, RDH

5. Dental Applications Approved

INITIAL

Carmen Virginia Santana, DMD
Charles Jerome Schultenover, DDS
James Carnell Morrison, Jr., DMD
Irene Lozov, DDS
Dimitris Zourdos, DMD

Members of the Board voted unanimously, unless otherwise indicated.

Members of the Board voted unanimously to go into non-public session for the purpose of discussing investigations of alleged licensee misconduct, noting that such a non-public session is authorized by RSA 91-A:3 and the Board's executive and deliberative privileges.
 
Raymond J. Jarvis, DMD
Executive Secretary

  Dental Examiners Board