MEETING MINUTES of April 4,
2005
The April 4, 2005 meeting of the New Hampshire Board of Dental Examiners
convened at 3:00 p.m. with the following members present:
Eliot L. Paisner, DMD, Vice President
Karen Clough, Public Member
Stephen A. Sewall, DDS
Charles F. Post, DMD
Debra A. Albrecht, RDH
Marjorie J. Chema, DDS
Ronald J. Hrinda, DMD, President
Neil S. Hiltunen, DMD
Linda M. Seedner, RDH
Absent: None
* The Board voted to approve the minutes of March 7, 2005 as
amended.
PUBLIC MINUTES
Administrative
1. Statute and Rules
a. Statutory Proposals
1) HB 532 – This bill was proposed by the Board. The Executive Departments
and Administration Committee (ED and A) held a public hearing on March
15, 2005. The bill then passed the house and has been referred to the
Senate. The Board voted to propose an amendment to the bill.
b. Rule Proposals
1) Rule Package 2005-I – The Board has begun the rule making process.
2. Dentist Information Letter, 2005 – The Board will be sending
this letter to all New Hampshire dentists. The Board voted to approve the
letter as amended.
3. Anesthesia and Sedation Evaluation Committee
a. The Board voted to inform all dentists who hold a permit from the Board
to administer general anesthesia and deep sedation to dental outpatients,
and who have not had an evaluation in over 5 years by the Board's Anesthesia
and Sedation Evaluation Committee, that they must make arrangements to have
the evaluation done by the Committee within 90 days. If the Committee is
unable to perform the evaluation, the Board will consider outsourcing the
evaluation to other, perhaps out-of-state, consultants.
b. Pursuant to RSA 317-A:12 XII-a(d), evaluation fees shall be paid directly
to the third party by the dentist being evaluated.
c. The Board also voted to place the names of the members of the Anesthesia
and Sedation Evaluation Committee on the Board's web site.
4. Informational
a. Status of Sanctions
b. ADEX
c. Kentucky and National Licensure
HEARING – 4:00 p.m. – Robert T. Fiorillo, DDS
The president of the Board, Ronald J. Hrinda, DMD commenced a public hearing
in this matter pursuant to RSA 317-A:17, RSA 317-A:18 and Dental Administrative
Rule Den 206 and Den 210. The issues addressed arose from two unannounced
inspections of Dr. Fiorillo's dental practice and were delineated in the Notice
of Hearing. They included the condition of his practice, infection control
compliance, and cooperativeness in providing the investigators entry to his
practice, among other issues, possibly violating RSA 317-A:17 Unprofessional
Conduct . Hearing Counsel Katherine Bernhard presented 2 witnesses. Counsel
for the Respondent presented 6 witnesses.
Dr. Hrinda closed the hearing at 9:00 p.m., to be continued at 5:30 on April
6, 2005.
QUALIFICATION AND LICENSURE
1. LOCAL ANESTHESIA PERMITS ISSUED
Examination
Christina L. Sylvain, RDH
Beverly J. Taylor, RDH
Kate Kavash Russo, RDH
2. CONTINUING EDUCATION EXTENSION REQUESTS
The Board voted to give Michelle Quellette, RDH a 30 day extension to complete
her biennial education requirement.
3. ACTIVE LICENSURE
The Board voted to give Ardis Taschner, RDH a 6 month extension to meet
the requirement of act practice within the biennium.
4. INACTIVE TO ACTIVE LICENSURE
The Board voted to activate the license of Jennifer Michaud, RDH.
5. HYGIENE APPLICATIONS APPROVED
Barbara Jean Addison Frost, RDH
6. DENTAL APPLICATIONS APPROVED
INITIAL
Donald Paul Hudson, DMD
Daniel Henry DeTolla, DDS
Mark Guangqiang Wang, DMD
Jeffrey Robert Karen, 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.
Raymond J. Jarvis, DMD
Executive Secretary
MEETING MINUTES of May 2, 2005
The May 2, 2005 meeting of the New Hampshire Board of Dental
Examiners convened at 3:00 p.m. with the following members present:
Ronald J. Hrinda, DMD, President
Eliot L. Paisner, DMD, Vice President
Karen Clough, Public Member
Stephen A. Sewall, DDS
Charles F. Post, DMD
Debra A. Albrecht, RDH
Marjorie J. Chema, DDS
Neil S. Hiltunen, DMD
Linda M. Seedner, RDH
Absent: None
* The Board voted to approve the minutes of April 4, 2005 as
amended.
PUBLIC MINUTES
Administrative
1. Statute and Rules
a. Statutory Proposals
1) HB 532 – This Board proposal was also supported by the Dental Society.
It has passed both the House and Senate and has been sent to the governor
for his signature. The Board voted to reverse its decision to seek an
amendment to this bill.
b. Rule Proposals
1) Rule Package 2005-I – The Board is beginning the rule making process.
2. Anesthesia/Sedation Evaluations – Dr. Mark Scura, Chairman
of the Board's Anesthesia and Sedation Evaluation Committee, has informed
the Board that evaluations are about to begin for New Hampshire dentists who
hold permits to administer general anesthesia and deep sedation on dental
outpatients and who have not been evaluated in the last five years. Evaluations
will be made of their equipment, staff, records and facilities as they pertain
to administering general anesthesia and deep sedation. The Board voted to
send Dr. Scura a letter thanking him and the Committee for their efforts.
The Board will also remind him that recent nominees to the Committee can not
take part in the evaluations because they have not signed contracts with the
Board.
3. DOCS Course – The Dental Organization for Conscious Sedation ("DOCS")
sent an outline of its continuing education course to the Board strongly assuring
the Board that the course strictly adheres to Part Three, Section III, Subsection
C of the American Dental Association's ("ADA") Guidelines for Teaching the
Comprehensive Control of Anxiety and Pain. The Board voted not to accept the
Docs course because it did not meet the following ADA guidelines:
a. Twenty clinical experiences are required in the administering of conscious
sedation. These experiences are to be supervised and evaluated by qualified
faculty in a facility with equipment, support staff and record keeping protocols
that meet the ADA guidelines.
b. Competence in the administration of conscious sedation must be demonstrated
to the faculty with special emphasis in managing airways, especially in
children and medically compromised adults.
c. Adequate detailed records of the clinical experience are to be available
for review by appropriate credentialing agencies.
d. As stated in the guidelines, "The course director must certify the competency
of participants upon satisfactory completion of training in each conscious
sedation technique, including instruction, clinical experience and airway
management."
Video presentations of patients receiving conscious sedation may be included
in a conscious sedation training protocol as an introduction to technique
and can be substituted for the first 2 or 3 hands on clinical experiences
as approved by the Board.
In addition to the inadequacies of the DOCS course in satisfying the ADA
guidelines, it should be noted that in New Hampshire it is the level of
sedation rather than the route of administration that determines the type
of permit given. Conscious sedation permits allow for the administration
of combination inhalation – enteral, enteral and parenteral conscious sedation.
The latter is not taught in the DOCS course.
4. Biennial Registration (2005) – Before February 11, 2005,
1377 biennial registration forms were mailed to dental hygienists holding
active and inactive New Hampshire licenses to practice dental hygiene. Those
who did not register and review by April 1, 2005 had their licenses suspended.
As of April 20, 2005 67 active and 33 inactive licenses were not renewed.
Licenses not renewed will lapse on July 1, 2005
5. NERB Steering Committee Reports – This report was presented by Dr. Hiltunen.
It addressed some of the changes being made in a nationally accepted examination
being developed by the regional boards, including the Northeast Regional Board,
as well as individual states.
6. Affiliated Monitors – Vincent L. DiGianni, Esq. described the services
offered by Affiliated Monitors, Inc. in a twenty minute presentation to the
Board. These services include:
a. Assisting professionals in maintaining compliance with applicable government
regulations.
b. Ensuring early detection and correction of potential problems which
might lead to disciplinary action by regulatory authorities.
c. Ensuring compliance with commitments made by agreement.
7. Informational
a. Status of Sanctions
b. Mercury Control – In New Hampshire the Department of Environmental Services
and the New Hampshire Dental Society are addressing the proper disposal
of amalgam scrap.
c. Wisconsin Dental Board Letter – The letter supports the development
of the National Uniform Licensing Exam by the state boards of dental examiners.
d. American Dental Association (ADA) re National Licensure.
e. ADA re National Board
f. ADA re National Licensure – The Board voted to send a letter to the
American Dental Association expressing the Board's position that the ADA
should not be involved in licensure examinations, nor should any other organization
that owes its allegiance to its dues paying membership rather than the public's
welfare.
g. Western Regional Examining Board (WREB)
h. NERB
i. BOTOX – The Board voted to affirm that BOTOX injections are outside
the scope of the practice of dentistry.
QUALIFICATION AND LICENSURE
1. PUBLIC HEALTH PROGRAM APPLICATION
The Board voted to approve the application of Upper Valley Smiles.
2. WAIVER REQUESTS
a. The board voted to deny a request for waiver of the NERB examination
by Anne-Marie Lake, RDH.
b. The Board voted to waive the fee for late registration for Stephani
Ethier.
3. CONTINUING EDUCATION EXTENSIONS
The Board voted to extend the date for continuing education compliance
for the following hygienists. Fees for late registration will remain, as
will a continuing education audit to be performed in 2007. The late fee
in one instance, as listed, is waived.
Wendy St. Cyr, RDH
Cherie R. Hawkes, RDH
Joanne LaFleur Pasay, RDH
Diane Harper, RDH
Jannifer R. Stevens, RDH
Nancy Rizza, RDH – no fee
Bambi Shorey, RDH
4. SCOPE OF PRACTICE
The Board voted to allow Bruce Dinner, DDS, if licensed, to continue to
perform the dental procedures found in his practice history. Expansion of
his practice will require didactic training and NERB examination as determined
by the Board.
5. LOCAL ANESTHESIA PERMITS ISSUED
By Examination
Shana Combs, RDH
Dorreen Mercer, RDH
Judith Strong, RDH
Michele S. Janvrin, RDH
Tammy D. Compbell, RDH
6. HYGIENE APPLICATIONS APPROVED
Ginger Lisbeth Gaskill, RDH
Misty Anne Killeen, RDH
Denise Ann Currier, RDH
Pamela Lynn Grant, RDH
Heather Ann Queen, RDH
7. DENTAL APPLICATONS APPROVED
INITIAL
Michael Christopher Benenati, DMD
Michael Hanif Butt, DMD
Paul Lionel Auclair, DMD
Nina Bardwaj Casaverde, DMD
Kelly Ann Fitzgibbons, DMD
Dennis Hannon, DDS
Ibukun Olawunmi Ajayi, DMD
Stephen Andrew Cohen, DMD
Eileen Carol Brusseau, DMD
Muhammad Shoaib Khan, DMD
Kit Ray Gurwell, DDS
INACTIVE TO ACTIVE
Kenneth J. Kalil, 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
MEETING MINUTES of June 6,
2005
The June 6, 2005 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
Stephen A. Sewall, DDS
Charles F. Post, DMD
Debra A. Albrecht, RDH
Marjorie J. Chema, DDS
Neil S. Hiltunen, DMD
Linda M. Seedner, RDH
Absent: Karen Clough, Public Member
* The Board voted to approve the minutes of May 2, 2005 as amended.
PUBLIC MINUTES
Administrative
1. Statute and Rules
a. Statutory Proposals
1) HB 532 – This is an amendment to RSA 317-A (Dental Practice Act).
It will be effective on July 16, 2005.
a) American Dental Association - the Board received an inquiry from
an ADA attorney asking why the Board sought to delete RSA 317-A:17 I
(h), "a person shall be regarded as practicing dentistry within the
meaning of this chapter – who engages in any of the practices included
in the curricula of recognized dental colleges." The Board explained
that it was because dental auxiliaries perform many of the procedures
taught in dental schools and they do not practice dentistry.
b. Rule Proposals
1) Rule Package 2005-I – in process.
2. PGY – I Licensure – New York State has created an in-state
pathway to licensure whereby dentists, who complete a year long residency
in general dentistry following graduation from dental school are eligible
for licensure without passing an independent third party examination. The
Board reviewed a letter from a New Hampshire dentist addressing this topic.
3. Conscious Sedation Permits – The Board currently issues permits to dentists
to administer conscious sedation. Dentists must have training which meets
ADA guidelines. Because administering parenteral conscious sedation requires
significantly more training than enteral conscious sedation, the Board voted
to create separate permits. This approach will make it easier for those with
only enteral training to obtain a permit to administer enteral sedation only.
4. Biennial Registration, 2005 – Status report tabled until next month.
5. Waiver Request – The Board voted not to waive a fee for a list of dental
hygienists because the Board could not find adequate justification.
6. ADEX Membership – The Board discussed an "Agreement" sent to the Board
by ADEX (the American Board of Dental Examiners, Inc.) whereby the Board would
agree to become a member of ADEX. The Board will have the agreement reviewed
by its legal counsel as the first step in a process.
7. Informational
a. Status of Sanctions
b. National Clinical Exam
1) ADA
2) AADE
3) ASDA
4) Georgia
5) Maine
6) Minnesota
c. Dental Amalgam
1) In Pregnancy – study shows no effect.
2) Pamphlet – will be left as is for now.
3) Separators – recently addressed by legislature.
4) Complaint – refuted by ADA
d. NERB Consultants
e. Arizona Board
f. Board Officers
g. "Endodontics" – Definition acceptable to Board.
QUALIFICATION AND LICENSURE
1. LOCAL ANESTHESIA PERMITS ISSUED
Jennifer B.T. Barnard, RDH
Cynthia L. Burr, RDH
Tammy Drew, RDH
Debra L. Lyons, RDH
Chuanjun Wu, RDH
Iris E. Manouil-Newdorf, RDH
2. ANESTHESIA COMMITTEE MEMBER APPROVALS
Anesthesia Committee Members – The Board voted to approve the appointment
of Dominic Rachiele, DMD and Richard Rosato, DMD to the Board's Anesthesia
and Sedation Evaluation Committee.
3. ANESTHESIA EVALUATIONS
Anesthesia Evaluation – The Board approved the evaluation of the facility,
equipment, staff, drugs and procedures as related to the administration
of general anesthesia and sedation to dental outpatients by the following:
Karen Crowley, DDS, Jonathan Sudol, DMD, and Bahar Anooshahr, DMD
Louis F. Clarizio, DDS
Mark G. Hochberg, DMD was given an extension to have his evaluation
completed.
4. PUBLIC HEALTH PROGRAMS APPROVED
The Board voted to approve the "Smiles for Strafford County" program
to be conducted under public health supervision.
5. LICENSING
The Board voted to license Tiffany Burgener Hamilton, RDH without her taking
the NERB.
6. WAIVER REQUEST
The Board voted to license Laurie Biron Williams, RDH and waive the late
fee.
*-5 7. HEARING – 8:10 p.m. Jacqueline Jacobson, DMD
The president of the Board, Ronald J. Hrinda, DMD commenced a public hearing
in this matter pursuant to RSA 541-A. The hearing was held to determine
whether Dr. Jacobson fraudulently withheld information on her license application.
Dr. Jacobson was present, testified on her own behalf without her own counsel.
The hearing ended at 8:25. The Board then voted to accept Dr. Jacobson's
license application.
7. HYGIENE APPLICATIONS APPROVED
Nancy Katherine Pelletier, RDH Marie Ann Gambale, RDH
Lissa Ann Merrill, RDH Crystal Ann Demers, RDH
Sarah Beth Pelletier, RDH Heidi Christine Thompson, RDH
Joseph Andre Gilbert, RDH Sally Michelle Lenentine, RDH
Marie Elizabeth Rusch, RDH Kelly Lynn Mackey, RDH
Laura Ann Hamlin, RDH Michael Wilbur Gendron, RDH
Christine Margaret Elliott, RDH Nicole Tracia Edgerly, RDH
Irena Violet Alexander, RDH Bianca Marie Lisa Rancourt, RDH
Angela Dee Poirier, RDH Jennifer Ann Pearl, RDH
8. DENTAL APPLICATIONS APPROVED
INITIAL
Paul Joseph Connolly, DMD
Christopher James Root, DMD
Nhung Hong-Thi Pham, DMD
Vicktor Guy Senat, DMD
Kirstin Jennifer Rorvik, 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
MEETING MINUTES of July 11,
2005
The July 11, 2005 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
Stephen A. Sewall, DDS
Charles F. Post, DMD
Debra A. Albrecht, RDH
Neil S. Hiltunen, DMD
Linda M. Seedner, RDH
Absent: Karen Clough, Public Member
Marjorie J. Chema, DDS
* The Board voted to approve the minutes of June 6, 2005 as amended.
PUBLIC MINUTES
HEARING – 4:10 p.m. – JoAnne Fontaine
(Show Cause Hearing)
The President of the Board, Dr. Ronald J. Hrinda, commenced a public hearing
in this matter pursuant to RSA 317-A:17, RSA 317-A:18 and Dental Administrative
Rules Den 206 and Den 210. The issue addressed was whether Ms. Fontaine, while
in the Board’s office, examined a license application which she was
not authorized to examine. The application was protected by RSA 317-A:18,
RSA 317-A:17 II (j), HIPPA and/or RSA-A:17 II (d) because it contained confidential
information.
Hearing counsel, Assistant Attorney General Katherine Cooper, presented
one witness and two exhibits. Ms. Fontaine presented one witness and two exhibits.
Dr. Hrinda closed the hearing at 4:40 p.m.
HEARING – 4:50 p.m. – Douglas A. Bevins, DMD
(Show Cause Hearing)
The president of the Board, Dr. Ronald J. Hrinda, commenced a public hearing
in this matter pursuant to RSA 317-A:17, RSA 317-A:18 and Dental Administrative
Rules Den 206 and Den 210. The Board had received an administratively final
order for discipline from the licensing authority of another jurisdiction
regarding Douglas A. Bevins, DMD. Dr. Bevins is applying for dental licensure
in New Hampshire. The Board issued an order directing Dr. Bevins to appear
and show cause why the Board should issue a license to him in light of the
disciplinary sanctions imposed by another state, RSA 317-A:17 IV; see also
RSA 317-A:8.
Hearing Counsel, Assistant Attorney General Katherine Cooper, presented
2 exhibits. Counsel for Dr. Bevins, attorney Brad Stolzer, presented 5 witnesses
and 4 exhibits.
Dr. Hrinda closed the hearing at 6:40 p.m.
Administrative
1. Statute and Rules
a. Statutory Proposals
1) The Board will decide at its next meeting whether it will seek to
submit statutory proposals to the 2006 legislative session.
b. Rule Proposals
1) Rule Package 2005-I – There will be a public hearing on these
proposals at the Board’s August meeting. The rules address the licensure
process, fees, auxiliary duties and professional ethics.
2. Board Officers – Pursuant to RSA 317-A:4 II, the Board elects
its officers annually in July. For FY 06, the Board voted to re-elect
Dr. Hrinda as president and Dr. Paisner as vice president. The Board also
made several changes to the membership of its committees and appointed
Dr. Hiltunen to be its liaison to the American Association of Dental Examiners.
3. Board Retirement – Governor Lynch commended Dr. Steven Sewall
for his outstanding contributions to the public’s welfare as member
and president of the Board during the ten year period 1995 – 2005.
Dr. Sewall always sought to maintain very high professional standards
in the daily practice of New Hampshire’s dentists and dental hygienists.
4. Hygienists 2005 Registration – As of July 1, 2005, there were
1,158 dental hygienists holding an active dental hygiene license and
199 dental hygienists holding an inactive license in New Hampshire.
5. Background Checks –
a. Fraudulent license applications seem to be increasing. The Board
will review with its legal counsel the questions applicants for licensure
must answer. The Board intends to close any “loop holes” that
may be enabling applicants to hide information relevant to the public’s
safety.
b. The Board will gather information from other states as to what kind
of background checks they do and the effectiveness of their efforts. The
Board will seek similar information from in-state agencies such as the
Board of Nursing.
6. Project Status – informational. The Board reviews a status report
on its various projects at its January and July meetings.
7. Dental Procedure – The Board received a letter from a patient
asking how long a certain dental procedure should last. The Board voted
to suggest to the patient that he discuss the issue with his dentist, or
if appropriate, seek the services of the peer review committee of the New
Hampshire Dental Society.
8. Informational
a. Status of Sanctions
b. Dental Residents
c. Patient Records
d. “Sunday Citizen” Series
e. AADE Meeting
f. National Clinical Exam
1) ADEX
2) WREB
3) Arkansas
4) North Dakota
5) Kentucky
6) New Hampshire
g. ADHA
h. Waste Water Mercury
QUALIFICATION AND LICENSURE
1. LOCAL ANESTHESIA PERMITS ISSUED
Nancy Amour, RDH
Karen A. Mercer, RDH
Pamela Scerra, RDH
2. PUBLIC HEALTH PROGRAM SUMMARY REPORTS
The Board voted to accept the annual reports of the following public
health programs conducted under public health supervision.
Lamprey Healthcare School Based Dental Program
Seacoast Healthy Grins
Healthreach Mobile Dental Program
New Hampshire Statewide Sealant Program
3. GENERAL ANESTHESIA/DEEP SEDATION PERMIT REQUESTS
a. The Board voted to table the request of Daniel H. DeTolla, DDS.
b. The Board voted to deny the request of John T. Bowman, DMD until
he engages the support staff required to be issued a permit.
4. CEU EXTENSION REQUEST
The Board voted to grant the extension requested by Kelly Patch, RDH.
5. HYGIENE APPLICATIONS APPROVED
INITIAL
Christine Elliott, RDH |
Marie Gambale, RDH |
Nancy Pelletier, RDH |
Kelly L. Mackey, RDH |
Sally Lenentine, RDH |
Sarah Pelletier, RDH |
Jennifer Pearl, RDH |
Lissa A. Merrill, RDH |
Laura Hamlin, RDH |
Angela Poirier, RDH |
Bianca L. Rancourt, RDH |
Michael Gendron, RDH |
Irena V. Alexander, RDH |
Doreen Joyal, RDH |
Joseph Gilbert, RDH |
Heidi Thompson, RDH |
Terri Chagnon, RDH |
Tara Rutkowski, RDH |
Marie Rusch, RDH |
Stacie Sullivan, RDH |
Meredith Conserva, RDH |
Stefanie Rego, RDH |
Rachel Ann Welch, RDH |
Hailey White, RDH |
Alissa Rayno, RDH |
Elizabeth M. Cook, RDH |
Amanda M. Adams, RDH |
Emily Broas, RDH |
.
INACTIVE TO ACTIVE
Janice Osgood Nichols, RDH
6. DENTAL APPLICATIONS FOR APPROVAL
INITIAL
Carlivette Xiomir Santamaria, DMD |
Ryan Clark Thomas, DDS |
Brian Thomas Maguire, DMD |
Leonard Howard Strauss, DMD |
Paula Grace Elmi, DMD |
Samuel John Lemeris, DMD |
Abdul Waheed, DMD |
Stephen James Butterfield, DMD |
Aaron Schmieder Horsley-Teny, DMD |
Shih Mei Josephine Chiang, DDS |
.
INACTIVE TO ACTIVE
Danuta Goroch, DMD
7. APPROVED ANESTHESIA EVALUATIONS
Anesthesia Evaluation – The Board approved the evaluation of the
facility, equipment, staff, drugs and procedures as related to the administration
of general anesthesia and sedation to dental outpatients of the following:
Leonard Waldman, DMD
Gregg B. Meehan, 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.
Raymond J. Jarvis, DMD
Executive Secretary
MEETING MINUTES of August
8, 2005
The August 8, 2005 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
Charles F. Post, DMD
Neil S. Hiltunen, DMD
Linda M. Seedner, RDH
Marjorie J. Chema, DDS
Absent: Karen Clough, Public Member
Debra A. Albrecht, RDH
* The Board voted to approve the minutes of July 11, 2005 as
amended.
PUBLIC MINUTES
Presentation – Institute for Clinician Support (ICS) – 4:30
p.m.
Howard Kessler, DMD gave a presentation on the services provided by the Institute
for Clinician Support (ICS). ICS programs are non-judgmental and emphasize
education, testing and coaching to affect lasting behavior modification, specifically
as related to boundary problems. The presentation concluded at 5:00 p.m.
Public Rules Hearing – 5:15 p.m.
Pursuant to RSA 541-A and RSA 317-A:12 XIII, the Board held a public hearing
regarding changes to the Dental Administrative Rules affecting the licensure
process, fee changes, expanded duties, clarification of ethical duties and
rule housekeeping. Verbal testimony was given by Jan Zivitski, RDH representing
the New Hampshire Dental Hygienists’ Association, Carolyn Hartnett,
RDH representing the New Hampshire Technical Institute and Dr. Charles Albee,
Dr. Skip Homicz, and Dr. Steven Ura representing the New Hampshire Dental
Society. Written testimony was submitted by Ms. Zivitski and Dr. Homicz. The
hearing was closed by Board President, Dr. Ron Hrinda at 6:00 p.m.
Administrative
1. Statute and Rules
a. Statutory Proposals
1) Package 2005 – See public hearing above.
2. Board 2006 meeting schedule – The Board voted to approve
the proposed schedule.
3. FARB – The Board voted to ask its legal counsel to attend the seminar
in professional regulatory law being held by the Federation of Associations
of Regulatory Boards.
4. Amalgam Management – informational. Deficiencies regarding the disposal
of dental amalgam waste will be addressed by the Department of Environmental
Services.
5. FY 05 Complaints – informational. The Board received 60 written
complaints; some were about fees over which the Board has no authority. The
Board took 20 actions.
6. FY 05 Budget Reports – informational. Board expenditures equaled
95.4% of its budget.
7. Dental Records – RSA 317-A:27-a requires dentists to keep patient
records at least 7 years from the time they last treated the patient - in
the case of a minor patient, for at least 7 years beyond the age of majority.
The Board discussed how dental “records” should be defined. The
Board will determine how other states define records and will discuss the
issue with the Dental Society. This topic will be readdressed next month.
8. Emergency Management – The Board has been asked by the Bureau of
Emergency Management to designate someone to participate in an advisory group.
The Board designated its executive secretary to attend the inaugural meeting
on August 17, 2005
9. Physician Health Program – This program is funded by a portion of
physician licensure fees as well as a contribution from the New Hampshire
Dental Society. The Dental Society is requesting the Board’s support
for funding dental participation in this program from dental licensure fees.
The Society does not want to pay the cost of non-dental society members to
participate. The Board agrees with the Dental Society that the Society should
not pay for participation by non-members. However, the Board believes it is
more appropriate that non-society members should pay for their own participation.
This enhances personal responsibility which the Board believes is probably
essential to recovery from addiction. The Board voted against the use of licensure
fees to support dental participation in the Physicians Health Program.
10. New Board Member – Dr. Jerry Smith has been appointed to take Dr.
Steven Sewall’s place on the Board. Congratulations and welcome to Dr.
Smith.
11. Informational
a. Status of Sanctions
b. PGY Commentary
c. National Clinical Examination
1) WREB to ADHA
2) WREB to Dental Boards
3) Kentucky to AADE
d. Board Members and Assignments
e. Survey of Clinical Testing Agencies
f. Dental Society Licensure Symposium
g. Thank You to Representative Langley
QUALIFICATION AND LICENSURE
1. LOCAL ANESTHESIA PERMITS ISSUED
Amy Taylor Shannon, RDH
Stacy Stumpf, RDH
Mary Ann Vazquez, RDH
2. PUBLIC HEALTH PROGRAM SUMMARY REPORTS
The Board voted to accept the annual reports of the following public health
programs conducted under public health supervision.
Miles of Smiles in the Great North Woods
Speare Memorial Hospital School Dental Health Program
Manchester Health Department
Cheshire Smiles
3. ANESTHESIA COMMITTEE MEMBER FOR APPROVAL
The Board voted to approve the addition of Craig H. Cohen, DMD to the
Anesthesia Committee.
4. GENERAL ANESTHESIA/SEDATION PERMIT
The Board voted to approve a permit for Daniel H. DeTolla, DDS.
5. LICENSING QUESTION
The Board voted to use Meredith King’s home address as her place
of employment.
6. HYGIENE APPLICANTS LICENSED
INITIAL
JoAnne Lea Fontaine, RDH
Erica Adams, RDH
Bianca M. Weber, RDH
INACTIVE TO ACTIVE
Jennifer C. Wilber, RDH
7. DENTAL APPLICATIONS APPROVED
INITIAL
Patricia Ross Erickson, DDS
Ali Sarraf, DMD
Catherine Marie Loeser, 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
MEETING MINUTES OF September
12, 2005
The September 12, 2005 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
Charles F. Post, DMD
Neil S. Hiltunen, DMD
Gerald A. Smith, DMD
Marjorie J. Chema, DDS
Linda M. Seedner, RDH
Debra A. Albrecht, RDH
Karen Clough, Public Member
Absent: None
* The Board voted to approve the minutes of August 8, 2005 as
amended.
Debra Albrecht, RDH abstained.
PUBLIC MINUTES
Administrative
1. Statute and Rules
- 2005 – 2006 Proposals – The Board voted to submit proposed
amendments to RSA 317-A:17 II (b) and RSA-317-A:21-c II. The change to
A:17 II (b) would add commission of a misdemeanor or a crime of moral
turpitude to behavior that could result in adverse action by the Board.
The change to A:21-c II would add the administration of nitrous oxide/oxygen
minimal sedation (anxiolysis) to the duties dental hygienists will be
able to perform to facilitate their present practice of dental hygiene.
- Rule Package 2005-I – The Board voted to readdress this package
at its October 2005 meeting.
- Rule Package 2005-II – The Board reviewed an initial draft of
this rule package.
2. Jurisprudence Exam – The Board voted to approve changes to two of
the questions on the jurisprudence examination part of the license application
process.
3. Fraudulent Applications – There has been an increase incidence of
fraudulent license applications. A Board sub-committee was appointed to address
the problem. The Board reviewed the sub-committee’s recommendations
and voted to refer them to Board counsel for review.
4. ADEX Letter of Understanding – The American Board of Dental Examiners
(ADEX) sent a Membership and Examination Acceptance Agreement to the Board.
The Board, after consultation with its legal counsel, has revised the Agreement.
The Board is a member of the Northeast Regional Board of Dental Examiners
(NERB) and through the NERB will establish and be part of a national dental
clinical examination process which is intended to facilitate the movement
of dentists throughout the nation.
5. Dental Records – The Board believes that current law (RSA 317-A:27-a)
requiring dentists to retain dental records for up to 25 years is unreasonable.
Storage space is a significant problem. After a few years dental records are
very rarely sought by patients. Storage requirements become oppressive if
dental models are considered part of the record, as they are in many states.
The Board will consult with its legal counsel regarding possible Board actions.
6. Informational
- Status of Sanctions
- Board Appointments – Linda Seedner, RDH volunteered to take the
continuing education audit chairmanship when Dr. Chema leaves the Board.
- The Optimist
- AADE Hygienists Report
- CRDTS
- SRTA
- Mississippi
- ADA
- ADA Code of Ethics
- WREB
- Penn Dental – The Board will consult its legal counsel as to what,
if any, alternate documents can be substituted for dental school transcripts
in the license application process. Transcripts may not be available for
several months after graduation, while loan payments may start immediately.
- Hygienetown
- ADA/National Exam
- Gold Star
QUALIFICATION AND LICENSURE
1. LOCAL ANESTHESIA PERMITS ISSUED
Melissa Rodriguez, RDH
Deborah A. Piotrowski, RDH
2. PUBLIC HEALTH PROGRAM SUMMARY REPORTS
The Board voted to accept the annual reports of the following public health
programs conducted under public health supervision:
Monadnock Healthy Teeth
Queen City Smiles
School Smiles
Claremont Dental Initiative
3. CONSCIOUS SEDATION
- The Board reviewed the documentation of conscious sedation training submitted
by Dr. St. Germain. The Board concluded that the training and experience
of Dr. St. Germain more than met the requirements of the American Dental
Association addressed in the Board’s administrative rule, Den 304.02
(c).
- The Board voted to send a letter to the Board’s Conscious Sedation
Committee clarifying the education needed to qualify for a conscious sedation
permit in New Hampshire. Committee evaluations should not be made on practitioners
who do not qualify for a permit.
Wendy L. Falzarano, RDH
- HYGIENE APPLICANTS LICENSED
INITIAL
Erin Barrett, RDH
Rebecca DeNunzio, RDH
Michaeleen M. Cook, RDH
Myra Jean Nikitas, RDH
DENTAL APPLICATIONS APPROVED
Shobha Narasimhan, DDS
Duc Truong, 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
MEETING
MINUTES OF October 3, 2005
The October 3, 2005 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
Gerald A. Smith, DMD
Marjorie J. Chema, DDS
Linda M. Seedner, RDH
Debra A. Albrecht, RDH
Karen Clough, Public Member
Absent: Charles F. Post, DMD
* The Board voted to approve the minutes of September 12, 2005 as amended.
PUBLIC MINUTES
Administrative
1. Statute and Rules
a. Statutory Proposals
1) 2006 Legislative Session – The Board is proposing amendments
to RSA 317-A:17 II (b), A:21-c and A:27-a. The A:27-a amendment would
require dentists to keep the records of minor patients for 7 years beyond
the last date of treatment. This is the same duration required for retention
of adult records.
b. Rule Proposals
1) Rule Package 2005-I – The Board voted to go forward with the
adoption process and include the requirements that applicants for licensure
by endorsement must have passed a clinical examination given by an independent
entity approved by the Board.
2) Rule Package 2005-II – The Board voted to start the rulemaking
process.
3) Eight Year Rule Re-adoption – This process will begin on January
1, 2006. The Board’s rules are reexamined and readopted every 8
years.
4) Licensure of Specialists – Specialists applying for licensure
must have a history of passing a general dentistry clinical examination
approved by the Board. This requirement is necessary because after licensure
some specialists choose to practice general dentistry.
2. AADA Meeting – The annual meeting of the American
Association of Dental Administrators will be held on October 7 – 9.
The board will seek to determine the experience of other states regarding
the following topics:
a. Fraudulent Licensure Applications;
b. Ownership of Dental Practices;
c. Post Graduate Year Training;
d. DOCS (Conscious Sedation Course)
e. BOTOX Use;
f. National Licensure
g. Dental Assistant Registration and Continuing Education
3. Katrina Licensure – The Board voted to address
licensure related to the Katrina disaster on a case by case basis.
4. Prescription Confidentiality – Representative Cindy Rosenwald has
asked the Board to review legislation she is proposing regarding the confidentiality
of drug prescriptions. The legislation is similar to Nevada legislation. The
Board after review had no problem with the legislation. The Board will contact
the Pharmacy Board concerning this issue before replying to Representative
Rosenwald.
5. Practice Ownership – The issue of dental practice ownership is controversial.
Some states allow non-dentists to own or manage dental practices as long as
there is no interference with the practice of dentistry. In New Hampshire,
RSA 317-A:20 states that only a dentist may own, lease or manage a dental
practice. The Dental Society has expressed concern that plans are being made
regarding a New Hampshire practice that would violate the statute.
6. Informational
a. Status of Sanctions
b. Complementary Letter
c. BOTOX
d. ADEX Exam
e. Code of Ethics Changes
f. CITA
g. DANB
h. WREB
QUALIFICATION AND LICENSURE
1. PUBLIC HEALTH PROGRAM SUMMARY REPORTS
The Board voted to accept the annual reports of the following public health
program conducted under public health supervision:
Alexander Eastman Foundation School Dental Program
2. GENERAL ANESTHESIA DEEP/SEDATION PERMIT REQUEST
The Board voted to approve the permit request of Tracey M. Vest, DMD to
administer conscious sedation.
3. LICENSE ACTIVATION
The Board voted to activate the dental hygiene license of Wendy L. Falzarano,
RDH and to inform her that her continuing education will be audited at the
2007 registration.
4. HYGIENE APPLICANTS LICENSED
INITIAL
Vittoria Mamone, RDH
Myra Nikitas, RDH
Jessica Salois, RDH
Marcie Zaccardi, RDH
5. DENTAL APPLICATIONS APPROVED
INITIAL
Fereidoun Agha-Razi, DMD
Elina Fooks, DMD
Amelia Merchant Grabe, DMD
INACTIVE TO ACTIVE
Daniel, Penan, 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
NEW HAMPSHIRE BOARD OF DENTAL EXAMINERS
2 INDUSTRIAL PARK DRIVE
CONCORD, NH 03301
MEETING MINUTES OF November 7, 2005
The November 7, 2005 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
Gerald A. Smith, DMD
Marjorie J. Chema, DDS
Debra A. Albrecht, RDH
Charles F. Post, DMD
Absent: Eliot L. Paisner, DMD, Vice President
Karen Clough, Public Member
Linda M. Seedner, RDH
The Board voted to approve the minutes of October 3, 2005 as
amended.
PUBLIC MINUTES
HEARING – 4:30 p.m. – George Enescu, DDS
(Disciplinary Proceeding)
The president of the Board, Dr. Ronald J. Hrinda, DMD, commenced a public
hearing in this matter pursuant to RSA 317-A:17, RSA 317-A:18 and Dental Administrative
Rules Den 206 and Den 210. The issue addressed was Dr. George Enescu’s
failure to pay a fine as required by a Settlement Agreement between Dr. Enescu
and the Board dated February 15, 2005, in violation of RSA 317-A:17 II (j).
Hearing counsel Katherine Cooper presented two witnesses and submitted 3
exhibits. Dr. Enescu chose not to be represented by counsel, testified on
his own behalf, and submitted no exhibits.
Dr. Hrinda closed the hearing at 5:11 p.m.
Administrative
1. Statute and Rules
a. Statutory Proposals
1) Submitted by the Board – The Board is proposing amendments
to RSA 317-A:17 II (b), RSA 317-A:21 – c and RSA 317-A:27-a.
2) Submitted by the Dental Society – The Society is proposing
an amendment to RSA 317-A:4 I (e) which would provide up to $30.00 per biennium
in fees paid by dentists to be used for substance abuse programs for dentists.
The Board opposes this bill because the Board believes recovering from substance
addiction entails an acceptance of responsibility by the addicted person.
Having the recovering program paid for by other dentists dilutes personal
responsibility. Secondly, the Board believes its charge to protect the public
in matters pertaining to oral health does not encompass funding the treatment
of dentists for medical problems, including substance abuse and addiction.
a. Rule Proposals
1) Rule Package 2005-I. There will be a public hearing on these rules
before the Joint Legislative Committee on Administrative Rules on November
17, 2005.
2) Rule Package 2005-II in process.
2. Anesthesia/Sedation Evaluation Protocols – The Board
reviewed a new draft of the protocol used when evaluating the facility,
equipment, drugs and records of dentists who use general anesthesia or sedation
in outpatient settings. The Board gave preliminary approval to the draft.
It will now be sent to the evaluators for their comments prior to final
approval.
3. Statewide Sealant Program – The Board addressed questions regarding
the assessment of sealants by dental hygienists, as well as supervision and
liability issues regarding dental assistants, submitted by the Project Director
of the New Hampshire Statewide Sealant Program.
4. AADA Annual Meeting – The Board’s executive secretary presented
a summary report of the October 7-9, 2005 meeting of the American Association
of Dental Administrators. In addition to excellent presentations on “Dual
Diagnosis of Disruptive Behavior by Dentists” and “Generational
Issues” as they pertain to unprofessional conduct and Board discipline,
a wide range of topics impacting state dental boards were addressed in round
table discussions.
5. License Application/Renewal Questions – In an effort to curb a rising
incidence of fraudulent license applications, the Board with the advice of
legal counsel has drafted more comprehensive questions to be placed on license
applications. The Board reviewed and approved the new questions.
6. Advertising Survey – The Idaho Board of Dentistry did an advertising
survey in which it asked members of the public what they believed after reading
examples of dental practice advertisements. Using the results of the survey,
the Idaho Board promulgated a rule addressing advertising. The Board reviewed
the survey results and voted to obtain a copy of the resulting Idaho rule.
7. Informational
a. Status of Sanctions
b. National Exam
1) WREB – The Board voted to request from WREB the full 40 page
report evaluating the validity of the WREB examination. The Board noted
that it contains no prosthetic part. “WREB” is the Western
Regional Examining Board.
2) Nebraska
3) ADEX Memo of Understanding
c. DANB National Model
d. ADA Accreditation
e. Board Budget
f. Joseph Gage, DDS
g. Affiliated Monitors re Facility Licenses
h. Meetings 2006
i. Advanced Dental Hygiene Pratitioner
QUALIFICATION AND LICENSURE
1. PUBLIC HEALTH PROGRAM SUMMARY REPORTS
The Board voted to accept the annual report of the White Mountain Community
Health Center, Healthy Smiles.
2. LOCAL ANESTHESIA PERMITS ISSUED
Sandra Joslin, RDH
3. CONSCIOUS SEDATION PERMIT REQUESTS
The Board voted to issue permits to Austin Wang, DDS and Richard J. Spence,
DMD - #05-404
4. ANESTHESIA/SEDATION EVALUATIONS
The Board voted to approve the evaluation of the following dentists regarding
their administration of general anesthesia and sedation on an outpatient
basis:
Craig H.Cohen, DMD; Keith C. Rogerson, DMD; and John T. Bowman, DMD
Leonard L. Weldon, DMD
Barton E. McGirl, DMD
Paul E. Levy, DMD
Austin Wang, DDS
5. HYGIENE APPLICANTS LICENSED
INITIAL
Kristen Burt, RDH
Kristy Collene, RDH
Tanya Nichols, RDH
6. DENTAL APPLICATIONS APPROVED
INITIAL
Marissa Abinales Ryan, DMD
Mona Said El-Sheikh, DMD
7. LICENSE INQUIRY
The Board will inform Robert P. Levesque, DDS that he will need to take
a refresher course approved by the Board pursuant to Den 301.04(b) before
the Board will consider his application for licensure. Dr. Levesque has
not practiced in more than 3 years.
8. LICENSE ACTIVATION
The Board voted to activate the license of Dean Giftos, DDS, limiting
the license to diagnosis and treatment planning of edentulous and partially
edentulous patients.
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
MEETING MINUTES OF DECEMBER 5,
2005
The December 5, 2005 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
Gerald
A. Smith, DMD
Marjorie
J. Chema, DDS
Debra
A. Albrecht, RDH
Linda
M. Seedner, RDH
Absent: Charles F. Post,
DMD
The Board
voted to approve the minutes of November 7, 2005 as amended.
PUBLIC MINUTES
1. Statute and Rules
a. Statutory
Proposals - 2006
1) Submitted
by the Board – No bill number
2) Submitted
by the Dental Society – No bill number
3) Dental
Hygienist Independent Practice – Tabled until January 9, 2005 meeting.
b. Rule
Proposals
1)
Rule Package 2005-I – The Joint Legislative Committee on Administrative
Rules entered a preliminary objection to Final Proposal 2005-115. The
objection is based upon:
A) The
requirement that license applicants be given notice regarding the use
of their social security number; and
B) Concern
that specific authority may not exist for dental hygienists to administer
nitrous oxide.
The
Board voted to meet the objection by providing notice about the uses of social
security numbers, and by removing the proposed nitrous oxide rule until statutory
authority is obtained to allow hygienists to administer nitrous oxide.
2) Rule
Package 2005-II – In process. The Board voted to remove the definition
of “Moral Turpitude”.
2. Idaho Advertising Rules – informational.
3. Northeast Regional Board (NERB) Survey – NERB
is considering offering a local anesthesia examination to dental hygiene students
prior to their graduation. This cannot be offered in New Hampshire
because the one dental hygiene program in the state does not teach techniques
of local anesthesia. Board member Debra Albrecht, RDH will determine
whether there are plans to add local anesthesia to the curriculum.
4.Information Letter, 2006 – The
Board voted to approve the information letter which will be included in the
2006 registration materials.
5. Informational
- Status
of Sanctions
- WREB
- National Board Vacancies
- Governor and Executive Council
- AADE
- Dr. Lambrukos
QUALIFICATION AND LICENSURE
1. PUBLIC HEALTH PROGRAM SUMMARY REPORT
The Board voted to approve
Coos County Family Health Services public health summary report.
2. LOCAL ANESTHESIA PERMITS ISSUED
Stefanie Rego, RDH
Cynthia Jennings, RDH
Lisa A. Scott, RDH
Kristeen R. Perry, RDH
Juli Malfatti-Monty, RDH
Jennifer Moquin, RDH
3. ANESTHESIA/SEDATION EVALUATION
The Board voted to approve
the anesthesia/sedation evaluations of Mark G. Hochberg, DMD and Vincent P.
Corbett, Jr., DDS.
4. HYGIENE APPLICANTS LICENSED
INITIAL
Michelle Jutras, RDH
Nicole
Wheelwright, RDH
Amanda
G. Wlodyka, RDH
5. INACTIVE TO ACTIVE
Robert P. Levesque, DDS – The
Board voted to seek further information regarding the refresher course Dr.
Levesque is required to complete before his license can be activated.
6. DENTAL APPLICATIONS APPROVED
INITIAL
Sharon Elizabeth Johnson,
DMD
Nazeeh Abunasra, DMD
Robert Stephen Bates, DDS
Audrey Ann Herod, DMD
Chad Alan Borer, DDS
Elizabeth Elaine Vizentin,
DMD
Brenda Kay Jennings, DDS
Alan Francis Kennell, 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.
Raymond J. Jarvis, DMD
Executive Secretary
|
Dental
Examiners Board