NEW HAMPSHIRE BOARD OF DENTAL EXAMINERS

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NEW HAMPSHIRE BOARD OF DENTAL EXAMINERS
2 INDUSTRIAL PARK DRIVE
CONCORD, NH 03301

MEETING MINUTES OF JANUARY 9, 2006

The January 9, 2006 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
                  Debra A. Albrecht, RDH
                  Linda M. Seedner, RDH

Absent:      Charles F. Post, DMD
                 Marjorie J. Chema, DDS

            The Board voted to approve the minutes of December 5, 2005 as amended.

PUBLIC MINUTES

HEARING – 4:30 p.m. – Paul E. Kruzel, DDS

         The Board voted to grant a continuance as requested by Dr. Kruzel.  The hearing will be held at the Board’s next meeting on February 6, 2006 at 4:30 p.m.

         The Board voted to deny without prejudice a Motion To Compel Production of Information, Pursuant to Administrative Rules Den 206.07 and Jus 811.02.  The Board shall provide for the disclosure of any investigative reports or other unprivileged information in the possession of the Board which is reasonably related to the proceeding.  The motion is denied without prejudice because the motion did not identify the exact type of discovery requested as required by Den 206.07(b).  The motion requested “any and all discovery materials” and “any future materials she may receive.”

1.      Statute and Rules

         a.         Statutory Proposals - 2006

                  1)         HB 1671 – Submitted by the Board.  A House hearing is scheduled on February 2, 2006

                  2)         HB 1715 – submitted by the Dental Society.  This bill addresses the funding of dentist participation in the Physician Health Program.  A hearing is scheduled on February 2, 2006.

                  3)         HB 114 – Supported by the Dental Hygienists’ Association.  A hearing was held on January 5, 2006.  It was referred to a subcommittee which will meet on January 24, at 9:00 a.m.

                  4)         SB 317-FN – This bill would establish a complaint screening and appeals board for all regulatory boards.  A hearing is scheduled for January 25, 2006.

         b.         Rule Proposals

                  1)         Rule Package 2005 I – The Board has replied to a preliminary objection to the final proposal.  The objection concerns the use of social security numbers.

                  2)         Rule Package 2005 II – A public hearing was commenced at 4:30 p.m. by Board president Ronald J. Hrinda, DMD.  The Board’s executive secretary verbally reviewed the rules being amended, adopted and deleted.  No verbal or written testimony was received from the public.  Dr. Hrinda concluded the hearing at 4:50 p.m.

                  3)         The New Hampshire Dental Hygienists’ Association proposed several rule changes, one of which is to require all hygienists to adhere to the American Dental Hygienists’ code of Ethics.  The Board voted to refer this topic to its legal counsel for review and advice.

2.         Resolution on Licensing (informational) – On November 10, 2005 the Executive Committee of the New Hampshire Dental Society passed a resolution stating “The New Hampshire Dental Society supports the requirement that candidates for licensure to practice dentistry in the state of New Hampshire must have completed an independent third party clinical examination.”

3.      Public Health/Licensure Symposium (informational) – This symposium was held on December 9, 2005.  The Board put forth two positions:

         a.      A national, uniform, independent 3rd party clinical examination will improve the mobility of dentists throughout the country.

         b.      Post graduate year residency programs are designed to be an educational tool not an evaluation tool.

4.      ADEX Representative – The Board voted to appoint Neil S. Hiltunen, DMD to be the Board’s representative to the American Board of Dental Examiners (ADEX) House of Representatives.

5.      Late Registrations – The Board voted to give its office staff permission to register and license late registrants after the registrants submit their late fees.

6.      Local Anesthesia – The Board voted to promulgate a rule that would allow dental hygiene students, after they have passed a local anesthesia course in their school of dental hygiene, to administer local anesthesia on the day they take their clinical licensing hygiene examination.

7.         Informational

         a.         Status of Sanctions
         b.         Biennial Report
         c.         Semi-annual Project Report
         d.         AADE
                  1)         2006 Mid Year Meeting
                  2)         Liaisons to AADE
         e.         ADA
                  1)         Survey of Legal Provisions
                  2)         Public Member Nomination
                  3)         Examiner’s Forum
                  4)         Well – Being Directory
                  5)         Accreditation Standards
         f.         Data Bank

QUALIFICATION AND LICENSURE

1.      PUBLIC HEALTH PROGRAM EXPANSION

         Avis Goodwin Community Health Center (informational)

2.      PUBLIC HEALTH PROGRAM SUMMARY REPORT

         The Board voted to accept The Rock Dental Clinic’s summary report for the school year 2004 – 2005.

3.      LOCAL ANESTHESIA PERMITS ISSUED

         Kim Flessas, RDH
         Donna Bolduc, RDH
         Crystal Buswell, RDH
         Patricia A. Gibowicz, RDH
         Deborah Shea, RDH
         Julie A. Friere-Spinney, RDH
         Leslie A. Bernier, RDH
         Lissa Merrill, RDH

4.      HYGIENE APPLICANTS LICENSED

         INITIAL

         Kristiana Johnston, RDH

5.      DENTAL APPLICATIONS APPROVED

         Aman Ullah Syed, DDS
         Karl Johan Smith, DDS
         Martin Leo Chaput, DDS
         Usman Sibtain Fazli, DMD
         Nomith Thula Ramdev, DMD
         Terrill Lynn Brown, DDS
         Nancy Eun Joo Jun, DDS
         Minjung Yoon, DMD
         Xin Jenny Wang, 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 February 6, 2006

The February 6, 2006 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
Charles F. Post, DMD
Karen Clough, Public Member
Neil S. Hiltunen, DMD
Gerald A. Smith, DMD
Marjorie J. Chema, DDS

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

The Board voted to approve the minutes of January 9, 2006 as amended.

PUBLIC MINUTES

HEARING – 4:30 p.m. – Paul E. Kruzel, DDS

The Board voted a third continuance as requested by Dr. Kruzel. The hearing will be held at the Board’s meeting on April 3, 2006 at 4:30 p.m.

1. Statute and Rules

a. Statutory Proposals - 2006

1) HB 1671 – Requested by the Board. This bill was heard by the Executive Departments and Administrative (ED & A) committee on January 31, 2006. It will be addressed again by the ED & A Committee on February 7, 2006. This bill is about professional misconduct, the use of nitrous oxide sedation and the retention of dental records by dentists.

2) HB 1715 – Requested by the Dental Society. This bill addresses the funding of dental involvement in the Physicians Health Program. This is a substance abuse program.

3) HB 1144 – Requested by representative Mirsky. This bill would allow dental hygienists to engage in independent practice. On February 1, 2006 this bill was voted inexpedient to legislate (ITL).

4) HB 1670 – Requested by Chair, ED & A. This bill would expand the larger professional boards by two members. The purpose is to ensure a quorum for meetings. The Dental Board would be increased by a public member and a dentist, enlarging the Board to 11 members. The Dental Hygiene Association submitted an amendment to substitute a hygienist for a dentist to make a total of 5 hygienists and public members. The Board apposed this bill testifying:

a) The Board has for at least 14 years always had a quorum for its meetings, so it does not need the extra members. In addition, extra members will entail additional costs.

b) The Board receives about 50 written complaints per year. In the last two years only one or two complaints out of 100 have been about dental hygienists. It would not be appropriate for sanctions against dentists to be determined by a board composed of mostly non-dentists. This could occur if dentists are acting as dental examiners in other states for the Northeast Regional Board of Dental Examiners.

b. Rule Proposals

1) Rule Package 2005 – I – The Board will consider these rules for final adoption at its March 6, 2006 meeting.

2) Rule Package 2005 – II – The Board held a public hearing on this package of rules last month.

2. Licensee Database - Construction of the Board’s new database began approximately 6 months ago. The licensing portion of the database was put into operation on January 17, 2006. Once all pertinent information is added to the new database, work will begin on the complaint tracking and sanction portions.

3. Biennial Registration – The registration materials were mailed on February 6, 2006.

4. Physicians Health Program (PHP) – The Board voted to ask the PHP director to come to the Board’s March 6, 2006 meeting to discuss the program.

5. Informational

a. Status of Sanctions

b. Advertising

c. Practice Ownership – The Board requested more recent articles on this topic.

d. ADA

1) Resolutions

2) Licensure

e. NERB

1) Spring Assembly

2) Special Meeting

3) Nitrous Exam – The Board voted to determine the need for a nitrous exam on a case-by-case basis.

f. SRTA

g. DANB

h. Testing Council

QUALIFICATION AND LICENSURE

1. LOCAL ANESTHESIA PERMITS ISSUED

Kathleen Stimmler, RDH
Bianca Weber, RDH

2. GENERAL ANESTHESIA DEEP/SEDATION PERMIT APPROVED

The Board voted to issue a general anesthesia/sedation permit to Nazeeb Abunasra, DMD.

3. ANESTHESIA/SEDATION EVALUATION

The Board voted to approve the anesthesia/sedation evaluation of Charles Henry, DDS.

4. TEMPORARY LICENSURE

The Board voted to promulgate a rule specifying the documentation needed to issue a temporary dental license pursuant to Den 301.03.

5. HYGIENE APPLICANTS LICENSED

INITIAL

Murphy Jeffin, RDH
Louise E. Lauro, RDH
Carol A. Vadenais, RDH
Claudia D. Connolly-Watson, RDH
Jeannie A. Gendron, RDH
Nora D. Litzelman, RDH

6. HYGIENE APPLICATION FOR APPROVED

The Board voted to approve the license application of Annie (Anne) McCarthy (Karr) when she indicates in writing to the Board which name she wants on her license as her professional name.

7. DENTAL APPLICATIONS APPROVED

Robert Levesque, DDS
Paras, M. Gosalia, DDS
Minjung Yoon, DMD
Xin Jenny Wang, DMD
Eyad Salloum, DMD
Genrich Shvarts AKA Henry Schwartz, 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 March 6, 2006

The February 6, 2006 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
Charles F. Post, DMD
Karen Clough, Public Member
Neil S. Hiltunen, DMD
Gerald A. Smith, DMD
Marjorie J. Chema, DDS
Absent: Eliot L. Paisner, DMD, Vice President
Linda M. Seedner, RDH
Debra A. Albrecht, RDH

The Board voted to approve the minutes of February 6, 2006 as amended.

PUBLIC MINUTES

New Hampshire Professional Health Program (PHP) – Sally Garhart, MD

Dr. Sally Garhart spoke to the Board about the PHP. Dr. Garhart conducts the program which connects physicians and dentists with various treatment programs. Program durations are 5 years for substance abuse and/or mental health issues, and 2 years for behavioral issues. The programs have a much higher success rate with licensed professionals than with the general population, 80% vs 20%, although the percentage of the population with the problems is the same – 10%. Practitioners with behavioral problems are the most difficult to treat. Presuming passage of HB 1715 in this legislative session, dentist and dental hygienists participation in the PHP will be partially funded by fees collected by the Board.

1. Statute and Rules

a. Statutory Proposals, 2006

1) HB 1671 – Requested by the Board. This bill is about professional misconduct, the use of nitrous oxide sedation and the retention of dental records by dentists. It has been referred from the House to the Senate with an amendment to the section about the retention of dental records. The Board at this meeting voted to ask the Senate committee which addresses the bill to remove the dental records section if the original Board proposal is not acceptable.

2) HB 1715 – Requested by the Dental Society. This bill addresses the funding of dental involvement in the Professional Health Program (PHP).

3. HB 713 – Restricts the use of social security numbers. The Board voted to determine whether this bill affects the Board. The use of the social security number by the Board appears to have been established before 1975, which would exempt the Board from the bill’s requirements. In addition, the Board voted to further investigate the services of the Professional Background Information Services (PBIS). In the event the Board can not fulfill the requirements of RSA 317-A:8 II (making a fully informed decision before licensing an applicant for a dental license) because of the passage of HB 713, the Board may have to require applicants to pay for a PBIS report to the Board.

4) SB 317 – This bill would create a screening board and an appeals board to decide which complaints the Board may see, and if sanctions result, whether to negate the sanctions. The appeals board would be composed of public members with little or no knowledge of dentistry, or the history and appropriateness of sanctions.

5) HB 1670 – This bill would expand the Board by two members to ensure a quorum at Board meetings. The Board has not been short a quorum in at least 15 years. This bill has been voted inexpedient to legislate.

b. Rule Proposals

1) Rule Package 2005-I (2005-115). The Board voted to adopt this rule package, pursuant to RSA 541-A.

2) Rule Package 2005-II (2005-223). The Board held a public hearing on these rules in January. The Board will review a draft of a final proposal at its April meeting prior to returning the proposal to the Office of Legislative Services.

2. AG Training for Board Members – Dr. Hiltunen and Dr. Smith will be taking this training. This year’s training is about the basics of conducting hearings and doing investigations.

3. Professional Background Information Service (PBIS) – The Board voted to look into this and, if available, other investigative services as possible resources to become fully informed regarding the competence and character of applicants for licensure.

4. “Outpatients” and Anesthesia/Sedation – The Board voted to amend Den 304.02(a) by deleting “on an outpatient basis” after concurrence of legal council. The Board will consult with its Anesthesia/Sedation Evaluation committee regarding hospital facilities used in the treatment of dental patients and the need, if any, to evaluate emergency response capabilities.

5. Supervision Question – Tabled. The Board voted to seek legal advice.

6. Clinical Program – A Salem, Oregon foundation inquired as to whether participants in its clinical program to be held at the New Hampshire Technical Institute would need to have a New Hampshire dental license. The Board voted to inform the foundation that participants must have a New Hampshire dental license. If necessary, a temporary license could be obtained by qualified applicants pursuant to Den 301.03(a).

7. CITA Recognition – The Council of Interstate Testing Agencies (CITA) has asked the Board to recognize CITA’s licensure examination as satisfying New Hampshire’s examination requirements. The Board will explain New Hampshire examination requirements to CITA.

8. Informational

a. Status of Sanctions

b. AADE Composite

c. TECH Continuing Education

d. ADEX

1) First Annual Meeting

2) Dental Hygiene

e. “Grills” – Grills are considered dental “jewelry” and are placed over front teeth. The Board will defer addressing the issue as to whether the fabrication of “grills” is the practice of dentistry.

f. Amalgam – The Board voted to table this topic and address it in May. In the meantime, the Board will revise the pamphlet about dental materials with the Dental Society and the Department of Health and Human Services. The pamphlet is to be prominently displayed or given to patients by all New Hampshire dentists, pursuant to RSA 317-A:38. Dentists must discuss the choices of dental materials prior to their use.

g. Medical Board Newsletter

QUALIFICATION AND LICENSURE

1. PUBLIC HEALTH SUPERVISION PROGRAM APPROVAL

The Board voted to approve the “Health First Family Care Center” dental program to be conducted by hygienists working under public health supervision.

2. HYGIENE APPLICATION

The board voted to have Meghan T. Simard, RDS meet the standard New Hampshire requirements for licensure by examination.

3. HYGIENE APPLICANTS LICENSED

INITIAL

Laura Pargas, RDH
Kelly Mae Blake, RDH
Brenda S. Brown, RDH

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 April 3, 2006

The April 3, 2006 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
                  Linda M. Seedner, RDH
                  Neil S. Hiltunen, DMD
                  Gerald A. Smith, DMD

Absent:       Karen Clough, Public Member
                  Marjorie J. Chema, DDS
                  Debra A. Albrecht, RDH

The Board voted to approve the minutes of March 6, 2006 as amended.

PUBLIC MINUTES

1.      Statute and Rules

         a.         Statutory Proposals, 2006

                  1)         HB 1671 – Requested by the Board.  This bill is to be heard by the Senate on April 5, 2006.  It addresses professional misconduct, the use of nitrous oxide sedation and the retention of records by dentists.

                  2)         HB 1715 – Requested by the Dental Society.  This bill addresses the funding of participation in the Professional Health Program by dentists and dental hygienists.

                  3)         HB 713 – Restricts the use of social security numbers by professional boards.

                  4)         SB 317 – This bill would create a screening board appointed by a dental society and an appeals board of lay people to decide which complaints the Board may address, and if sanctions result, whether to nullify the sanctions.  A public hearing will be held on April 11, 2006.

                  5)         HB 1670 – This bill would expand boards by two member to ensure a quorum at board meetings.  The Dental Board has not been without a quorum in at least 14 years.

         b.         Rule Proposals

                  1)         Rule Package 2005 – II (2005-113).  The Board voted to approve a final rule proposal for filing with the Office of Legislative Services.

                  2)         Re-adoption of Board Rules – Agency Administrative Rules must be readopted every 8 years.  The Board’s rules will be readopted in 2006.

2.      Dental Restorative Materials – Dentists are required by RSA 317-A:38 to discuss with their patients the risks and benefits of dental materials prior to their use.  Dentists are also required to present a pamphlet, developed by the Board, to their patients addressing the same topic.  The Board will be sending a letter to all dentists with an active New Hampshire dental license reminding them of the above requirements.  The Board will also solicit suggestions to improve the current pamphlet and will be updating the pamplet to reflect current science.

3.         Microdermabrasion – The Board does not allow microdermabrasion in dental offices because it considers such treatment to be beyond the scope of practice.

4.      Electrical Systems – The Board voted not to invite the state’s chief electrical inspector to appear before the Board to discuss dental office electrical systems.  The Board believes dentists should consult with their local electrical code enforcement inspectors regarding electrical matters.

5.      Active Dental Registration Fee – In response to a license request, the Board voted to not make an exception to its registration fee policy.

6.         Supervision – In answer to a question, a hygienist working under general supervision must contact the supervising dentist for permission to x-ray an apparently abscessed tooth.

7         Informational

         a.         Status of Sanctions
         b.         WREB
                  1)         President’s Corner
                  2)         Compensatory vs Conjunctive

         c.      Ambulatory Surgical Facilities (NH Rules) – The Board is considering amending its rule addressing these facilities.
         d.         Endodontic Difficulty
         e.         Testing Arrangements
         f.         Biennial Registration
         g.         ADEX Meeting
         h.         American Student Dental Association

QUALIFICATION AND LICENSURE

1.         CONTINUING EDUCATION EXTENSION

         The Board voted to grant a 3 month extension to Mark DiBona, DDS to complete his required continuing education.

2.         SPECIALTY DOCUMENTATION

         The Board voted to request specialty documentation from Fred W. Salvatoriello, 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 May 1, 2006

The April 3, 2006 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
Linda M. Seedner, RDH
Neil S. Hiltunen, DMD
Gerald A. Smith, DMD

Absent: Karen Clough, Public Member
Marjorie J. Chema, DDS
Debra A. Albrecht, RDH

The Board voted to approve the minutes of April 3, 2006 as amended.

PUBLIC MINUTES

1.      Statute and Rules

         a.         Statutory Proposals, 2006

                  1)         HB 1671 – Proposed by the Board, this bill passed. It takes effect on January 1, 2007. It addresses professional misconduct, the use of nitrous oxide sedation by hygienists and the retention of records by dentists.

                 2)        HB 1715 – Proposed by the Dental Society, this bill passed.  It concerns the funding of a professional assistance program for dentists and will take effect on May 23, 2006.

                 3)       HB 713 – This bill has been referred for interim study.  The bill restricts the use of social security numbers. 

                 4)       SB 317 – This bill would have created a screening board and an appeals board for each state board. It was voted inexpedient to legislate.

                 5)       HB 1670 – This bill would have expanded all state boards. It was voted inexpedient to legislate.

         b.        Statutory Proposals 2007 – The Board reviewed an initial draft of possible amendments to the Dental Practice Act (RSA 317-A).

         c.        Rule Proposals

                 1)       Rule Package 2005-II – The final proposal has been filed with the Office of Legislative Services.

                 2)       Rule Package 2006-I – This and the 8 year re-adoption of all the dental administrative rules will be done together. An initial draft will be considered by the Board in June or July of 2006.

2.      Lip Contour – A dentist asked if he could address the problem of deficiencies in the lips secondary to connective tissue loss. The Board voted to inform the dentist that RSA 317-A:20 states that dentists diagnose and treat "deficiencies of the human oral cavity, teeth, gums, maxilla or mandible or adjacent associated structures", e.g. lips.

3.      Restorative Pamphlet – The Board is updating the pamphlet explaining the risks and benefits of dental materials. The pamphlet is required by RSA 317-A:37.

4.      Allcare – The Board voted to inform this company that the Board does not review or endorse products.

5.      Non-Dental Ownership – The Board voted to seek information from other states, as well as the American Dental Association, regarding the ownership of dental practices by non-dentists.

6.      Patient Airway Management – The Board voted to ask the co-chairs of it’s Anesthesia and Sedation Evaluation Committee their opinions regarding the substitution of Advanced Cardiac Life Support (ACLS) training for clinical experience in management of a compromised airway.

7.      Ambulatory Surgical Facilities – The Board voted to also ask the co-chairs what facilities need to be evaluated by the Board’s Anesthesia and Sedation committee.

8.      Informational

         a.         CITA
         b.         Chief Complaint
         c.         ADEX
         d.         DOCS
         e.         ADA
         f.         Biennial Registration
         g.         Amalgam
         h.         Joint Replacement

QUALIFICATION AND LICENSURE

1.      NAME CLARIFICATION (FYI)

Eyad Almahayni, DMD

2.      WAIVER OF ACTIVE STATUS RULE

This waiver is not necessary because David C. Rupp, DDS practiced in the military in the last biennium.

3.      60 DAY CEU EXTENSION

The Board voted to grant a 60 day CEU extension to James W. Brown, DMD. The late fee is still applicable and Dr. Brown’s name will be added to the 2008 CEU audit.

4.      LATE FINE

The Board voted not to approve a waiver of the late registration fee requested by Robert G. Maxwell, DDS.

5.      LOCAL ANESTHESIA PERMIT ISSUED

Linda Ann Thibodeau, RDH

6.      HYGIENE APPLICANTS LICENSED

INITIAL

Gayle Harris, RDH

7.      DENTAL APPLICATIONS FOR APPROVAL

INITIAL

Jay Robert Afrow, DMD
Marcy S. Borofsky, DDS
Kurt Baker Fleckenstein, DDS
Andrew William Rutter, DDS
Margo Yellin Woll, DDS
Allena Burge, 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 June 5, 2006

The June 5, 2006 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
                  Linda M. Seedner, RDH
                  Gerald A. Smith, DMD
                  Marjorie J. Chema, DDS
                  Karen Clough, Public Member
                  Neil S. Hiltunen, DMD

Absent:       Debra A. Albrecht, RDH

The Board voted to approve the minutes of May 1, 2006 as amended.

PUBLIC MINUTES

1.      Statute and Rules

         a.         Statutory Proposals, 2006

                  1)         2006 – HB 1715 proposed by the Dental Society took effect on May 23, 2006.  The bill authorizes the Board to add up to $30.00 to the registration fee for dentists to help fund the professional assistance program for dentists and dental hygienists.  The Board voted to begin adding $30.00 as authorized.

                  2)         2007 – The Board reviewed possible amendments to the Dental Practice Act (RSA 317-A) in the 2007 legislative session.  This topic will be addressed again at the Board’s next meeting.

         b.         Rule Proposals

                  1)         Rule Package 2005-II – in process.

                  2)         Rule Package 2006-I – The Board reviewed possible amendments to the administrative rules addressing temporary licensure, local anesthesia, minimal sedation, continuing education, billing statements and the reporting of sanctions, among other topics.

                  3)         8 Year Re-adoption – Board rules must be readopted every 8 years.  Rule package 2006-I will be incorporated into the re-adoption process.

2.      Scope of Practice – The Board voted to table this matter until it determines the American Dental Association’s position on the scope of practice of the specialty of endodontics.

3.         Restorative Pamphlet – RSA 317-A:38 requires the Board to develop a standardized pamphlet explaining the risks and benefits of dental materials.  This was done in 2004.  The Board is updating the pamphlet to reflect current science and soliciting input from practicing dentists in New Hampshire as well as the New Hampshire Dental Society and the Department of Health and Human Services.  The Board will revisit this topic in 2 months.

4.      Use of Conscious Sedation – The Board is evaluating training protocols to determine which meet American Dental Association guidelines for training in conscious sedation.

5.      Criminal Background Checks (CBC) – The Board voted to determine which states require criminal background checks on dentists before licensure.  The Board will also consult with other New Hampshire professional boards who use CBC’s to determine their experiences regarding benefits and costs, before deciding whether it would be appropriate to require CBC’s on dentists applying for initial licensure.

6.      Biennial Licensure – The Board discussed biennial licensure with Dr. Steven Ura, the president of the Dental Society.  The Board mails registration materials at least 6 weeks before the final date for biennial registration.  Nonetheless, a third of New Hampshire dentists either wait until the last few days or are late to register, creating problems for the Board’s staff and potential legal problems for the dentists.  This is an issue for dental boards in many states.  The Board will seek the input of other states regarding their registration protocols.  In the meantime the Board is considering the following:

         a.      End the registration period 15 days prior to the expiration of dental licensure.

         b.      Double the registration fee for late registration.  This is done by the New Hampshire Medical Board.

7.      Board Meetings – The Board voted to begin its monthly meeting at 3:00 p.m. rather than 4:00 p.m.

8.         Informational

         a.         Board Officers and Committees
         b.         AG’s Office (W. Arnold) – New Rules
         c.         AADE
                  1)         Meeting
                  2)         Editorial
                  3)         AADE Third Vice President
         d.         NERB
         e.         WREB
         f.         SRTA
         g.         Data Bank

QUALIFICATION AND LICENSURE

1.      ANESTHESIA/SEDATION PERMIT APPROVED

         Dennis Hannon, DDS

2.      LOCAL ANESTHESIA PERMITS ISSUED

         Betsy R. Herlihy, RDH
         Doreen B. Joyal, RDH
         Jean F. Josler, RDH

3.      LATE REGISTRATION

         The Board voted not to waive the late registration fee for John J. Casey, DMD.

4.     DENTAL APPLICATIONS APPROVED

         INITIAL

         Keerthi Kumar Miryala, DMD
         George D. Gostling, DDS
         Jebediah Shepard Christy, DDS
         Katherine Renee Churchill, DMD
         Wayne Gerard Sterba, DDS
         Shariq Baqai, DDS
         George Cristian Solanek, DDS
         Lucas C. Homicz, DDS
         Mani Alikani, DMD
         Deepak V. Shinde, DMD
         Rachel Leigh Forbes, DMD
         Charles M. Zatzkin, DDS

5.      OUT OF STATE PENDING MATTERS

         The Board voted to require initial applicants for licensure to inform the Board whether they have any pending proceedings against them in other jurisdictions as well as any previous sanctions.

6.         __________________ REFUSAL

         The Board voted to ask its legal counsel whether the Board can subpoena the information necessary to license a dentist with an active license in Illinois.  Illinois refuses to advise the board as to whether there are pending proceedings against Illinois licensees seeking licensure in New Hampshire.

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 July 10, 2006

The July 10, 2006 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
                  Charles F. Post, DMD
                  Linda M. Seedner, RDH
                  Marjorie J. Chema, DDS
                  Karen Clough, Public Member
                  Neil S. Hiltunen, DMD

Absent:       Debra A. Albrecht, RDH
                  Gerald A. Smith, DMD

The Board voted to approve the minutes of June 5, 2006 as amended.

HEARING – 6:25 – GEORGE ENESCU, DDS
(Adjudicatory Proceeding)

         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 Rules Den 206 and Den 210.  The hearing was scheduled for 5:00 pm.  Dr. Enescu did not appear until 6:20 pm.  The allegations addressed included among others Dr. Enescu’s failure to follow a Settlement Agreement he signed with the Board on February 12, 2005, that he operated x-ray machines in his office since 1993 without registering the machines as required by state law and without posting the required warnings in his office, and that he continued to practice after his license was suspended on April 1, 2006.  The allegations if true would violate RSA 317-A:17, II (i) and (j), RSA 317-A:20, RSA 317-A:27-a, He-P 401, He-P4040, and He-P 4019-22.

         Hearing counsel, attorney Katherine Cooper, presented 2 witnesses and submitted 5 exhibits.  Dr. Enescu testified on his own behalf and submitted no exhibits.

         Dr. Hrinda closed the hearing at 7:27 pm.

1.      Statute and Rules

         a.         Statutory Proposals

                  1)         2007 – The Board reviewed and approved possible amendments to the Dental Practice Act (RSA 317-A).  This was a preliminary draft and will be shared with the New Hampshire Dental Society and Dental Hygienist Association for their comments.  The amendments primarily address the licensure process.

         b.         Rule Proposals

                  1)         Rule Package 2005-II (2005-233).  The Joint Legislative Committee on Administrative Rules voted to approve these rules on June 16, 2006.  The Board voted to adopt.

                  2)         Rule Package 2006-I.  These amendments will be incorporated into the 8 year re-adoption of all dental rules.

2.      Council of Interstate Testing Agency (CITA).  The Board is a member of the Northeast Regional Board (NERB).  The Board accepts the results of clinical tests administered by other testing agencies, such as CITA, if the tests are comparable to the tests given by NERB and a score of at least 75% is achieved on each test part.  Candidates must also pass the NERB DSCE or comparable case based examination with a score of 75% or higher  The Board is not a member of other regional or state testing entities.  It does recognize and accept tests under the above conditions, and in that sense are participating states.

3.         Endodontic Scope of Practice – The scope of practice of dental specialties is a recurrent issue.  A question has been posed to the Board regarding the scope of endodontic practice.  The Board voted to seek further information from the New Hampshire Endodontic Association and the dentist who submitted the question, given the American Dental Association definition of endodontics.

4.      Board Officers

         a.      Board member Debra Albrecht, RDH has resigned from the Board.  Ms. Albrecht has been a Board member since July 26, 2003.  In addition to being a member of the Board’s Committee on Statutory Changes, she was a Board representative to the Northeast Regional Board Steering committee.  Ms. Albrecht was always well prepared and insightful when addressing Board issues.  The Board regrets her resignation and will miss her greatly.

         b.      The Board approved membership changes to its four committees in advance of losing two further Board members next month due to term expiration.

         c.      Pursuant to RSA 317-A:4 II, the Board voted to re-appoint Ronald J. Hrinda, DMD as President and Eliot L. Paisner, DMD as Vice President.

5.      Initial Licensure – The Board has been unable to obtain from some states information as to whether dentists licensed in those states have pending disciplinary matters.  They claim they cannot release the information because it is private.  This allows dentists to license in New Hampshire before disciplinary proceedings elsewhere are complete.  New Hampshire then has to spend considerable time and money to address the problem.

         The Board voted to consult with its legal counsel regarding this issue.

6.      The Board voted to form an ad hoc committee to address the issue of adequate training in conscious sedation.

7.         Informational

         a.         Semi-annual Project Update
         b.      ADA re Licensure Information – The Board voted to write to all dental school deans in the United States and Canada to clarify which examinations for dental licensure are accepted in New Hampshire.
         c.         NERB re Consultant Members
         d.         WREB
         e.         Lebanon Detnist
         f.         Nose
         g.         Voluntary Surrender
         h.         Restorative Pamphlet Progress Report

QUALIFICATION AND LICENSURE

1.      PUBLIC HEALTH SUMMARY REPORTS

         The Board voted to accept the public health summary reports of the Spear Dental Program (Plymouth) and the Lamprey Health Care School Based Dental Program (Raymond)

2.      LATE REGISTRATION

         The Board voted not to waive the late registration fee for Robert L. Tatro, Jr, DMD

3.      LOCAL ANESTHESIA PERMITS ISSUED

         Jacklyn Aimee Dockx, RDH Vanessa VanDerHeyden, RDH
         Adria Lynn Pritchard, RDH Carmela White, RDH
         Suzan M Denn, RDH
         Elizabeth Duggan, RDH

4.         REQUEST FOR LICENSURE

         The Board voted to approve the license application of Bridget Elise Eaton, RDH.

5.         HYGIENE APPLICANTS LICENSED

         INITIAL
         Lisa Marie Cochran, RDH Jennifer Marie Campion, RDH
         Elizabeth Ann Duggan, RDH Jodi Lynn Warnock, RDH
         Eileen Theresa Devlin, RDH Robbie Whitcomb Wilcox, RDH
         Sue Alice Higgins, RDH         Lisa Marie Tranni, RDH
         Susan Marie Keough, RDH Heather Michelle Michaud, RDH
         Meg Anne Perullo, RDH Donna Marie Marquis, RDH
         Cheri Ann Tabor, RDH         Bernadette Kozak, RDH
         Lorraine Marie Pacheco, RDH Mary Frances Parker, RDH
         Alanna Jeanne Milone, RDH Jennifer Anne Kelly, RDH
         Bethany Page Lovell, RDH Laurie Ann Hebert, RDH
         Angela Ann Gagnon, RDH Joy Lorraine Lord, RDH
         Stacie Lynn Livingston, RDH Kristy Mills Collins, RDH
         Su-Anne Marie Boisvert, RDH Michelle Mary Johnston, RDH
         Cheryl Lee Watkins, RDH Leah Marie Lavoie, RDH
         Lisa Ann Fortier, RDH        
         Laura Ashley Buswell, RDH
         Amy Karin Koukkan, RDH Tracy Lynn Davignon, RDH
         Brianne Lee Trudeou, RDH Cheryl Renee Costello, RDH
         Sukanya Tadepalli , RDH Michelle Tanya Burke, RDH
         Carrie Elizabeth Gravilla, RDH

6         DENTAL APPLICATIONS APPROVED

         INITIAL

         Joel B. Alper, DMD
         David H. Nguyen, DMD
         Charles M. Zatzkin, DDS
         Mukunda N. Dogjparthi, DMD
         Chad Joseph Gretzula, DMD
         David Robert Steuer, DMD
         George Martin Fenzell, DMD
         Anna Ganopolsky, DMD
         Lili Tayari, DMD
         Erik F. Reitter, DDS
         Shariq Baqai, DDS
         Sakihi M. T. Kesavan, 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


NEW HAMPSHIRE BOARD OF DENTAL EXAMINERS
2 INDUSTRIAL PARK DRIVE
CONCORD, NH 03301

MEETING MINUTES OF August 7, 2006

The August 7, 2006 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
                  Charles F. Post, DMD
                  Linda M. Seedner, RDH
                  Marjorie J. Chema, DDS
                  Karen Clough, Public Member
                  Neil S. Hiltunen, DMD
                  Gerald A. Smith, DMD

Absent:          None

The Board voted to approve the minutes of July 10, 2006 as amended.

PUBLIC MINUTES

1.      Statute and Rules

         a.         Statutory Proposals, 2007

                  1)         The Board tentatively approved adding to its 2007 proposed statutory amendments a statement similar to the following after consulting with its legal counsel.  “A person’s right to maintain an active license to practice dentistry or dental hygiene shall not be affected by any absence from active practice in New Hampshire while serving on active duty in the armed forces of the United States.

         b.         Rule Proposals

                  1)         Rule Package 2006-I – The Board is ready to begin the rule making process.

                  2)         8 Year Re-adoption – The Board is ready to begin the re-adoption process.

         c.         Public Health Supervision Form – The Board voted to amend this form.

2.      Biennial Registration Forms – The Board reviewed and approved changes to the forms.

3.      Academy of General Dentistry – The Board voted to accept AGD transcripts designed for New Hampshire as acceptable documentation of continuing education.

4.      Dog Placement – The Board was asked by a dentist to approve his proposed conditions for keeping a dog in his dental office.  The Board voted to inform the dentist that the dog is not to be in the dental treatment areas nor in any other manner compromise the public’s welfare.

5.      Meeting Dates, 2007 – The Board voted to approve a proposed schedule of monthly meetings in 2007.

6.         Restorative Materials Pamphlet – This pamphlet is being revised.  The Board ad hoc committee revising the pamphlet will present a report at the October meeting.

7.      Departing Board members Marjorie J. Chema, DDS, Karen Clough (Public Member), and Debra Albrecht, RDH received a letter of commendation from Governor John Lynch and a certificate of meritorious service from the Board.  The Board wishes to publicly thank its departing members.  Their knowledge, wisdom and dedication to the public’s welfare greatly enhanced the effectiveness of the Board.

8.         Informational

         a.         Board Annual Report
         b.         Elective Cosmetic Surgery (North Carolina)
         c.         Conscious Sedation – This topic will be addressed by an ad hoc Board committee.
*       d.         Practice Ownership – The Board voted not to re-address this issue at this time.
         e.         Louisiana – Regarding dentists affected by Katrina
         f.         CITA – A regional examining board
         g.         ADEX – Another regional examining board
         h.         DANB – Regarding dental assistants
         i.         National Dental Association

*       Dr. Hrinda Dissented

QUALIFICATION AND LICENSURE

1.      PUBLIC HEALTH SUMMARY REPORTS

         The Board voted to accept the public health summary reports of Cheshire Smiles and the Alexander Eastman Foundation.

2.      LOCAL ANESTHESIA PERMITS ISSUED

         Bernadette Kozak, RDH
         Cherie Eastman, RDH
         Cynthia Kingston, RDH
         Beverly Chase, RDH

3.      ANESTHESIA/SEDATION PERMITS APPROVED

         The Board voted to issue a conscious sedation permit to Kurt B. Fleckenstein, DDS.

         The Board voted to issue a permit to administer general anesthesia, deep sedation and conscious sedation to Erick Reitter, DDS.

4.      LAPSED LICENSES

         The Board voted to reinstate the lapsed, inactive license of:

         Joseph R. Cwikla, DMD
         Steven E. Morrow, DDS
         Andrea Iasillo, RDH

5.      HYGIENE APPLICANTS LICENSED

         Amanda Rose Jones, RDH
         Janelle Lynn Brightman, RDH
         Tracy Lynn Bill, RDH
         Anna Rita Jackson, RDH
         Suzanne England Lablanc, RDH
         Bridget Elise Eaton, RDH
         Meghan Tara Simard, RDH
         Dyanne Marie Nota, RDH
         Amber Marie Carver, RDH

6.       DENTAL APPLICATIONS APPROVED

         Shariq Baqai, DDS
         Jason Jianxin Chen, DMD
         Kelly Ann Fitzgibbons, DMD
         Georgbe Petrescu-Boboc, 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


NEW HAMPSHIRE BOARD OF DENTAL EXAMINERS
2 INDUSTRIAL PARK DRIVE
CONCORD, NH 0330

MEETING MINUTES OF SEPTEMBER 11, 2006

The September 11, 2006 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
Charles F. Post, DMD
Linda M. Seedner, RDH
Marshall A. Baldassarre, DMD
Stacy A. Plourde, RDH
Neil S. Hiltunen, DMD
Gerald A. Smith, DMD

Absent:  None

The Board voted to approve the minutes of August 7, 2006 as amended.

PUBLIC MINUTES

  1. Statute and Rules

    1. Statutory Proposals, 2007 – The Board is seeking a sponsor.
    2. Rule Proposals

      1. Rule Package 2006 – I – The rule making process has started.
      2. 8 Year Re-adoption – The Board has started the re-adoption process.

  2. Hygienist Anesthesia Course – The Board voted to table this matter while the Board determines the Northeast Regional Board local anesthesia test prerequisites. The Board will also consult with the New Hampshire Technical Institute regarding this particular course. The Board will re-address this topic at the October meeting.

  3. Conscious Sedation Application – The Board will inform the dentist submitting this application that the Board has created an ad hoc committee to review the requirements for permits to administer conscious sedation. At the present time, the dentist needs a permit from the Board.

  4. Conscious Sedation Course – The Board voted to approve this course as meeting the Board’s conscious sedation permit requirements. These requirements are equivalent to those in the guidelines of the American Dental Association for training in the administration of conscious sedation.

  5. Biennial Registration Form – The Board voted to approve this form as amended.

  6. Dental Materials Pamphlet – RSA 317-A:38 requires New Hampshire licensed dentists to present patients having restorative procedures with a standardized pamphlet developed by the Board to explain the risks and benefits of dental materials. A revised draft of this pamphlet was distributed to the Board for review before the Board’s next meeting in October.

  7. Office of Information Technology (OIT) Budget Increase – OIT is raising its charges to the Board for the biennium FY 08-09 to four times the amount the Board is paying in FY 06-07, $88,500 vs. $21,000. The Board was not consulted nor has an acceptable justification for the increase been given to the Board.

  8. Informational

    1. NHTI Dental Courses
    2. Board Appointment
    3. Board Appointment
    4. Special Education Studies
    5. National Board, Part 1
    6. Tennessee
    7. Kentucky
    8. AADE Editorial
    9. Methadone

QUALIFICATION AND LICENSURE

  1. PUBLIC HEALTH SUMMARY REPORTS

    The Board voted to accept the public health summary reports of the following organizations:

    1. School Smiles
    2. Seacoast Healthy Grins
    3. Manchester Health Department
    4. Monadnock Healthy Teeth
    5. Healthreach Mobile Dental - #06-318

  2. PUBLIC HEALTH SUPERVISION APPROVAL

    The Board voted to approve the use of public health supervision in the Belknap-Merrimac Counties Early Head Start/Headstart Oral Health Project.

  3. CONSCIOUS SEDATION APPLICATION

    The Board voted to ask Dr. John Herrin for further documentation of his conscious sedation training.

  4. REQUEST FOR LICENSURE

    The Board voted to seek more information regarding a request for licensure to do forensic dentistry.

  5. ENDORSEMENT LICENSURE APPLICATON

    The Board voted to send Andrea Welch, RDH an application for licensure. She has concerns about her eligibility which can only be answered after the Board has seen a completed application.

  6. HYGIENE APPLICANTS LICENSED
    Heidi Marie Roy, RDH
    Anne Marie Despres, RDH
    Sarah Anne Pike, RDH
    Emily Sue Pelloni, RDH
    Donna Sharon Kilfoyle, RDH
    Renee Lynn Hickey, RDH
    Jessica Trudel, RDH
    Katherine Ann Landry, RDH
    Michelle Clancy Pinders, RDH
    Amy Teresa Stoddard, RDH
    Nancy Barbara Davis, RDH
  7. DENTAL APPICATIONS APPROVED
    Steven Andrew Geller, DMD
    Brians S. McLellan, DMD
    Nathan B. Kalteski, DMD
    Gabriel Boustani, DMD
    Rollin Prasad, DMD
    Heidi Haiqing Huang, DMD
    Susie Kalinian, DMD
    Charles J. Thomas, III, DMD
    Patrick Francis Capozzi, DDS
    Shannon Marie Farrell, DMD
    Amjad Kinjawi, 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 October 2, 2006

The October 2, 2006 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
Charles F. Post, DMD
Marshall A. Baldassarre, DMD
Stacy A. Plourde, RDH
Neil S. Hiltunen, DMD
Gerald A. Smith, DMD

Absent:  Eliot L. Paisner, DMD, Vice President
             Linda M. Seedner, RDH

The Board voted to approve the minutes of September 11, 2006 as amended.

PUBLIC MINUTES

  1. Statute and Rules

    1. Statutory Proposals, 2007 – Senator Martha Fuller Clark has agreed to sponsor the Board’s requested amendments to RSA 317-A. The amendments address the dental licensure process and referrals from peer review committees.

    2. Rule Proposals

      1. Rule Package 2006-I – The rule process has started.
      2. 8 Year Re-Adoption – The Board has started the re-adoption process.

  2. Restorative Pamphlet – RSA 317-A:38 requires the Board to develop a pamphlet explaining the risks and benefits of dental restorative materials. This was done in 2002 in consultation with the department of Health and Human Services, the Department of Environmental Services, and the New Hampshire Dental Society. The pamphlet was recently updated by an ad hoc committee established by the Board. At today’s meeting, Dr. Margaret Snow, Dental Director of Health and Human Services, Richard Rumba of the Department of Environmental Services and Dr. Neil Hiltunen, Board member, discussed the amended pamphlet with the Board. The Board approved a draft of the amended pamphlet. Dr. Ferraiolo, the Dental Society’s representative, was not present.

  3. Conscious Sedation

    1. Consultant Letter – Dr. Mark Scura, a Board consultant for anesthesia/sedation evaluations, replied to the Board regarding Advanced Cardiac Life Support (ACLS).

    2. News Article – informational regarding anesthesia/sedation use outside of hospital facilities.

    3. Sedative Reaction – informational regarding the death of a child in the Chicago area from intended sedation.

  4. North East Regional Board (NERB) Anesthesia Examination – The Board voted not to accept the results of this examination if the person tested has not received anesthesia training equivalent to Den 302.05 (q) and (r).

  5. Dogs in Dental Offices – In answer to an inquiry from a dentist, the Board voted not to endorse the presence of a dog in a dental office because dogs present unnecessary risks, including infection control, to the public.

QUALIFICATION AND LICENSURE

  1. CONSCIOUS SEDATION APPLICATION

    Paul E. Harvey, Jr., DMD – The Board voted to inform Dr. Harvey that a permit is needed to provide conscious sedation.

  2. LOCAL ANESTHESIA REQUESTS APPROVED

    Ellen Donohue, RDH
    Jennifer L. Violette, RDH

  3. HYGIENE APPLICANTS LICENSED

    Stephen Earnest Crotty, RDH
    Michelle Louise Gagne, RDH
    Leslie Grace Swenson, RDH
    Shari Michele Rouleau, RDH
    Michelle Elizabeth Nettleton, RDH
    Linda Lee Richardson, RDH
    Kendra Lee Myers, RDH

  4. DENTAL APPICATIONS APPROVED

    Patrick James Fox, Jr., DMD
    Melissa Anne Kennell, DDS
    Laila Pasha, 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 6, 2006

The November 6, 2006 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
Charles F. Post, DMD
Marshall A. Baldassarre, DMD
Stacy A. Plourde, RDH
Neil S. Hiltunen, DMD
Gerald A. Smith, DMD
Linda M. Seedner, RDH

Absent: None

The Board voted to approve the minutes of October 2, 2006 as amended.

PUBLIC MINUTES

  1. Statute and Rules

    1. Statutory Proposals, 2007 – Senator Martha Fuller Clark has agreed to sponsor the Board’s requested amendments to RSA 317-A. The amendments address the dental licensure process and referrals from peer review committees.

    2. Rule Proposals – There will be a public hearing at the Board’s next meeting on December 4, 2006 at 3:00 p.m. to address rule changes resulting from the re-adoption of the Board’s rules. This is a process that occurs every 8 years.

  2. Restorative Pamphlet – In 2002 the New Hampshire legislature passed a law that requires dentists to provide patients with information on the risks and benefits of dental restorative materials. The Board with other state agencies and the Dental Society created an information pamphlet at that time. Recently the same organizations, with input from New Hampshire dentists, redrafted the pamphlet. At today’s meeting the Board voted to approve the redraft.

  3. AADA Meeting – The Board’s executive secretary gave an overview of the meeting of the American Association of Dental Administrators which was held on October 11 – 13. There were presentations on Board media relations, interacting with law makers, and detecting fraudulent documents. Other topics addressed in round table discussions included the success of on-line renewals in Montana and Mississippi.

  4. Amalgam Separators – The Board discussed the need for amalgam separators not only in the offices where amalgam restorations are placed, but also in any dental office where amalgam is replaced or removed in extracted teeth. The Board will re-address this topic at next month’s meeting

  5. AG Training – The Attorney General’s office conducts annual training in the legal proceedings of professional boards. The Board will seek positions for several Board members at the next training session.

  6. Medical Spa Procedures – the Board reviewed an advertisement to dentists promoting the use of lasers to perform "medical spa procedures" such as skin rejuvenation, peels, and hair removal.

  7. Parent Request – The Board voted to refer this request to a pedodontist. The parent is seeking deep sedation for her child.

  8. Informational

    1. Professional Background Information Services
    2. Pediatric Handbook
    3. Board Adjudications
    4. Jurisdiction
    5. Medical Emergency Preparedness
    6. FDA News

QUALIFICATION AND LICENSURE

  1. PUBLIC HEALTH SUMMARY REPORTS

    The Board voted to approve the reports of the following programs:
    Claremont Dental Initiative
    Miles of Smiles in the Great North Woods
    Coos County Family Health Services
    White Mountain Community Health Center
    Queen City Smiles
  2. CONSCIOUS SEDATION APPLICATION

    The Board voted to seek further information form Nomith Ramdev, DMD regarding training in conscious sedation.

  3. REQUEST FOR DENTAL LICENSURE

    1. The Board voted to inform Cecilia Svenbge that she will need to receive a degree in general dentistry from an American Dental Association accredited school before the Board will consider a license application from her.

    2. The Board voted to lift the restriction to only practice orthodontics from the license of Bruce Dinner, DDS. Dr. Dinner recently completed training and testing in general dentistry, including passage of the NERB.

  4. NERB REQUEST

    The Board voted to ask the Northeast Regional Board to administer the written portion of its examination to Dr. Kimberly P. Thomas. Dr. Thomas has already passed the clinical portion.

  5. HYGIENE APPLICANTS LICENSED

    Janette Michelle Piekarski, RDH
    Laura Lee Estabrook, RDH
    Bonnie Jean Straitiff, RDH
    Yung Kang Lang, RDH

  6. DENTAL APPLICATION APPROVED

    Joshua Tran Osofsky, 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 December4, 2006

The December 4, 2006 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
Marshall A. Baldassarre, DMD
Stacy A. Plourde, RDH
Neil S. Hiltunen, DMD
Gerald A. Smith, DMD
Linda M. Seedner, RDH

Absent: Charles F. Post, DMD

The Board voted to approve the minutes of November 6, 2006 as amended.

PUBLIC MINUTES

HEARING – 3:00 p.m. – RE-ADOPTION OF DENTAL ADMINISTRATIVE RULES

Pursuant to RSA 541-A, the Board held a public hearing addressing the re-adoption of Den 300 series – Licensing Requirements, Den 400 series – Dental Assistants and Dental Hygienists Duties, and the Den 500 series – Ethical Duties. The Board will hold a public hearing on the Den 200 series – Practice and Procedures at a later Board meeting.

HEARING – 4:10 p.m. – GEORGE I. ENESCU, DDS
(Adjudicatory/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 issues included Dr. Enescu’s failure to pay a Board fine, failure to provide the Board a continuity of care plan for his patients, and failure to provide notice of his office closure to patients and to allow patients access to their records in violation of RSA 317-A:17 II (j), RSA 317-A:27-a, and Den 501.01(e), (g), and (h).

Hearing counsel Katherine Cooper presented 3 witnesses and submitted 5 exhibits. Dr. Enescu represented himself and submitted 1 exhibit.

Dr. Hrinda closed the hearing at 5:45 p.m.

ADMINISTRATIVE

  1. Statute and Rules

    1. Statutory Proposals, 2007 – The Board’s executive secretary will contact the sponsor of the Board’s proposed statutory amendments to ascertain their status.

    2. Rule Proposals – see rule public hearing above.

  2. Restorative Materials Pamphlet – The Board voted to approve the latest draft of this pamphlet required by RSA 317-A:38. The Board will mail the pamphlet to all dentists holding an active New Hampshire dental license. Dentists in New Hampshire are required to provide the information in the pamphlet to patients needing dental restorative procedures and to discuss restorative choices prior to their use. The pamphlet was developed in consultation with New Hampshire dentists, the Department of Health and Human Services and the New Hampshire Dental Society.

  3. Governor’s Budget Hearing – This hearing was held on November 21, 2006. The Board’s executive secretary testified, focusing on the increase in class 27 for the biennia FY 2008-09. Class 27 is information technology. The Board in the biennium FY 2000-01, 2002-03, and 2004-05 spent about $5000.00 each biennium. The Board was informed by the Office of Information Technology (OIT) that beginning in FY 2006-07 the Board would have to use OIT for computer system maintenance and upgrades. For biennium FY 2008-09 the Board through fees must raise $110,000 for technology, a sum that at best will only marginally improve Board technological capacity due to the Board’s limited needs.

  4. Fees – The Board voted to raise fees to equal 125% of the Boards’ projected expenditures in FY 08-09, pursuant to RSA 317-A:4. The Board will revisit this topic at its February, 2007 meeting.

  5. Amalgam Separators – The Department of Environmental Services is reporting that there is more than 90% compliance with the requirement that dental offices generating amalgam waste have amalgam separators.

  6. Conscious Sedation – The Board reviewed recommendations from its ad hoc committee on conscious sedation. The Board will redraft the recommendations in rule form prior to the sedation committee’s next meeting.

  7. Administrative Hearing Offices – The Attorney General is drafting proposed legislation to address various Legislative concerns about the adjudication and appeal process before licensing boards. The Board of Dental Examiners is aware of the nature of these concerns and voted to support efforts to address them.

  8. Informational

    1. AADE meeting – The Board voted to send Gerald A. Smith, DMD, Board member, to the 2007 American Association of Dental Examiners Mid-Year Meeting.
    2. NERB consultant
    3. National Board Test Vacancies
    4. Illinois Suit vs. Illinois Board
    5. DANB

      1. Glossary
      2. Major Actions
      3. Certified Assistants

QUALIFICATIONS AND LICENSURE

  1. PUBLIC HEALTH SUMMARY REPORT
    The Board voted to accept the report of Rochester Dental Clinic.

  2. CONTINUING EDUCATION AUDIT
    Den 403.04 (b) states "During the biennium at least 3 percent of active licensees shall be randomly audited by the board". The Board recently concluded an audit of the continuing education completed by dentists in the biennium April 1, 2004 – March 31, 2006. Fourteen of the 110 licensees audited had not taken CPR training. The requirement that licensees complete CPR training once each biennium was discussed by the Board which concluded that:

    1. Advanced Cardiac Life Support and Pediatric Life Support are not substitutes for CPR.
    2. CPR training needs to be taken only once to satisfy the biennial requirement.

    The Board voted to establish an ad hoc committee to address continuing education. Neil S. Hiltunen, DMD, Marshall A. Baldassarre, DMD, Linda M. Seedner, RDH and the Board’s executive secretary will be on the committee.

    The following licensees did not achieve the required number of CEU’s, were administratively fined $200.00, and will be added to the continuing education audit in 2008:
    Natalia Streltsov, DMD
    Richard Schlein, DMD
    Robert Nicoll, DDS
    Thomas A. Hillerbrand, DMD
    Robert J. Skinner, DDS
    Ronald J. Henderson, DDS
    Henry C. Ford, DMD
    Richard R. Scherf, DMD
    David A. Sporcic, DMD
    Philip E. Ehret, DMD
    Carolyn C. Chase, DMD
    Christopher Batt, DDS
    Laurie A. Rosato, DMD
    George F. Wilkins, DMD upon submitting further documentation passed the continuing education audit.

    After reviewing David G. Stahl, DMD’s request the Board waived the requirement for CPR.

    Michael Morley, DDS – The Board addressed a letter from Dr. Morley regarding on-line continuing education and extension for compliance for dentists in semi-isolated areas.

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