11/20/99 11/ 0 4 D. L. 0610 -3398471"

Univer i ty of Texa>s-Pan Am t a

Texas State Board of Dental Examiners

NEWSLETTER JUNE 1999 VOLUME IX

Joe D. Zayas, DDS Patricia Blackwell J. Kevin Irons, DMD Martha Manley Malik, DDS Kent T. Starr, DDS President Tammy Fisher, RDH Amy Landess Juba Michael Nogueira Nathaniel Tippit, DDS David O. Olson, DDS Karen Flo Hembry James Kennedy DDS Michael Plunk, DDS, MSD Marcia Waugh Secretary Cornelius Henry, DDS H. Grant Lappin Ronald Smith, DDS Gail Wilks, RDH

NOV F 9 =ROM THE PRESIDENT Joe David Zayas, DDS

UNIVERSITY 0 TEXAj 8 EDINBU 2

Since the September, 1998, issue of the Newsletter many have asked when will the next Newsletter be published. I apologize for the delay, but there was so much information to relay to our licensees especially with the legislature in session that we have waited until now to publish this issue.

To begin with, on April 13, 1999, Governor Bush announced to the Senate of the 76th

Legislature his appointments to the State Board of Dental Examiners. They are J. Kevin Irons, D.M.D., Austin, replacing Dr. J. Hadley Hall; Martha Manley Malik, D.D.S., Victoria, replacing Dr. Sheryl Beltrane; Nathaniel Tippit, D.D.S., Houston, replacing Dr. Miro Pavelka; Amy Landess Juba, Amarillo, public member, replacing Jerry Burley, public member, and Karen Flo Hembry, Dallas, public member, replacing Felipe Reyna, public member. These appointments are for terms to expire on February 1, 2005. Governor Bush reappointed Kent T. Starr, D.D.S., Waco, to a six year term on the board as well. On behalf of the board and staff of the SBDE, may I extend congratulations to our new board members.

I would like to take this opportunity to express my sincere appreciation to those members going off the Board. Since the State Board of Dental Examiners was reconstituted in 1995, Dr. Hadley Hall has served with distinction not only as Board Secretary in 1995, but also as President in 1996. Thank you Hadley for all the long hours you dedicated reviewing complaints and the many trips you made to Austin working with staff to get the enforcement process back on track since sunset.

Dr. Miro Pavelka was our President in 1998 and served with distinction as chair of the Board's Legislative Committee in 1997 working with legislators during the 7 5th Legislative Session for passage of SB 877. Dr. Pavelka also served as the Board's liaison to the Anesthesia Consultants and spent many hours reviewing anesthesia permit applications on behalf of the Board. Thank you Miro for a job well done.

Dr. Sheryl Beltrane served as chair of the Credentials Review Committee in 1995 and 1996 and as an examiner for the Western Regional Examining Board (WREB) administering the clinical examination to those applicants seeking dental licensure in Texas. Thank you Sheryl for your diligent work reviewing applications for licensure by credentials for dentists and dental hygienists and for your service to WREB.

THE UNIVERSITY OF TEXAS-PAN AMERICAN

0 1161 0746 2354

Jerry Burley was one of our most active public members who represented the Board at the national level as liaison to the Dental Interaction Simulations Corporation (DISC). Thank you Jerry for always expressing yourself in such a straightforward and enthusiastic manner not only at our board meetings but also at national meetings.

Felipe Reyna, attorney at law and public member provided wise counsel to the Board, especially when the issues would become difficult to assess. Felipe served in an exemplary manner on the Examination Committee, the Legislative Committee, the Credentials Committee and especially on the Enforcement Committee. Felipe is an excellent "story teller" and he used them to illustrate his points in an unforgettable fashion. Thank you Felipe for always keeping us focused on the issues at hand.

Finally, I want to express my appreciation to Dr. Kent Starr, who was reappointed to the Board for another six years. Thank you Kent for your leadership and guidance as Board Secretary in 1996 and President in 1997. We are very fortunate to have you back on the Board.

Since our September, 1998, issue of the Newsletter, the Board has adopted a rule clarifying that communications from a dentist to the public concerning dental services shall inform the public that the communicator is a dentist; adopted a rule that establishes categories for dental complaints as mandated by the Texas Legislature through the Dental Practice Act; amended a rule that clarifies to the public the rights and responsibilities of the parties to a complaint that alleges a violation of the Dental Practice Act and/or rules and regulations of the Board; and adopted a rule that provides that dentists who refuse to access to their premises to board investigators could have their practices temporarily closed. The text of these rules can be found of pages 5 - 6 of this Newsletter.

The first round of random audits for compliance for continuing education (CE) requirements began in February 1999. To date, the SBDE has audited 150 dentists and 92 dental hygienists. The agency continues to receive calls regarding CE requirements as well as the audit process. I encourage everyone to read Chapter 104 of the SBDE rules and regulations for all CE requirements and rules 107.200 and 107.201 which outline the penalties for non-compliance of CE.

At the March 26, 1999 SBDE meeting, the Board appointed Dr. Ernie Luce, San Antonio, replacing Dr. Charles Rader and Dr. David Ferguson, Austin, replacing Dr. Mark Sivley, to serve as Anesthesia Consultants assisting the Board in anesthesia related matters. The Board extends its appreciation to Dr. Rader and Dr. Sivley for their services as Anesthesia Consultants.

And, finally, as the 7 6 th Legislative Session draws to an end several bills were filed that could impact the dental profession should they pass and become law. Specifically, SB 964 filed by Senator Lucio makes considerable changes to the Dental Practice Act. Other bills filed include HB 2633, relating to the confidentiality of dental patient records, HB 2635, HB 3533 and HB 3534, all relating to the practice of dental hygiene, SB 524 relating to the public disclosure of disciplinary actions, including the issuance of warning letters, SB 1906 relating to the confidentiality of dental patient records and HB 3155 which recodifies the Dental Practice Act. Our next Newsletter will provide a complete update on legislation that is enacted that amends the Dental Practice Act.

2

SBDE BOARD MEMBERS

For terms to expire on 2-1-2001 Patricia Blackwell, public member, Midland Tammy Fisher, RDH, Bedford Michael Nogueira, public member, Rancho Viejo David O. Olson, DDS, Bridge City Ronald G. Smith, DDS, Lubbock Joe David Zayas,. DDS, Rancho Viejo

For terms to expire on 2-1-2003 Cornelius Henry, DDS, Tyler James W. Kennedy, DDS, Sugar Land H. Grant Lappin, public member, Houston Michael Plunk, DDS, MSD, Dallas Marcia Waugh, public member, El Paso Gail Wilks, RDH, Longview

For terms to expire on 2-1-2005 Karen Flo Hembry, public member, Dallas J. Kevin Irons, DMD, Austin Amy Landess Juba, public member, Amarillo Martha Manley Malik, DDS, Victoria Kent T. Starr, DDS, Waco Nathaniel Tippit, DDS, Houston

DENTAL HYGIENE ADVISORY COMMITTEE MEMBERS

For terms to expire on 2-1-1999 Lisa Cooper, RDH, Coppell Bea Wohleb, public member, Temple

For terms to expire on 2-1-2001 Lana Crawford, RDH, Carrollton Paul Stubbs, DDS, Austin

For terms to expire on 2-1-2003 Tammy Allen, RDH, Fort Worth Charles Wetherbee, public member, Jourdanton

DENTAL LABORATORY CERTIFICATION COUNCIL

SBDE appoints these members - terms are due to expire on 2-1-2001 Danny Diebel, CDT, Austin Leeroy Marsden, CDT, San Angelo Milton Pokladnik, CDT, Dallas

ANESTHESIA CONSULTANTS

SBDE appoints these members on a yearly basis Colin Bell, DDS, Dallas David Ferguson, DDS, Austin Stephen Brandt, DDS, Killeen Ronald Redden, DDS, Houston Ernie Luce, DDS, San Antonio

3

DENTAL HYGIENE ADVISORY COMMITTEE REPORT Lana Crawford, RDH, Chair

The Dental Hygiene Advisory Committee (DHAC) met on January 6, 1999 with all members present. DHAC appreciates the supportive role of the agency staff that attends our meetings and provide valuable guidance and legal counsel. The interest and support of public visitors present are also appreciated.

The announcements of the new appointments of a dental hygiene member and a public member have not been made by this publication. Bea Wohleb, our public member from Temple, and Lisa Cooper, RDH, our dental hygiene member from Coppell, have served faithfully and brought valuable leadership to the tasks of the committee.

Examination schedules have been made by the Western Regional Examining Board (WREB). Assignments include Dr. Paul Stubbs, as a new chief examiner for the dental hygiene exams. Two new dental hygiene examiners, Jan Horvath, RDH, and Alisa Phoenix, RDH, both from San Antonio, were appointed by the SBDE at the August 14, 1998 meeting.

Please refer to page 19 of the Newsletter for continuing education (CE) information. With random auditing of CE credit now a possibility, one would recognize the benefit of being highly effective in the organization of all CE certificates.along with a copy of the rules.

Prior to enrolling for any CE course the following should be considered: Is the sponsor of the course listed or endorsed by a SBDE approved provider in rule 104.2? If yes, then determine whether or not the courseis technical or scientific relating to clinical care. If you cannot determine that from the course description, contact the PROVIDER of the course to give you that information. The SBDE cannot and WILL NOT determine that for you. They have vested the authority with the course providers.

There is a statutory law regarding state agency advisory committees known as Truan's statute. Section 2110.008 of the Government Code addresses the duration of advisory committees and became effective September 1, 1997, following the approval of the 75th Legislative Session. The composition and work of the Dental Hygiene Advisory Committee is defined in the Dental Practice Act. However, DHAC would only continue to exist if the governing body of the SBDE votes affirmatively. The committee would have been automatically abolished on the 4th anniversary of the date of its creation.

On January 15, 1999, the SBDE unanimously voted to continue DHAC demonstrating the Board's approval of the usefulness and importance of the committee. This vote also affirms the concept of the team approach to the profession of dentistry.

DHAC congratulates and welcomes the new Board President, Joe David Zayas, DDS, and once again pledge our support to his leadership on the Board.

It has been an honor to serve as chair of DHAC for the second term. Sincere thanks for commitment and synergism to all committee members, SBDE members and agency staff, and many dental professionals who have interest in dental hygiene issues.

4

BOARD ADOPTS RULES

The Board, at its regularly scheduled meeting on November 6, 1998, adopted the following rule, effective November 29,1998. (Please note new language is shaded)

(New Rule) Rule 109.145 Dental Degree Required on Written Communication to Public A Texas dental licensee, in any professional written communication concerning dental services, shall include the dentist's dental degree or the dentist may use the words

"general dentist", "general dentistry", or an ADA approved dental specialty, if the dentist is a specialist in the field designated.

(new rule 109.145, provides that communications from a dentist to the public concerning dental services shall inform the public that the communicator is a dentist. This rule is intended as a companion to rule 109.204 (11)

effective February 10, 1995, which requires inclusion of a licensee's dental degree in all advertising concerning dental services offered as a failure to do so results in false and misleading advertising. For example, qualified dentists perform cosmetic surgery. Some dentists, however, were advertising availability of surgical services provided by a "surgeon" with no indication that the provider was a dentist. Board members expressed concern

that non-advertising communications by dentists concerning dental services when the dentist is not identified as a dentist could be equally misleading. This rule requires that dental licensees identify themselves as such in non-advertising communication to the public).

The Board, at its regularly scheduled meeting on January 15, 1999 adopted the following rules, effective February 15, 1999. (Please note new language and amended language is shaded)

(Amended rule) Rule 107.101 Guidelines for the Conduct of Investigations (a) Every complaint shall be classified into one or more of the following categories:

(1) Quality of care: failure to treat a patient according to the standard of care in the practice of dentistry or dental hygiene.

(2) Sanitation: failure to maintain the dental office in a sanitary condition. (3) Professional Conduct: violations arising out of the day-to-day practice of

dentistry, not including administrative requirements. (4) Administration: failure to follow the administrative requirements of the Dental

Practice Act/and or the Board's Rules and Regulations. (5) Dental Laboratories: violations of the Dental Practice Act and/or the board's

Rules and Regulations pertaining to the operation of dental laboratories. (6) Business Promotion: violations arising out of efforts to obtain business, such

as advertising and referral schemes. (b) Every complaint shall be assigned a priority classification. Priority 1 represents more serious allegations of violations, including but not limited to, Patient Mortality, Patient Morbidity, Practicing Without a License, and Sanitation. Priority 2 represents less serious threats to the public welfare, including but not limited to records-keeping violations and Advertising. (c) Upon receipt, every complaint shall be evaluated by the Director of Enforcement to

determine whether temporary suspension, in compliance with Article 4548h, Section 2(d), should be considered.

(the amended rule 107.101 establishes categories for dental complaints as mandated by the Texas Legislature

through the Dental Practice Act. Rule 107.171 has established six categories that will allow a more meaningful

assignment to a category. Under the old 17 categories, it was difficult to appropriately assign a category on the

basis of a review of the complaint, which often resulted in unintended distortions of categories reported. The new categories are broad enough that complaints can be assigned accurately on the basis of review of the

S5

complaint. The rule will allow the board to come to a more useful understanding of the nature of all complaints filed. The board is of the opinion that the new categories more accurately reflect the types of conduct over which the board has jurisdiction).

(Amended rule) Rule 107.102 Procedures in Conduct of Investigations (a) An investigative file accounting for each complaint filed with the Board shall be maintained under the supervision of the Director of Enforcement. (b) Every complaint shall be reviewed by the Director of Enforcement to determine jurisdiction. If jurisdiction exists, a complaint shall be investigated to determine the facts concerning the complaint. All investigators shall be state employees. (c) If, upon initial review, the complaint reveals a possible threat to a person's welfare, the complaint shall be referred to the Board or an executive committee of the Board, for consideration of temporary suspension, pursuant to Article 4548h, Section 2(d). (d) During the course of an investigation, the complainant shall be given an opportunity to explain or comment on the allegations made in the complaint. At the initiation of the investigation, the respondent shall be provided a copy of the complaint to facilitate a response, unless to do so would jeopardize an undercover investigation. (e) The parties to the complaint shall receive notice of the status of the complaint, at least quarterly, until final disposition of the complaint, unless such notice would jeopardize an undercover investigation. (f) Upon completion, the Board Secretary or designee shall review the investigative file. The Secretary may: dismiss the case; refer the case to the State Office of Administrative Hearing; refer the case to an informal settlement conference; refer the case to the Executive Director or a subcommittee of the Board for imposition of an administrative penalty; or, direct further investigation. (g) No case will be dismissed without appropriate consideration. A letter shall be sent to the complainant, explaining why the case was dismissed. If the complainant objects to closure and provides new evidence to support the allegations, the case shall be reviewed by at least three members of the Enforcement Committee to determine whether further action is appropriate.

(amended rule 107.102 is intended to ensure that the procedures comply with the requirements of Article 4548h, Section 1 of the Dental Practice Act. The old rule does not accurately reflect the requirements set forth in the Dental Practice Act; the amended rule does. This compliance will result in a clearer understanding by the public of the rights and responsibilities of the parties to a complaint that alleges a violation of the Dental Practice Act and/or the Board rules and regulations).

(New Rule) Rule 109.132 Access to a Dental Office A person practicing dentistry in the State of Texas shall, upon demand by the officers, agents or employees of the State Board of Dental Examiners acting pursuant to a sanitation complaint, grant immediate access to the entire dental office premises to those persons making such demand. Failure to grant such access may subject a practitioner to temporary license suspension, pursuant to Article 4548h, Section 2(d).

(new rule 109.132 provides that dentists who refuse access to their premises to board investigators who are acting pursuant to a sanitation complaint could have their practices temporarily closed. The Board is of the opinion than an unsanitary dental office could pose a serious threat to the health and welfare of the people of Texas. Presently, if a dentist refuses access to an investigator who is acting pursuant to a sanitation complaint, the Board has no effective recourse. In the meantime, the unsanitary condition, if severe enough, poses a threat to the health of patients. By operation of the rule, the board finds, or will find, that refusal by a licensee to allow board investigators access to investigate a complaint about unsanitary facilities poses such a threat if it continues unabated. It is anticipated that the mere knowledge that a recalcitrant dentist might face temporary suspension will result in cleaner offices. Article 4548h, Section 2(d) provides adequate procedural safeguards for the property rights of the practitioner).

6

BOARD WITHDRAWS RULES

The Board, at its November 8, 1998 meeting, withdrew the following rules from publication in the Texas Register. (the following proposed new rules address mobile dental/portable dental units) Rule 109.400, Permit Required Rule 109.401, Definitions Rule 109.402, Obtaining a Permit Rule 109.403, Operating Requirements for Permitted Mobile Dental Facilities

or Portable Dental Units

The Board, at its January 15, 1999 meeting, withdrew the following rules from publication in the Texas Register. (the following proposed amended rules address sedation/anesthesia issues) Rule 109.171, Effective Date Rule 109.172, Definitions Rule 109.173, Minimum Standard of Care Rule 109.174, Sedation/Anesthesia Permit Rule 109.175, Permit Requirements

BOARD PUBLISHES RULES

The Board, at its February 25, 1999 meeting, voted to publish the following rules for public comment in the Texas Register. (the following proposed amended rules address sedation/anesthesia issues) Rule 109.171, Effective Date Rule 109.172, Definitions Rule 109.173, Minimum Standard of Care Rule 109.174, Sedation/Anesthesia Permit Rule 109.175, Permit Requirements

(the following proposed amended rule addresses dental hygiene issues) Rule 115.20, Dental Hygiene Advisory. Committee, purpose and composition

(the following proposed new rule addresses management service agreements) Rule 109.500, Management Service Agreement

The proposed rules were published in the April 16 and April 30 issue of the Texas Register.

You may access any of these rules through the Internet at www.sos.state.tx.us//texreg Comments on the proposed rules may be submitted to Mei Ling Clendennen, Executive

Assistant, SBDE. To be considered all comments must be received on or before May 17, 1999.

7

DISCIPLINARY ACTIONS August 28;1998 through November 30,1998

RESPONDENT FINDINGS BOARD ACTION

Mary E. Rush, DDS Tx. License #15666

Charles R. Galloway, DDS Tx. License #7045

As the result of poor record keeping and failure to adequately stay apprised of a continual and progressive periodontal condition, the Respondent failed to timely diagnose periodontal disease in a patient under her care.

Respondent permitted a person (Reg. Nurse) to induce and maintain parenteral conscious sedation and failed to maintain, personal supervision of patients during induction of conscious sedation. The Registered Nurse was supervised and trained by Respondent during approximately five hundred prior procedures: Respondent failed to make adequate records of his patients' informed consents and failed-to fully document medical treatments provided to his patients, and failed to include adequate data in his patients' dental records concerning the'dispensing and administering of controlled substances. The record keeping requirements of the triplicate prescription program and the controlled substance ledgers are not in controversy. Respondent administered anesthetic agents to his patients in excess of recommended dosages.

Texas License #15666 is hereby suspended for an indefinite period. Texas License #15666 is to participate with the terms and conditions of the Texas Peer Assistance Program.

Texas License #7045 is hereby Suspended for a period of (3) three beginning on the effective date of this Order, however, the suspension is probated in-its entirety. Texas.License #7045 shall complete a total of 30 hours of Continuing Education courses, within three (3) years of the effective date of this Order. CE courses are to be completed in increments of at least 10 hours per a year. Texas License #7045 will pay fine for $2,500 to be paid within one year of the effective date of this Order.

Practitioner's dental license was suspended for ten (10) years or 120 months, all probated except for thirty (30) days down time to be served beginning November 25, 1998 through December 24,1998. On June 14, 1995, Practitioner was convicted of two counts of felony mail fraud in the US District Court, Northern District of Texas, Ft. Worth Division, and sentenced to 18 months' incarceration, 13 of which were actually served in various federal prisons. The underlying facts that resulted criminal activity in 1989 and 1990 that involved fraudulent billing practices to insurance companies in practitioner's occupation as a dentist.

Texas License #11510 suspended for ten years, all probated except thirty days. During the period of non-probated suspension, Texas License #11510 cannot practice dentistry in the State of Texas. Texas License #11510 will provide notification to Board for beginning and ending of non-probation period.

Don Ray Madsen, DDS Tx. License #11510 -

0 0 w m a 0 W lqww low our %W ff--% w % ow A--% %W 0 0 %W I is

Blake McKaskle, DDS Practitioner self-prescribed controlled Texas License #9094 is hereby Tx. License # 9094 substances. Practitioner prescribed suspended for a period of five (5)

controlled substances for non-dental years, all probated. uses. Texas License #9094 cannot

reinstate scheduled II, IN, III, IIIN, IV and V from the Drug Enforcement Administration for two years and will require Board approval. Texas License #9094 will abide by and participate with the terms and conditions of the Texas Dental Peer Assistance Program (TDPAP).

Kyle P. Little, DMD Applicant obtained Texas Dental Texas License #17289 is revoked.

Tx: License #17289 License #17289 on the basis of fraud or misrepresentation. Respondent was licensed to practice dentistry in the state of Georgia in October 1977,and was assigned license number 8779 under the name of

- Chester Kyle Little. On July 19,1993, Respondent applied for a license to practice dentistry in the State of Texas in the name of Randall KylePatrick Little. Except for the hyphenated version of the name, the personal, educational, and professional information in the application pertained to Randall Patrick Little, DMD, not the applicant, including his date of birth, his social security number, his birth certificate, his recent photograph, his dental school background and verification of graduation, and his National Board examination results. Based on the information in the application, the SBDE issued Texas license number 17289 to Randall Kyle-Patrick Little. On September 27, 1993, the license was issued in the name of Kyle Patrick Little, DMD. Before his Texas license was activated on September 27,1993, Respondent changed his name with the SBDE from Randall Kyle-Patrick Little to Kyle P. Little.

lexas L-cense--1A b4 isRespondent provided orthodontic treatment to his patient and failed to correctly diagnose and treat patient's condition in that patient's condition required surgery and could not be treated orthodontically to a normal Class 1 occlusion. Respondent caused or exacerbated periodontal disease by not seeing patient with the usual frequency required for orthodontic treatment. Respondent extended patient's treatment period for two to three times longer than necessary by not seeing her with the usual frequency required for orthodontic treatment. Respondent practiced dentistry from on or about September 1, 1990 through June 23, 1992 while his license was expired.

Texasei#16864 is

suspended for a period of three years, all probated. Texas License #16864 shall take forty hours of CE to be completed within two years in increments of 20 hours per year. Texas License #16864 shall take and pass the jurisprudence examination.

9

Jack C. Patterson, DDS Tx. License #16864

DISCIPLINARY ACTIONS December 1, 1998 through April 30, 1999

RESPONDENT FINDINGS BAARDl ACTIAM

Failed to make, maintain, and keep adequate records as to diagnosis made and the treatment performed for upon each dental patient.

Practitioner while on probation from January 15,,1988 until January 15,1998 prescribed controlled substances, to himself and others for non-dental purposes during the years of 1996, 1997 and 1998. In 1996, 1997, and 1998, failed to keep an adequate centralized inventory of the dispensation of controlled substances from his dental office. In 1996, 1997, 1998 failed to.maintain records pertaining to controlled substances in accordance with the Texas Controlled Substances Act.

Admitted addiction to the use of crack cocaine.

Non compliance with requirements of modified 1996 Agreed Settlement Order. Failure to maintain adequate dental records and drug records. Failure to pay fine. Failure to take jurisprudence examination. Failure to complete 50 hours of CE. Prescribed controlled substances dangerous drugs, and/or narcotic drugs approximately 86 times to or for dental patients during the period of license suspension in 1996.

Reprimanded. 10 hours of CE within one year of Order.

Suspension of dental license for a period of 10 years, all probated. Participation in Texas Dental Peer Assistance Program. Controlled substance registration certificates are to be reregistered with DEA or DPS with prior Board authorization and appearance before the Board. 20 Hours of community service per month for the entire probated suspension period.

Suspension of dental license for a period of ten (10) years, beginning on the effective date of this Order, all probated. Participation in Texas Dental Peer Assistance Program. Surrender of DPS and DEA narcotic certificates, substances, anesthesia permits, and prescription forms to the DPS and DEA respectively. Copies of documents of surrender to be sent to SBDE.

Surrender of dental license, effective February 1, 1999.

10

Herbert Freeman, DDS Tx. License #10657

Ed H. Franklin, DDS Tx. License #7466

Mark T. Bonin, DDS Tx. License #15387

Al Douglas Lowe, DDS Tx. License #11433

r vv VVAl\V AV 1 IVI

T P1 r\ r\ r\

I

William A. Ryan, DDS Tx. License #14890

Suspension of license for a period of 1 year, all probated. Respondent shall submit copies of all patients' anesthesia records drugs advance notices of his dental surgery schedules, types of sedation utilized, and location where performed as set out in the Order. 40 Hours of CE during probation.

Admitted to allowing a dental assistant to slenderize teeth, which is a cutting procedure on hard tissue. Admitted to allowing a dental assistant to remove deposits or accretions from the natural and restored surfaces of exposed human teeth in the human mouth upon the removal of orthodontic brackets. Admitted to not signing the prescriptions or work-orders for dental laboratory work. Failed to make, maintain and keep adequate records as to the diagnosis made and the treatment performed for and upon each dental patient.

Suspended for a period of 3 years, the suspension is probated in its entirety except for a consecutive thirty (30) days. 12 hours of CE courses within (1) one year in Record Keeping and Risk Management. Take and pass the Board's jurisprudence examination within 1 year of Order.

11

Violated the standard of care in that the dosage of sedative drugs given during sedation of his patients and dosage was excessive. Demonstrated a lack of knowledge of the use of anesthetic agents and the protocol differences between parenteral conscious sedation and deep sedation/general anesthesia. Parenteral deep conscious sedation/general anesthesia procedure was inappropriate as to the length of time the patient was placed under sedation for a routine extraction of her erupted wisdom teeth. Excessive and unwarranted amount of time to perform the surgical extraction of teeth #1,#16, #17 and #32 (four wisdom teeth, placing anesthetized patient at increased risk). Violated the standard of care in that the dosage of Marcaine given during the surgical procedures on the subject patients was excessive under the circumstances.

Ray D. Snider, DDS Tx. License #12073

s 9

9

e

4 9 9

m e

9

REGULATORY COMPLIANCE

NOTICE OF EXPIRED LICENSES AND REGISTRATIONS

Listed on pages 13 - 17 are licensees whose licenses or registrations are expired as of August 1, 1998. The SBDE notifies each licensee by mail of the impending expiration of a license or registration at least 60 days prior to the expiration date; however, each licensee is responsible to maintain current status by timely payment of annual fees.

The SBDE's intention is to ensure that all dentists, dental hygienists, and dental laboratories are eligible and within legal parameters to practice in Texas. Therefore, the SBDE publishes this list to notify other licensees, registrants, and the public that each of these individuals is not eligible to practice either dentistry or dental hygiene nor to operate a dental laboratory until his/her license or registration is renewed.

Because of the time lapse between the data retrieval of expired licenses and registrations and publication of this Newsletter, some names listed on the following pages already may have renewed in which case they are practicing legally.

To verify the current status of a dentist, dental hygienist, or dental laboratory, you may contact the SBDE office at 512-463-6400, or you may access the agency's WEB site database search at www.tsbde.state.tx.us.

12

Labs with expired licenses, May 25, 1999

A Crowning Touch Dental Lab A-tex Dental Laboratory Acculab Ace Dental Laboratory Acrilloy Dental Laboratory Aitchison Dental Lab Alice Dental Laboratory Anderson Orthodontic Designs Area Dental Laboratory Asteto Dental Labs Austex Orthodontic Lab Bartram Dental Ceramics Beaumont Dental Lab Beltline Dental Arts Binion Dental Arts Bishop Crown & Bridge Boutell Dental Laboratory, Inc. Butch's Dental Lab Casa View Dental Laboratory CDS Dental Studio Centroplex Dental Lab Ceram-O-Arts, Inc. Ceramic Sculptures Charles Brasheir Crown & Bridge Chrome-Dent Dental Laboratory Circle "D Dental Lab Circle M Dental Lab CLY Dental Lab Collins Dental Laboratory Cosmetic Dental Lab Cosmetic Dental Laboratory Creative Custom Services Custom Fit Dental Ceramics Custom Veeners Plus Davis Lab Day Dental Lab Dazs Dental Laboratory Den-Mat Corporation Dental Arts Laboratory Dental Concepts Dental One. Dental Prosthetics, Inc. Design Dental Laboratories, Inc. Drake Precision Dental Laboratory, Inc. Dunagan Dental Lab Dyno-Tech Dental Lab Inc Edgewood Dental Lab Inc Esthetic Dental Arts Esthetic Designs Dental Lab FineArts Fred's Lab Frost Dental Lab Gabriel Dental Studio Genesis Laboratories Gilmore's Dental Prosthetics Gold & Ceramics Dental Lab Gomez Dental Laboratory Graham Dental Lab Griffin Dental Ceramics Griffin Dental Laboratory H.J. Frnka Dental Laboratory Har-Bur Associates Helm Dental Laboratory Henry/Schweitzer Dental Arts Hi-Tech Dental Arts Imperial Dental Arts International Dental Lab J. Davis Dental Restorations, Inc. J. Martin Dental Jackson Dental Labs, Inc. Jacob Snyder Dental Laboratory K AND K Dental Lab King Dental Laboratory Inc. Kramer Dental Laboratory, Inc. L & S Dental Ceramics, Inc. Lakeland Dental Lab, Inc. Lang Dental Laboratory Ledford Dental Lab Mallow-Tru Dental Studio Maxon Ceramic Studio McAllen Dental Laboratory Medina Dental Lab

2258 126

1914 2481 1037 2382 464 2278 2544 2490 2440 1307 2409 2219 2292 2327 537 1781 2280 2348 2033 1939 2407 408 1885 2188 2307 2463 1159 2312 1471 2171 1800 2464 2536 2517 2442 1934 2543 2400 2537 2297 1767 2180 1698 2509 2553 1554 1677 2127 2208 2214 2333 619 1778 2359 695 1922 1837 2477 206 2542 2360 2525 2157 1168 2412 824 2174 2003 1352 2460 2216 1693 2411 1963 2028 2500 1974 1740 641 1688

Metrodent Dental Studio f4O Dental Lab

San Antonio Muth & Mumma Dental Lab Texarkana Neyland Dental Laboratory Lago Vista Nova Ceramics Dental Lab Irving Nu-Images Houston Oral Prosthetics of Texas McAllen OrthoTex Ltd. Alice Partial's Plus Dental Lab Sugar Land Porcelain By Design San Antonio Precision Crafters Maplewood Preferred Dental Lab Austin Quality Crown Dental Lab. Corpus Christi Quality Dental Lab Beaumont Quantum Dental Laboratory Garland Quitman Dental Laboratory Houston R T Dental Laboratory Abilene RAM Dental Lab Dallas Retainers Are Us Arlington Richard A Solomon, CDT Dallas Richard P. Guerra C.D.T. Bossier City Roadrunner Dental Lab, Inc. Belton Rodriguez Dental Laboratory Lakeland Rush Dental Lab Dallas S & K DENTAL LAB Weatherford S.E.T. Orthodontic Lab San Antonio S.M.T. Dental Laboratory Ben Wheeler Sampeck Dental Ceramics Sanger Sandia Dental Ceramics Houston Scott Dental Laboratory Naples Shores Dental Services Houston Southern Aspects Fort Worth Stanmore Dental Lab San Marcos Steinmetz Dental Dallas Svetlik Dental Laboratory San Anmtonio Synergy Dental Lab Grand Rapids Temple Dental Laboratory Camp Hill Texas Dental Arts Santa Monica The Americus Dental Lab Group Santa Maria The Dental Studio Llano The Human Element Dental Laboratory, San Antonio Theresa's Dental Laboratory San Antonio TP Orthodontics, Inc. Macon Tracer Dental Laboratory Kennewick Tri-City Dental Lab Charlotte Ultra Cosmetic Dental Studio Longview Ultra Craft-Dental Lab, Inc Corona University Dental Inc. Mukilteo Vonvai Dental Laboratories, In Albuquerque Westlake Dental Studio San Antonio Garland San Antontio Garland Houston El Paso Arlington Stafford Dallas North Richland Hills Tomball Garland Dallas Arlington Sachse Virginia Beach Lewisville Bellaire McAllen Wimberley Houston Collierville Austin Houston Albuquerque Fort Worth Chattanooga Lakeland Brainerd Houston Independence Azle McAllen El Paso

992 944

2478 1945 2305 2480 1467 1273 1715 2546 2465 1908 2535 2538 2413 1663 2474 2326 2056 2523 1984 2367 705 2430 2376 2418 2267 2068 2520 2178 1668 2579 1278 2315 1046 2585 827

1199. 2429 1905.

In 139 335 1236 1316 1522 1721 2466 2494 2417 529

Houston Granbury Harrisburg Bossier City Houston San Antonio Houston Austin San Antonio Austin San Antonio San Antonio San Antonio San Antonio Houston Quitman Houston Houston San Antonio El Paso Arlington Mesa Donna San Antonio Spring Spring San Clemente Corpus Christi Albuquerque Fort Worth Keller Bogart Longview Arlington Houston Garland Temple Richardson Jamaica Houston Houston Rockport Lodi Kyle Beaumont Mesquite Kennesaw Gainesville '' Garland 4iVto Austin

- 13

Dentists with expired licenses, May 25 1999

Allen, Marc Edward Anderson, Douglas Milan Anderson, Martin L. III Arbuckle, Lowell Frank Arjona, Xiomara M. Arredondo-Lynch, Alma Gloria Baddour, Harry M. Barss, Joseph Townsend Baugh, Tommy Joe Baziotes, Nicholas P. Benson, Lambert A. Berkowitz, Robert Jay Blum, Howard Irwin Bolton, Rodger E. Bourgeois, Gary M. Boynton, Walter E. Brackett, Robert C. Bridgeman, Jay T Brooks, Sidney A. Brown, A. Michael Brown, Barbara Hicks Bruns, Romaine R. Bulford, Lionel Angelo Burgess, Richard Lynn Bush, Geary C. Bybee, William David Camm, Jeffrey Howard Carnes, Richard C. Carpenter, Timothy Cerny, William Childers, Margaret Braden Chin, Edwin Anthony Choate, Barrie Lynn Christopher, Reginald C. Clark, David Lesley Clayton, Stephen Lewin Clements, Willard Gilpin Cloud, George Hunter Jr. Colyer, James D. Crevoisier, Ralph A. Curtis, Mark Alan D'Angelo, James J. Davidson, Richard L. Dazey, Steven E. de la Pena, Denise Dean, Donnie Keith DeFord, Thomas C. Dehan, Stephen Edward Delattre, Veronique Francoise DePaola, Dominick P. Dezham, Mahdi G Dickson, John C. Dietz, Daniel B Dodge, Fred K. Dosch, Robert O. Drake, Ernest Larkin Duncan, Richard Alan Durham, Oscar C. Edwards, Stephen Eugene Eggleston, Todd Ivan Eiland, Kathleen Quigley Estes, Bill D. Evans, Robert Z. Facchini, Franco Farha, Emile M. Farias-Gonzales, Delaine Rose Fortuno, Luis E. Foxx, Jerry Lynn Francis, Thomas P. Fulton, James Michael Goyer, Nannette Davis Graff, Harley E. Greene, Mark William Greenwood, James L. Griffin, Kenneth Wayne Grogan, Steven Lee Hammer, John Hammond, Kenneth L. Haralson, Kathleen Gentry Harden, John W. Jr Harlan, Wendell Price Harvey, Kenneth Ray

18943 15009 12927 18510 11460 15842 11034 18436 14721 7417 9720

15554 18443 5575 18214 5175 8506 19160 18371 9031 18594 5693 18517 13310 8008

15849 18597 5489

19277 11243 16559 15706 14164

9852 17816 12422 15604 13598 11167 7663 18745 19115 7027 17407 18077 14917 6850 13537 15234 17556 19576 6337 18450 7453 11069 13450 .15309 5898 12559 16420 16701

9493 8770 18221 6344 16422 10656 13616 7248 12826 16140 6348 15321 8182 11716 18897 19274 10319 13334 18228 11698 13884

Houston Salt Lake City Houston Longview Republic of Panama Mount Vernon Jackson Chicago Houston Scottsdale League City Rochester Merrick San Antonio Santa Theresa Denton Park Ridge Omah Monterey Torrington Rio Rancho Norwood Harker Hgts San Antonio Glendale East Moline University Place San Antonio Ellicott City Houston Katy Houston Dallas Fort Worth Plano Houston Grove City White Oak Paradise Valley San Antonio Richardson Glenwood Springs Duncanville North Richland Hills Harlingen Knoxville Irving Austin Houston Boston Dallas Houston Naples Crosby Sugar Land Houston Austin The Woodlands Katy Forest Hills Denton Austin Colorado City Livonia Oklahoma City El Campo Hato Rey Mansfield Austin Mont Belvieu Walla Walla Winnie San Antonio Dallas Spring Okmulgee Denver Poteau Crested Butte Atlanta Mena Houston

Haymes, David W. Henika, Peter M. HENRY, ROBERT J. Herod, Michael L. Singer, Alvin Howard Hong, Sunhee Camille Huckabee, Jacqueline Gloria Jennings, Jack Theodore Johnson, Ralph G. III Jordan, Edward R. Junghans, John Anthony Keasler, Walter E. Jr. Keefe, Theresa Frances Kelley, John T. Keneson, Joe Richard Kennedy, John Lloyd Kennedy, Robert P. Jr. King, Dana Koppel, Harold J. Kramer, James M. Krantz, Kevin Marc Krupka, Michael Alex Kurtz, Harold E..Jr. Lang, James R. Lasiter, Clayton Brink Laurel, Hector E. LeClair, Michael J. Lee, Sung Ho Limbaugh, Mark Edward Lipton, John Stuart Lockett, Ford L. Logan, William W. Lott, Linda Dianne Lucas, Philip Eugene Lucas, Wesley R. Maerki, Henry Stanley Jr. Magnuson,. Clarence Henry Malabanan, Ben Bautista Jr. Martin, Robert B. Mayhue, Tommy Leo McAnelly, Mark C. McClaran., Clarence E. McCullough, William L. McMillion, Tommy Louis Meador, Orvis E. Jr. Melamed, Warren F. Mendez, Hilda M Merchant, Muneera Mohnac, Alex M. Montgomery, Edward H. Montoya, Richard-J. Moore, William Murray Morgan, Michael Alan Muse, John Howard Musso, Frank J. Nail, William Rogers Newbold, Dewey A. Nichols, Bartholomew Nicholas Nickell, Maurice C. Olazagasti, Jose E. Parish, Grant Kerwin Parker, Merle Harry Pate, Melvin J. Jr. Patel, Nisha Babu Perry, William Litt Persyn, Michael Anthony Pham, Hung Dinh Piotrowski, Mark John Powars, Benjamin S. Purcell, George E. Jr. Purdy, John Martin Rabel, Herbert E. Rainey, Karen Pape Randall, Lynne J. Rice, James D. ROBERTS, DAVID HEATH Robertson, Randy Mike Roemer, Paul C. Jr. Ross, Brian Keith Ross, James N. Roth, William C. Rotwein, Paul Rouch, Barry Fred Rouse, Paul John

4308 7603

17338 9506

17723 16969 17084 13548 19119 11038 16149 11096 18546

4074 13471 7847 7494 13640 7497 8972 17672 12584 4982 8621 13194 8801 18241 18941 16363 12032 8304 5359 10972 11506 8694 9339 17584 16125 10532 18554 9926 8808 5511

16284 7519 12749 18822 18912 7609 5639 11282 12221 18474 18561 7310 6241 10887 12872 7529 17596 15074 11464 9817 19237 15526 15261 14678 16296 8626 6566 11288 9365 18647 5123 7865 18035 13503 4454 15946 9822 10450 18937 13278 17766

Lubbock Dallas SAN ANTONIO Beaumont Fayetteville Dallas Tucson Stockton Dhahran 31311 Houston San Antonio Arlington Bellaire El Paso Silsbee Albuquerque Houston San Antonio Hot Springs Scottsdale Houston Dallas Fort Worth Shreveport Dripping Springs Austin Tumwater Houston Dallas DENTON Brownsville Mineola. Los Angeles Belleville Woodward Honolulu Livingston Garland Somerville Norman Albuquerque Cape Coral El Paso San Antonio San Antonio Dallas San Juan Redmond Warrington Houston El Paso Dallas Boulder City Belton Garland Dallas San Antonio San Antonio Midwest City Fort Sam Houston Dallas Evans MIDLAND Houston Irving Esparto San Francisco New York San Antonio San Antonio El Paso Houston Fayetteville Galveston Orange Allen Elgin Houston Grapevine Brenham Colorado Springs New York City Austin Wichita Falls

14

Rubelman, Peter Arthur Saltz, James Edwin III Sanders, David Lance Santos, James Arthur Schell, Sandra Meriano Schroeder, Kurt Frederick Scott, John Wilson Seamans, James V. Seelbach, Curtis S. Sellers, Grady Charles Sena, Daniel George Shivers, Rodney Eric Sinclair, Blake George Smitas, Maureen Anne Spann, Charles Earl Spivey, Susan Michelle Stark, Randall V. Stavisky, Kenneth J. Stoia, James Ralph Stoute, Gregory Allen Stranford, John Allan Jr. Strickland, Philip Mark Stringer, John L. Stroud, Gregory Eugene Sung, Andrew Young-Kun Swonke, Patrick Leon Swords, Ruth R. Tache, Daniel.E. Tate, Robert Howard Tong, Winston T. Tonking, Anita Coker Torres, Kevin Briley Tran-Son-Tay, Doan Turner, Kenneth D. Upton, John H. Van Eyk, James Peter Vo, Brittany L Vondrak, John GregoryWade, Martha JaneWard, George H. Warren, James Wyatt Warrington, Richard D. Webb, Udell K. White, Thomas E. Wiggins, Scott Willis Willison, Anna Nawrocka Wilson, William T. Woycheshin, Felix F. Wright, John B.Yagiz, S. Tulay Yorko, Keith W. Yu, Eliza Chi Ching

17887 17230 15210 16224 17049 14570 14362

8474 6745

12066 14692 18417 17163 14366 9828

16309 8725

17781 12389 11969 12335 13411 8851

13141 19492 15215 8727 10982 11566 10175 13956 17120 15107 10236 10647 13415 19172 13047 11929 8236

12518 18400 11235 8101 17624 17916 8105 6141 9750

19251 19128 15765

North Miami Beach Albuquerque Henderson Newburyport Friendswood Long Beach Hewitt Guthrie Henderson Sulphur Springs Dallas Midwest City Plano Schenectady Dumfries Houston Tucson South Burlington Mt. Clemens Sharon Wheat Ridge Iowa Park Eugene Lancaster Plano Houston Fort Worth Houston Kountze Houston Houston N Ogden, Gainesville Killeen Phoenix Austin Falls Church Corpus Christi Spring Torrance San Antonio Clarksville St. George Greenville Eielson, AFB Carrollton LaMesa Houston Ft. Polk San Antonio Austin Monrovia.

15

Hygienists with expired licenses, May 25, 1999

Acker, Melissa Lynn 4745 Adams, Susan Elise 7470 Adams, Vikki Jo 3637 Al-Hawidi, Imad Abdel Hamid 9506 Ammons, Sherri Lynn 5159 Anderson, Susan K 9657 Ansohn, Lori 8592 Ardoin, Jill Monica 7171 Ardura, Donna Sue 1628 Arnold, Sheryl L 9847 Bailey, Julie Ann 8688 Bailey, Marian Margaret 4752 Baker, Felicia Denise 7922 Baranowski, Lynne Anne 9867 Barnard, Kimberly 8674 Barnes, Leslie Ann 2988 Bartley, Rebecca Noreen 5789 Beck, Lee Ann 7255 Beeson, Jane C. 1086 Behbahani, Afsaneh A 10067 Beier, Erin Ader 10380 Bell, Lorraine 4916 Bennett, Sue Ann 4310 Bergen, Donna 5210 Biltimier, Elizabeth Theda 8426 Blen, Marcy Klayman 9938 Bocian, Mary C. 3890 Boucher, Carrie Lynn 6999 Bradley, Wynona Jo 4516 Bradshaw, Leslie K. 2423 Brammer, Nancy L. 3024 Branch, Larraine Jaye 5133 Brandon, Angela Anise 7535 Brem, Karen Nagle 5542 Brewer, Dolly Kay 8790 Brown, Karen Loy 5967 Brown, Kelly Leigh 6418 Brunson, Jacqueline Ann 8022 Bubar, Joan Elizabeth 4513 Buchholz, Kathleen Joy 3166 Burks, Deborah Deniece 8549 Burt, Barbara Lynn 7007 Burton, Julie 7739 Busby, Barta Gene 3288 Butler, Cathy Ann 2674 Camel, Teresa J 10081 Carter, Jerrie Beth Tomlinson 4054 Chambers, Tracy Ann 8694 Chandler, Barbara Floyd 3897 Charles, Margaret 0. 2544 Chatterton, Debra Kay 7583 Chester, Pamela K. 2963 Claunch, Rebecca Ann 5218 Cleveland, Trinity Jean 10262 Cline, Cris 6156 Coalson, Karla Marie 7012 Coleman, Donna Marilyn 8554 Conger, Betty F. 1258 Cooper, Peggy D. 2402 Corrigan, Jeanelle Merritt 10372 Cox, Molly Jo 5602 Crane, Barbara Lee 3996 Crim, Diana 1990 Cromeens, Debra J. 1500 Crone, Rickie Rene 7745 Cross, Kellie Annette 7937 Cudahy, Susan Rene 6994 Cutchen, Carol 1625 Czech, Perri T 9655 Damron, Debra Nentwig 2688 Dayton, Jennifer Lea 3617 De La Garza, Ruth Marie 5301 Dickson, Vicki Dean 3754 Drell, Paula Kay 9868 DUNHAM, ANGELA S. 9351 Durham, Deborah Edina 7866 Dziobala, Sue Ann 4339 Edler, Lisa Ann 3441 Emshoff, Donna Tullis 5051 Essner, Mary Frances 6688 Estilette-Sneed, Elizabeth Kim 7026 Euting, Ellen L. 1133

Austin Riverdale Spring Hurst PAMPA Victoria Southlake Houston Bedford Arlington Vernon West Palm Beach Houston Farmington Tulsa Needville Wichita Falls Florence Wichita Falls Plano Zachary New Waverly Cedar Park Valrico Lafayette Memphis San Antonio New Braunfels West Columbia Littleton Katy Austin Palestine Lake Jackson Baytown Colleyville Bayou Vista Morris Plains Clearwater San Antonio Wichita CONROE Fairfield San Antonio Nacogdoches Tyler Corte Madera Anna Maria Colorado Springs San Antonio Dallas San Antonio Leawood El Paso Heath Weatherford Keller Harrisonburg Tyler HALTOM CITY Louisville Sugar Land Virginia Beach Pasadena La Joya Sugar Land Lakewood Victoria Tucson Sugar Land Granbury Reston Tomball Grapevine Plano Paige Caldwell Fort Worth Willow Park Corpus Christi Midland Plano

Evans, Glenita Evans, Terrie Michelle Farmen, Julie Ellen Ferrillo, Nancy Jayne Fewel, Kathryn Elizabeth Flanagan, Diana L. Flipse, Carol Lynn Flores, Dorcas Garza Ford, Yvonne M. Frashure, Carol Friedenthal, Audrey D. Garrett, April Garza, Marie Carolina Gibbs, Laura Lea Giesie, Brenda Inez Giesler, Ellen Marie Gillespie, Treva Gayle Glass, Rebecca Riley Glossner, Karen Ann Goodman, Jacalyn Ann Goracy, Patricia Gay Granger, Karen J. Green, Kimberly Roberts Guhlin, Pamela Miller Guitron, Rebecca Rivera Gumm, Patti R. Gustitis, Terri Mackey Hamilton, Terri Lynn Hammel, Kerri Denise Hancock, April Dawn Hargrove, Martha S. Harkey, Marilyn Kay Harris, Cynthia Hartin, Rebecca Ashleigh Haugland, Holly Beth Haverfield, Tammy Lynne Haws, Elaine S. Hebert, Candace D M Heggie, Vinessa M Hicks, Carol L. Hill, Sabrina Ruth Hill, Stephanie J. Hinsley, Sue Ellen Hoepfner-Shields, Shelley Kay Holder, Diana Jane Holmes, Carolyn Anne Horsley, Judy Ann Hove, Carrie Ann Hudman, Amelia L. Hudson, Robin Elaine Huemme, Carolyn Dale HUNT, TRICIA D. Hunter, Alison Kay Jackson, Pamela Kay Jacobs, Linda D. Jennings, Stephanie Johnson, Andrea Marlene Johnson, Pamala L. Johnson, Patsy Ann Johnson, R. Ann Johnson, Sherry Lynn Johnson Bellows, Nancy Lorene Jones, Deborah Jordan, Arline B. Kallish, Linda J. Keane, Cindy A. Keesee, Ann Y. Kendrick, Kandi C. Kerr, Calvin Jr. Ketchum, Patricia Ann Kibiloski, Brenda Lea Kirkley, Pamela E. Kober, Katie Marie Koenig, L. Ouitau Kotecki, Kathryn L. LaFever, Jill Allison Lair, Phyllis L. Landers, Rhonda Ragain Landry, Jean-Dair Laney, Brenda Colwell Langberg, Lizabeth Jill Lewis, Anita Marie Limon, Elizabeth C. Linscomb, Claire Elizabeth

5008 9220 6728 3033 7031 2754 5099 7489 1422 8115

10430 10286 9969 7552 6602 4142 4133 2057 9001 7349 4465 9187 10514 4049 7071 4355 3677 3396 10694 10340

176 4688 7955 10054 9149 7823 557

10241 9742 2306 8642 2535 1558

10562 9646 5523 1996 8555 2344 7880 7669 9347 3431 8914 3224 2120 9648 9313 3184 205 7960 3144 3372 323 4398 2162 1379 9006 6443 1783 7427 1602 4622 6942 4486 10020 1048 9974 7446 1984 8820 6621 7130 5287

Marietta Houston Leavenworth St. Louis Hanford Pasadena Reddick Houston Tomball Pflugerville Lewisville Walters Corpus Christi Fort Worth West Columbia Louisville Amarillo Jacksonville Wilkes-Barre Dallas Middletown Cleveland Tyler Houston Sierra Vista Bay City Bryan Spring Harlingen Ben Wheeler Houston Friona El Paso Ardmore Conroe Needville Houston San Antonio Austin Midland Frisco Lubbock Palatine Wichita Falls El Paso Houston Spring East Peoria Broken Arrow Irving Canton Loma Linda Mesa Denton Houston Houston San Antonio Coppell Fort Worth Fort Worth 06140 Vence Beeville Mineral Wells Lufkin Dallas Omaha Lawton Reno Severn Van Louisville Dallas Mesquite Whalan Plano Rep of Djibouti San Antonio Magnolia Port Neches Vernon Seattle Houston San Antonio Refugio

- 16

Litzelman, Nora D. Loustaunau, Laurie Ann Lovato, Maria Irasema Luersen, Helen Ann Malik, Arvinder K. Mann, Terri Jean Marshall, Rochelle Arlene Martinez, Ofelia Marruffo Massey, Gaylynn Mathews, Misty Kay Mayfield, Paulette McBride, Marilyn Elaine McBurnett, Shiela F. McCarter, Kimberly Beasley McCowan, Leann Laden McCracken, Dianne McGuff, Wendy Ann McKim, Tina L. McPherson, Martha Renee McRedmond, Mary E. Meighan, Marie Theresa Melde-Crenshaw, Jenine Renee Mena, Sonya Mercer, Kimberly Kay Meyer, Sally S. Middleton, Alicia Dionne Mitchell, Katherine D. Mitchell, Samuel L Montoya, Jose Antonio Moore, Vicki Ann Morgan, Christine Marie Mullins, Cheryl Ann Nall, Kathryn Naylor, Betsy Jo Newton, Beth Greenwood Nishioka, Linda Lorea Nix, Allison Nixon, Tina Gale Noble, Terri D. Nobles, Jodie Lee O'Connell, Linda Reichard O'Quinn, Cynthia Jones Oakes, Georgette H. Oakley, Keri Lynn Oglesby, Vicki Burt Ortiz, Belinda Palasota, Diane Margaret Mery Pardue, Charlotte C. Pearson, Cassie Aline Pierce, Mary Tiroff Poison, Connie F. Portell, Olga M. Porter, Shelley L. Pressley, Diane Isabel Prihoda, Teresa Ann Ramirez, Melissa Ann Rentz, Susan Scott Reser, Glynna De'Andra Rhyne, Patricia Jo Riedmiller, Holly Ann Risner, Lee A. Rivard, Claudia Robichaud, Kimberly Barnatt Robinson, Susan Alice Rodriguez, Jennifer Janus Rosson, Cara E. Rutherford, Virginia Mokry Samuel, Vicky K. Sanderson, Sonya Parish Sanne, Sheryl Sue Sartain, L. Janelle Scherer, Carol Ann Schimpf, Barbara Pfanner Schrimsher, Shelly Cay Schwieterman, Cynthia Ann Secrest, Cathy Ann Shalda, Kathryn Mary Shipp, Nanette Joyce Shirley, Lisa Kay Short, Jodi Elizabeth Sills, Misty d'Anne Sisto, Dawn Yvonne Skrasek, Jody Tresa Snow, Linda Faye

, 9188 7050 6005 2734 5843 4264 6809 7133 7508 8511 7135 6531 1178 6140 5163 8276 6098 1209 2049

540 8742 8827 3192 7977 1864 9750 9233

10358 4101 7900 7972 5555 6380 3023 9163 5642 5198 7439 2321 3490 5035 3815 421 9165 4919 6456 5098

149 5347 5754 9080 2198 3415 5107 9243 9040 4302 8455 5353

10327 1859 8292 9431 7232 6706 2576 3456 1720 9954 6023 2331 6767 2845 7159 8946 9296 7998 4158 2972 7237 8851 3696 8464 3317

Westford FRITCH Phoenix Huntley Irvine Friendswood South Wales Allen Spring Shelbyville Odem Fort Worth Houston Ovilla Coppell Lufkin Seneca Garland Houston Boerne Newport News Richmond Granbury Stafford Spring Sweetwater El Paso Austin El Paso Henderson Lubbock Gilmer Ville Platte Irving Garden Ridge Salem Pfulgervi lle Canton Rochelle Beaumont Mountaintop Glen Rose Houston Austin The Woodlands Corpus Christi San Antonio Kingston Burns Flat Bishop Ridgeland Stafford Houston Kingwood Austin Alice Abilene BOERNE Amarillo Savannah Nacogdoches Grand Junction Houston Vancouver GARLAND Fort Worth Woodstock Austin College Station Bryan Houston San Antonio Shreveport Kerrville Milford Allen Roswell Wichita Falls DALLAS Houston Manhattan Metairie San Francisco Beaverton

Soroush, Mandana Spaight, Paula Marie Spiller, Myra Jill

Stacy, Glenda Joslin Stevens, Cathy D. Stilwell, Patti R. Striegl, Kelli Diane Suppiger, Helen Jean Sutherland, Cathy A. Sword, Vicki Lyn Syme, Jennifer Watkins Talbot, Sandra Gail Tate, Janet Carol Taylor, Gayla H. Tellez, Jo Ann Terry, Linda Jo Thomas, Shannon Garrard Thornhill, Deborah Kay Tomlinson, Jackie B. Tomlinson, Terri Nell Tompkins, Debra Joyce Trail, Vicki A. Trevino, Diana Tucker, Dana D. Tutt, Lea Ann Vaccaro, Sally Rusho Van Metre, Justine C. Vazquez, Jodie A. Veith, Joan Marie Villagomez, Cecilia Wadehra, Janet Ternus Walters, Cheryl A. Walters, Lynae Danette Ward, Pamela Rose Warnken, Ivanna Sue Waterman, Sheri Lynn Watson, Mary L. Weinholtz, Deborah Lynne Welch, Jennifer Lynn Westbrook, Grace A. Westfall, Deborah Roberts Whaley, Tiffany Michelle Wilcox, Charis Williams, Lisa Faye Williams, Patty Wilson, Debra Sue Winakur, Gaye L. Windrow, Marianne Wingrove, Cynthia Ann Winters, Diana Farrington Withers, Jayne Phillips Womack, Judith Carol Woods, Linda A. Woods, Tammy Lynn Woody, Dannelle Lynn Wooten, Joyce Lee Wright, Susan Marie Young, Karen Ann Young, Lisa Ann Zima, Maria R.

10359 9765 2607

3250 1860 4533 7385 9876 1372 6397 10444 2887 7791 1937 7792 5049 8863 8003 1876 4977 10058 9304 8771 7948 7086 9502 3387 865

6565 5773 9203 980

10031 6841 3011 4823 619 5660 8874 3075 2252 9206 10065 7918 4017 7331 1438 4020 8380 10397 4108 4021

648 4229 7658 5678 4648 8961 5857 4434

DALLAS Mill Valley Reno

Rowlett Leander Bellville Katy Flushing Florence Wylie McKinney

Orange Dallas Midland El Paso McKinney Dallas Rowlett Dallas The Woodlands West Springfield Lexington Dallas Round Rock

Coppell San Pedro Houston Richmond Lake Mills Highland Austin

Stephenville, Alberta TOk-OBO Beaumont Pleasanton Ponte Vedra Beach Galveston Mission Viejo Taylors San Antonio Jacksonville Juneau Gurnee

Sulphur Austin Plano San Antonio Lakewood Dallas Flower Mound Corinth Richardson Houston Grand Prairie

Spring Bradenton Porter Pensacola Chandler El Paso

17

CHANGE OF ADDRESS

You are responsible for notifying the SBDE office in writing within 60 days of the change of your address [Dental Practice Act, Article 4550 Sec 1]. License renewal notices are mailed to the address of record and if you have not updated your address, you may experience a late license renewal requiring that a late penalty be paid if your address is not current.

RENEWAL APPLICATIONS

Notice of renewals are mailed to licensees approximately 60 days prior to expiration of the license. If you do not receive your renewal, you may submit a written request to this office for a duplicate. COMPLIANCE IS THE RESPONSIBILITY OF THE LICENSEE.

TEXAS DENTAL PEER ASSISTANCE PROGRAM

Included in the cost of your annual renewal is a fee to support the Texas Dental Peer Assistance Program (TDPAP). The fee for dentists is $9.00; for dental hygienists is $2.00. The TDPAP is a non-profit corporation that has served as dentistry's peer assistance program since 1986. The TDPAP is available to provide confidential assistance to dentists, dental hygienists, dental students, and dental hygiene students who are experiencing mental, emotional, or substance abuse problems. The TDPAP is your service! For more information, contact Bob Robinson, LCDC, CAS, NCAC II, TDPAP Executive Director at 1-800-9456302 or 512-451-9040.

The Dental Practice Act requires any dentist administering nitrous oxide/oxygen inhalation conscious sedation, parenteral conscious sedation, or general anesthesia to have a permit. Accomplishing required training does not imply that a sedation/anesthesia permit is automatically issued. All dentists desiring a sedation/anesthesia permit must apply to the SBDE for issuance.

Permit applications may be obtained from the SBDE office. They are submitted to the SBDE, Director of Licensing and Examinations, and are reviewed and approved by the SBDE at regularly scheduled SBDE meetings.

Please Note: if you do not have an approval letter from the State Board of Dental Examiners to administer conscious or general anesthesia, you are not legally permitted to do so.

RADIOLOGY EXAMINATIONS

Texas dentists wishing to order radiology examinations for dental auxiliaries must submit a written request along with $30.00 (per exam) to the SBDE office. Instructions for administering the examination will be included in the packet of information mailed.

CONSUMER INFORMATION SIGN

Pursuant to SBDE Rule 109.10, a licensed Texas dentist may obtain a copy of the Consumer Information sign from the SBDE office by written request along with a fee of $3.00.

18

ANESTHESIA PERMITS

CONTINUING EDUCATION

Pursuant to Rule 104.5(e), Continuing Education audits began January, 1999.

All dentists and dental hygienists licensed on or before December 31, 1995 will be eligible for audit when their license expires in 1999.

A total of 36 hours of technical or scientific continuing education hours are required to maintain licensure.

Only those licensees randomly selected for audit will be required to submit documentation.

DO NOT submit CE documentation to the SBDE office unless you have been asked to do so.

Be aware that some organizations offering CE courses may be misleading Texas licensees taking these courses by stating that these course are eligible for CE credit in Texas. These courses may not qualify as "technical and scientific as related to clinical care" as outlined in Rule 104.1(5). The SBDE strongly recommends all licensees exercise good clinical judgment when seeking CE courses. Licensees should review the CE rules for appropriate providers.

CE PENALTIES: New rules 104.1, 107.200 and 107.201 outline requirements and penalties for compliance of continuing education.

104.4, the

non-

The SBDE recognizes that numerous licensees practice in more than one location and that it may be troublesome for such licensees to transport their original dental licenses in order to meet the requirements of Article 4548d. Therefore, the SBDE's position is that a licensee may display at secondary locations a copy of the original dental license that is certified by a notary public as a true and correct duplicate of the original. The original dental license, however, needs to be displayed at the designated primary practice location.

CERTIFICATION TO APPLY PIT AND FISSURE SEALANTS

Pursuant to Rule 115.2, Permitted Duties, for a dental hygienist to obtain certification to apply sealants in Texas, he/she must submit the following documents to the SBDE office:

(1) a written request which includes the hygienist's name, mailing address, social security number, and Texas license number.

(2) proof of successful completion of a pit and fissure sealant course at a CODA dental or dental hygiene school or college. This may be either (a) a course certificate, (b) a copy of the dental hygienist's transcript and a course description, or (c) a letter from the Dean or Program Director attesting to dental hygiene training and competency to apply sealants.

NOTE: the letter must be written on school letterhead.

The Texas Dental Practice Act (statutory law as passed by the Texas Legislature ) and the SBDE Rules and Regulations (as promulgated by the Board) may be viewed on our WEB SITE at www.tsbde.state.tx.us. You may still obtain a copy of the rules and regulations by written request along with a fee of $10.00. There is no fee for obtaining a copy of the Dental Practice Act.

- 19

DISPLAY OF LICENSE

SBDE STATISTICAL INFORMATION

LICENSING and EXAMINATIONS

New Licenses issued DDS RDH Labs

Licenses Renewed DDS RDH Labs

Examinations Nitrous Oxide Monitoring Radiology Jurisprudence

Licensed by Credentials DDS RDH

Licensed by Examination DDS RDH

4 th qtr. 1 st gtr. 98 99

30 17 19

3123 2206 40

499 869 540

56 59

9

2890 2052 179

238 638 106

15 15 7 12

15 41 10 47

ENFORCEMENT

4th qtr. 1st gtr 98 99

New Complaints Assigned On-going cases Investigations completed

Cases reviewed by Board Secretary

Cases to Settlement Conference

Complaints resolved

Cases heard at Settlement Conference Board Orders proposed Cases dismissed Cases to SOAH Tabled

*5 licenses surrendered Licensees on Probation

150 379 176

110 364 124

183 190

12

167 140

8 02 2 4 0

0 0 0

91 82

YEAR TO DATE Total Number of Licensees Issued

as of April 15, 1999

DDS RDH Laboratories

15,262 10,450 2,591

1999 SCHEDULED MEETINGS

BOARD MEETINGS June 4 - 8:00 a.m. - Austin August 13 - 8:00 a.m. - Austin November 5 - 8:00 a.m. - Austin

SETTLEMENT CONFERENCES July 9, 10 - 8:30 a.m. - Austin September 17, 18 - 8:30 a.m. - Austin December 3, 4 - 8:30 a.m. - Austin

JURISPRUDENCE EXAMINATION SCHEDULE May 13 - San Antonio - 8:30 a.m. & 12 noon June 3 - Houston - 8:30 a.m. & 12 noon Aug 26 - San Antonio - 8:30 a.m. & 12 noon Sept. 24 - Dallas - 12:00 noon Oct. 8 - Houston - 8:30 a.m. & 12 noon Dec. 3 - San Antonio - 8:30 a.m. & 12 noon

NITROUS OXIDE MONITORING EXAMINATION SCHEDULE May 13 - San Antonio - 10:00 a.m. & 1:30 p.m. June 3 - Houston - 10:00 a.m. & 1:30 p.m. Aug. 26 - San Antonio - 10:00 a.m. & 1:30 p.m. Sept. 24 - Dallas - 10:30 a.m. & 1:30 p.m. Oct. 8 - Houston - 10:00 a.m. & 1:30 p.m. Dec. 3 - San Antonio - 10:00 a.m. & 1:30 p.m.

***********

STATE BOARD OF DENTAL EXAMINERS 333 GUADALUPE, TOWER III, SUITE 800

AUSTIN, TEXAS 78701

MAIN NUMBER - 512-463-6400 FAX -512-463-7452

WEB SITE: www.tsbde.state.tx.us e-mail:

meiling.clendennen@tsbde.state.tx.us

Please direct all questions regarding the Newsletter to Mei Ling Clendennen, manager editor, at 512-463-6400.

20

STATE BOARD OF DENTAL EXAMINERS 333 GUADALUPE, TOWER 3, SUITE 800 AUSTIN, TEXAS 78701

Bulk Rate U.S. Postage Paid Permit No. 360 Austin, Texas