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PLEASE DO NOT REMOVE BOOK FROM OFFICE

NEVADA STATE BOARD

of DENTAL EXAMINERS

Board Meeting &

Public Hearing

March 23, 2018

9:00 a.m.

PUBLIC BOOK

Draft Minutes

NEVADA STATE BOARD OF DENTAL EXAMINERS 1

6010 S. Rainbow Boulevard, Suite A1 2 Las Vegas, NV 89118 3

4 5

Video Conferencing available for this meeting at the Nevada State Board of Medical Examiners Office 6 Conference Room located at: 1105 Terminal Way, Suite #301; Reno, NV 89502 7

8 PUBLIC MEETING 9 DRAFT 10

Friday, January 19, 2018 11 9:00 a.m. 12

13 Board Meeting. Workshop and Public Hearings Agenda 14

15 Please Note: The Nevada State Board of Dental Examiners may hold board meetings via video conference or telephone conference 16 call. The public is welcomed to attend the meeting at the Board office located at 6010 S. Rainbow Blvd, Suite A1; Las Vegas, 17 Nevada 89118; or in the Conference room of the Nevada State Board of Medical Examiners office located at 1105 Terminal Way, 18 Suite #301; Reno, NV 89502 (when applicable). 19 20 Persons wishing to comment may appear at the scheduled workshop/hearing or may address their comments, data, views, 21 arguments or small business impact in written form to: Nevada State Board of Dental Examiners, 6010 S. Rainbow Blvd, A-1, Las 22 Vegas, Nevada 89118, Attn: Debra Shaffer-Kugel, Executive Director; FAX number (702) 486-7046; e-mail address 23 [email protected]. Written submissions must be received by the NEVADA STATE BOARD OF DENTAL EXAMINERS on or before 24 January 12, 2018 in order to make copies available to members and the public. 25 26 The Nevada State Board of Dental Examiners may 1) address agenda items out of sequence to accommodate persons appearing 27 before the Board or to aid the efficiency or effectiveness of the meeting; 2) combine items for consideration by the public body; 28 3) pull or remove items from the agenda at any time. The Board may convene in closed session to consider the character, 29 alleged misconduct, professional competence or physical or mental health of a person. See NRS 241.030. Prior to the 30 commencement and conclusion of a contested case or a quasi judicial proceeding that may affect the due process rights of an 31 individual the board may refuse to consider public comment. See NRS 233B.126. 32 33 Public Comment time is available after roll call (beginning of meeting) and prior to adjournment (end of meeting). Public Comment 34 is limited to three (3) minutes for each individual. You may provide the Board with written comment to be added to the record. 35

36 Asterisks (*) denote items on which the Board may take action. 37

Action by the Board on an item may be to approve, deny, amend, or table.38 39

40 1. Call to Order, roll call, and establish quorum 41 42 Dr. Blasco called the meeting to order and Mrs. Shaffer-Kugel conducted the following roll call: 43 44 Dr. Timothy Pinther (“Dr. Pinther”) ----------PRESENT Dr. R. Michael Sanders (“Dr. Sanders”) ----PRESENT 45 Dr. Byron Blasco (“Dr. Blasco”) --------------PRESENT Ms. M Sharon Gabriel (“Ms. Gabriel”) ------PRESENT 46 Dr. Jason Champagne (“Dr. Champagne”) –PRESENT Ms. Betty Pate (“Ms. Pate”) ------------------PRESENT 47 Dr. Gregory Pisani (“Dr. Pisani”) --------------PRESENT Ms. Yvonne Bethea (“Ms. Bethea”) ---------PRESENT 48 Dr. Brendan Johnson (“Dr. Johnson”) ------PRESENT Ms. Nikki Harris (“Ms. Harris”) ---------------PRESENT 49 Dr. Ali Shahrestani (“Dr. Shahrestani”) ------PRESENT 50

51 Others Present: Melanie Bernstein Chapman, Board General Counsel; Debra Shaffer-Kugel, Executive Director. 52 53 Public Attendees: Brian Reeder, NDA; Rick Dragon, NDA; Lancette VanGuilder, NDHA/Future Smiles; Marke 54 Funke, NDA; Chantalle Funke, NDA; Rick Thiriot, DDS, UNLV SDM; Ray Gates, Esquire, LTGL; Leslie Kotler, DMD; 55 Robert Talley, NDA; Heather Medam, NEA Dentistry; Albert Castellan, DDS. 56 57 58 2. Public Comment: (Public Comment is limited to three (3) minutes for each individual) 59

60 There was no public comment. 61 Note: No vote may be taken upon a matter raised under this item of the agenda until the matter itself has 62 been specifically included on an agenda as an item upon which action may be taken. (NRS 241.020) 63

64 *3. Election of Officers - NRS 631.160 (For Possible Action) 65 66 *(a) President (For Possible Action) 67 68 69 Board Member Blasco mentioned the statutory requirement to elect officers at the first meeting 70 of each calendar year. Board Member Pinther made a motion to elect Byron Blasco, DMD 71 President of the Board. Motion was seconded by Board Member Pisani. 72 73 Motion: Board Member Pinther 74 Seconded: Board Member Pisani 75 Discussion: No discussion 76 Motion Passes 77 78 *(b) Secretary Treasurer (For Possible Action) 79 80 Board Member Sanders made a motion to elect Jason Champagne, DDS as the Board’s 81 Secretary Treasurer. Motion was seconded by Board Member Gabriel. 82 83 Motion: Board Member Sanders 84 Seconded: Board Member Gabriel 85 Discussion: No discussion 86 Motion Passes 87 88 *4. Public Workshop: (For Possible Action) 89 90 Notice of Public Workshop, Request for Comments and review of Nevada Administrative Code Chapter 91 631 related to the practice of dentistry and dental hygiene and proposed regulation(s) regarding SB 256 92 (Review Panel) and change to NAC 631.395 (Participation of Investigator). 93 94 The purpose of the workshop is to receive comments from all interested persons and to consider the 95 review of Nevada Administrative Code Chapter 631 and regulation changes and amendments. The general 96 topics include the following; proposed regulation(s) regarding SB 256 (Review Panel) and change to NAC 97 631.395 (Participation of Investigator). 98 99 100 Review and Discussion was held regarding the draft proposed regulations pertaining to SB 256 101 which was enacted by the Legislature to add a Review Panel to the investigative process. The 102 proposed regulations define the duties and processes of the Review Panel for action that may 103 be taken by the Board in the future. General Counsel for the Board explained the proposed 104 regulations to the Board Members and Public. Board Members Sanders had questions 105 pertaining to the negotiations of stipulation agreements. Board Members Pinther requested 106 information on who will serve on the Review Panel(s). 107 Board Member Pisani made a motion to approve the proposed regulations with no changes 108 Motion was seconded by Board Member Pinther 109 110 Motion: Board Member Pisani 111

Seconded: Board Member Pinther 112 Discussion: No discussion 113 Motion Passes 114 115 *5. Public Hearings-Notice of Intent to Act Upon- R044-17 and R004-17 (For Possible Action) 116 117

*(a) R044-17- The purpose of the Hearing is to receive comments from all interested persons 118 regarding the adoption of the following proposed regulations that pertain to Chapter 631 of the Nevada 119

Administrative Code. The revisions are regarding the following: 120 121 The proposed regulations are necessary to establish Board of Dental Examiners policy and to 122 clarify existing Board of Dental Examiners policy for the injection of neuromodulator that is derived from 123 Clostridium botulinum and injection of dermal or soft tissue fillers and to amend NAC 631.175 with the 124 addition of at least 2 hours of training for dentists who are registered to dispense controlled substances 125 pursuant to NRS 453.231 relating specifically to the misuse and abuse of controlled substances, the 126 prescribing of opioids or addiction during each period of licensure. (For Possible Action) 127 128 129 After conducting a Public Workshop the proposed regulations were returned from LCB 130 regarding SB101. These regulations pertain to the injection of neuromodulator that is derived 131 from Clostridium botulinum and injection of dermal or soft tissue fillers and to amend NAC 132 631.175 with the addition of at least 2 hours of training for dentists who are registered to 133 dispense controlled substances pursuant to NRS 453.231 relating specifically to the misuse and 134 abuse of controlled substances, the prescribing of opioids or addiction during each period of 135 licensure. Discussion was held to include, questions and clarification from Board Member Blasco 136 and Board Member Sanders. 137 138 The regulations set forth the education, training and reporting requirements if a licensee injects 139 of neuromodulator that is derived from Clostridium botulinum and injection of dermal or soft 140 tissue fillers to patients and reporting certification as part of licensure renewal. 141 142 In addition, the regulation adds to the existing continuing education requirements 2 hours of 143 training for dentists who are registered to dispense controlled substances pursuant to NRS 144 453.231 relating specifically to the misuse and abuse of controlled substances, the prescribing of 145 opioids or addiction during each period of licensure as required by AB 474 and NRS 631.344. 146 147 Board Member Pisani made a motion to accept the proposed regulations identified as R044-17 148 with no changes for botox and dermal fillers only. Seconded by Board Members Sanders 149 150 Motion: Board Member Pisani 151 Seconded: Board Member Sanders 152 Discussion: No discussion 153 Motion Passes 154 155 Board Member Sanders reminded the Board of the amendment to NAC 631.175 regarding 156 continuing education for controlled substances. Board Member Sanders made a motion to 157 accept the proposed regulations regarding NAC 631.175 relative to continuing education for 158 controlled substances without any changes known as R044-17. Seconded by Board Member 159 Pisani. 160 161 162 Motion: Board Member Sanders 163

Seconded: Board Member Pisani 164 Discussion: No discussion 165 Motion Passes 166 167 168 *(b) R004-17- The purpose of the Hearing is to receive comments from all interested persons 169 regarding the adoption of the following proposed regulations that pertain to Chapter 631 of the Nevada 170 Administrative Code. The revisions are regarding the following: 171 172 The proposed regulations are necessary to establish Board of Dental Examiners policy and to 173 clarify existing Board of Dental Examiners policy relative to the administration of sedation and/or 174 anesthesia, NAC 631.003; NAC 631.004; NAC 631.029; NAC 631.2205; NAC 631.2211; NAC 631.2213; NAC 175 631.2217; NAC 631.2219; NAC 631.2221; NAC 631.2223; NAC 631.2225; NAC 631.2227; NAC 631.2229; 176 NAC 631.2231; NAC 631.2235; NAC 631.2236; NAC 631.2237; NAC 631.2239; NAC 631.224; NAC 177 631.2241; NAC 631.2254; NAC 631.2256 and NAC 631.230. (For Possible Action) 178 179 The Board held multiple meetings and a Public Workshop to draft amendments and changes to 180 the Anesthesia Section of the Nevada Administrative Code. The proposed regulations have 181 been returned from LCB and are identified as R004-17. The Board is conducting this hearing to 182 accept, reject or make changes to the proposed regulations. The purpose of the proposed 183 regulations is to make the appropriate changes to be consistent with the definition change 184 made through the 2015 Legislative Session for minimal and moderate sedation defined and 185 add a moderate sedation permit for sedating children 12 years of age or younger, additional 186 emergency drugs and equipment. 187 188 Board Member Johnson, Chair of the Anesthesia Committee explained to the Board and Public 189 the need for these amendments/changes and went through each regulation individually. 190 191 192 NAC 631.003- Moderate Sedation defined 193 194 Change the word conscious sedation to moderate sedation consistent with the statute NRS 195 631.025. Board Member Pinther made a motion to accept the language as set forth in R004-17 196 without changes. Seconded by Board Member Gabriel. 197 198 199 Motion: Board Member Pinther 200 Seconded: Board Member Gabriel 201 Discussion: No discussion 202 Motion Passes 203 204 NAC 631.004- Moderate Sedation Permit defined 205 206 Change the word conscious sedation to moderate sedation consistent with the statute NRS 207 631.025. Board Member Pisani made a motion to accept the proposed regulation without 208 change. Seconded by Board Member Pinther. Board Members Sanders asked whether a 209 licensee would be required to get a permit for patients 12 years of age or younger and whether 210 a permit is required for minimal sedation. 211 212 213 Motion: Board Member Pisani 214 Seconded: Board Member Pinther 215

Discussion: No discussion 216 Motion Passes 217 218 NAC 631.029-Schedule of fees 219 220 Change the word conscious sedation to moderate sedation consistent with the statute NRS 221 631.025. Board Member Pisani made a motion to accept the language without changes. 222 Seconded by Board Member Gabriel 223 224 Motion: Board Member Pisani 225 Seconded: Board Member Gabriel 226 Discussion: No discussion 227 Motion Passes 228 229 NAC 631.2205-Contents of form for registration to provide continuing education 230 231 Change the word conscious sedation to moderate sedation consistent with the statute NRS 232 631.025 Board Member Sanders made a motion to accept the language as set forth in R004-17 233 without changes. Seconded by Board Member Gabriel 234 235 236 Motion: Board Member Sanders 237 Seconded: Board Member Gabriel 238 Discussion: No discussion 239 Motion Passes 240 241 NAC 631.2211-Scope 242 243 Amend the regulation to define minimal sedation is as set forth in NRS 631.078 and change the 244

word conscious sedation to moderate sedation. Board Member Pisani made a motion to 245 accept the language with changes to include single dose added. Seconded by Board 246 Member Sanders 247

248 Motion: Board Member Pisani 249 Seconded: Board Member Sanders 250 Discussion: No discussion 251 Motion Passes 252 253 NAC 631.2213-Permit required 254 255

This amendment to the regulation changes conscious sedation to moderate sedation, adds a 256 moderate sedation permit to administer on patients 12 years of age or younger and the 257 educational requirements for said permit. 258 259 Board Member Pisani made a motion to accept the language with changes to include as 260

appropriate for site permits, removal of general anesthesia from section 1(b)(2) and 1(c)(1) 261 and other changes. Seconded by Board Member Pinther 262

263 Motion: Board Member Pisani 264 Seconded: Board Member Pinther 265 Discussion: No discussion 266 Motion Passes 267

268 269 NAC 631.2217-Review of holder of permits 270 271 Change the word conscious sedation to moderate sedation consistent with the statute NRS 272 631.025. Board Member Sanders made a motion to accept the language as set forth in R004-17 273 without changes. Seconded by Board Member Gabriel 274 275 Motion: Board Member Sanders 276 Seconded: Board Member Gabriel 277 Discussion: No discussion 278 Motion Passes 279 280 281

NAC 631.2219- 282 NAC 631.2221- 283 NAC 631.2223 284 NAC 631.2225 285 NAC 631.2227 286 287

With no changes to these regulations the Board collectively approved the above proposed 288 regulations. Board Member Pinther made a motion to accept the language as set forth in R004-289 17 without changes. Seconded by Board Member Gabriel 290 291 Motion: Board Member Pinther 292 Seconded: Board Member Gabriel 293 Discussion: No discussion 294 Motion Passes 295 296 297

NAC 631.2231- Inspection and evaluation; emergency drugs 298 299

Change the word conscious sedation to moderate sedation consistent with the statute 300 NRS 631.025 and add additional emergency drugs for the administration of general 301 anesthesia and to administer moderate sedation to patients 12 years old or younger. 302 Board Member Pinther made a motion to accept the language with changes add 303 additional emergency drugs for the administration of general anesthesia and to administer 304 moderate sedation to patients 12 years old or younger. Seconded by Board Member 305 Sanders 306

307 Motion: Board Member Pinther 308 Seconded: Board Member Sanders 309 Discussion: No discussion 310 Motion Passes 311 312 NAC 631.2235- Inspection and evaluation; Failure to pass; request for reevaluation 313 314 Change the word conscious sedation to moderate sedation consistent with the statute 315

NRS 631.025 and amend to define the written notification processes when failure occurs 316 and the due process rights of the licensee. Board Member Pisani made a motion to 317 accept the language with changes from the Board to Executive Director. Seconded by 318 Board Member Sanders 319

320

Motion: Board Member Pisani 321 Seconded: Board Member Sanders 322 Discussion: No discussion 323 Motion Passes 324 325 NAC 631.2236- Certificate of site approval; general requirements 326 327 Change the word conscious sedation to moderate sedation consistent with the statute 328

NRS 631.025 and amend regulation to define the due process rights of the licensee when 329 failure occurs. Board Member Pisani made a motion to accept the language with 330 changes. Seconded by Board Member Pinther 331

332 Motion: Board Member Pisani 333 Seconded: Board Member Pinther 334 Discussion: No discussion 335 Motion Passes 336 337 NAC 631.2237-Procedures required before administration of anesthesia & NAC 631.2239-338 Properly equipped facility required; qualifications of auxiliary personnel 339 340 341 Change the word conscious sedation to moderate sedation consistent with the statute NRS 342 631.025 for regulation NAC 631.2237. Board Member Pinther made a motion to accept the 343 language as set forth in R004-17 without changes for NAC 631.2237 and took up collectively 344 NAC 631.2239 to approve NAC 631.2239 with changes regarding CPR. Seconded by Board 345 Member Gabriel 346 347 Motion: Board Member Pinther 348 Seconded: Board Member Gabriel 349 Discussion: No discussion 350 Motion Passes 351 352 NAC 631.224, NAC 631.2241, NAC 631.2254, NAC 631.2256 and NAC 631.230 were taken up by 353 the Board collectively with no changes to R004-17 354 355 356 6. Executive Director’s Report (For Possible Action) 357 358 *a. Minutes - NRS 631.190 (For Possible Action) 359 360

(1) 11/03/2017-Board Meeting 361 (2) 12/18/2017– Board Meeting-Conference Call 362

363 (1) Board Member Pate requested changes to November 3, 2017 line 240. Board Member 364

Pinther made a motion to accept the minutes with changes proposed by Board 365 Member Pate. Seconded by Board Member Sanders 366

367 Motion: Board Member Pinther 368 Seconded: Board Member Sanders 369 Discussion: No discussion 370 Motion Passes 371 372

373

(2) Board Member Pisani made a motion to accept the minutes as is. Seconded by Board 374 Member Sanders 375

376 377

Motion: Board Member Pisani 378 Seconded: Board Member Sanders 379 Discussion: No discussion 380 Motion Passes 381

382 383

384 385 *b. Financials - NRS 631.180/NRS 631.190 (For Possible Action) 386 387

(1) Review Balance Sheet and Statement of Revenues, Expenses and Balances for period 388 July 1, 2017 to November 30, 2017 (Informational Purposes only) 389

390 Ms. Hummel asked if the Board Members have any questions. 391 Ms. Hummel addressed the board regarding the financials explained certain revenue estimated 392 for licensure was lower but it is accrued and the Board receives a majority of licensure 393 applications in the spring and the account should catch up and explained her budgeting 394 processes. Board Member Pate asked for clarification on a budget item. 395 396 No action taken. 397 398 *(2) Amend budget to increase cost for T1 line through Cox Communications in the 399 amount of $800.00 (For Possible Action): 400 401

(1) Ms. Hummel explained the need to amend the budget to increase the line item for Cox 402 Communications and move monies from another account that currently has extra revenue. Board 403 Member Sanders asked questions regarding the various accounts and where the monies would be 404 taken from. Board Member Pisani made a motion to approve the change to budget. Seconded by 405 Board Member Sanders 406

407 408 Motion: Board Member Pisani 409 Seconded: Board Member Sanders 410 Discussion: No discussion 411 Motion Passes 412

413 414 *c. Authorized Investigative Complaints - NRS 631.360 (For Possible Action) 415

416 (1) Appoint Agent to Investigate the dental practice of decedent (Katayoun “Katy” Barin, 417

DDS) pursuant to NRS 631.385 and NAC 631.273 (For Possible Action) 418 419

(a) Donna Hellwinkel, DDS 420 Ms. Shaffer-Kugel explained the reason for this appointment due to the death of Dr. Katayoun 421 Barin and the statutory requirements should the surviving member continue to own the practice. 422 Board Member Pinther made a motion to approve the appointment of Dr Hellwinkel. Seconded 423 by Board Member Pisani 424 425 Motion: Board Member Pinther 426 Seconded: Board Member Pisani 427

Discussion: No discussion 428 Motion Passes 429 430

(2) Dr Z-NRS 631.3475(3) and NAC 631.155(3) (For Possible Action) 431 432 Ms. Shaffer-Kugel requested the Board approve an authorized investigative complaint against 433 Dr Z for possible violations of NRS 631.3475(3) and NAC 631.155(3) . Board Member Pisani made a 434 motion to approve the authorized investigative complaint against Dr Z. Seconded by Board 435 Member Sanders 436 437 Motion: Board Member Pisani 438 Seconded: Board Member Sanders 439 Discussion: No discussion 440 Motion Passes 441 442 *d. Correspondence: (For Possible Action) 443 444

(1) American Board of Dental Examiners (ADEX) 445 446

*(a) Appointment of ADEXHR and ADEX Dental Exam Member (For Possible Action) 447 448 Ms. Shaffer-Kugel notified the Board of the correspondence sent to the Board from ADEX for the 449 appointment of the ADEXHR and ADEX Dental Exam Member. Board Member Pisani made a 450 motion to approve Timothy Pinther, DDS to act as both for the Board. Seconded by Board 451 Member Johnson 452 453 454 Motion: Board Member Pisani 455 Seconded: Board Member Johnson 456 Discussion: No discussion 457 Motion Passes 458 459 460

(2) Joint Commission of National Dental Examinations (JNCDE) 461 462 Ms. Shaffer-Kugel notified the Board of the correspondence sent to the Board from the Joint 463 Commission of National Dental Examinations to notify the Board of changes taken place in 2020 464 to the examination and suggest Boards make changes if applicable to statutes prior to 2020. 465 466 No action taken 467 468

(3) CODA Accreditation Site Visit Invitation-Roseman University Orthodontics and Dental 469 Orthopedic Program on September 11, 2018 470

471 *(a) Approval of Two Board Member Representatives (For Possible Action) 472

473 Ms. Shaffer-Kugel notified the Board of the request by CODA to appoint two Board Members to 474 participate in the site visit for Roseman University Ortho Program. Board Member Pinther and 475 Sanders offered to participate. Board Member Pisani made a motion to approve Timothy 476 Pinther, DDS and R. Michael Sanders, DMD for the submission to CODA. Seconded by Board 477 Member Champagne 478 479 480 Motion: Board Member Pisani 481

Seconded: Board Member Champagne 482 Discussion: No discussion 483 Motion Passes 484 *e. Discussion of NRS 631.3452 related to designation of dental directors for 485 certain dental office and clinics to include the CSN Dental Facility Practice (For Possible Action) 486 487 Ms. Sharon Peterson, RDH and past program director for Dental Hygiene came forward to 488 discuss the history regarding the CSN Dental Faculty Practice (“DFP”) and the submission of the 489 mission statement of the DFP filed with the Board of Regents in 1996 and whether the DFP is 490 required to have a dental director pursuant to NRS 631.3452. 491 492 Discussion was held regarding the statute pertaining to the designation of a dental director and 493 Board Member Pisani made a motion to direct the Executive Director to send a letter to CSN 494 and advise them of the designation of a dental director within thirty (30) days. Seconded by 495 Board Member Champagne. 496 497 498 Motion: Board Member Pisani 499 Seconded: Board Member Champagne 500 Discussion: No discussion 501 Motion Passes 502 503 *7. General Counsel’s Report (For Possible Action) 504 505 *a. Legal Actions/Lawsuit(s) Update 506 507

(1) District Court Case(s) Update 508 509 General Counsel advised the Board that there are no pending lawsuits 510 511 No action taken 512 513 514 *b. Consideration of Application for Licensure by Endorsement - NRS 622/SB59 (For Possible Action) 515 516

(1) Leslie Kotler, DDS 517 518 General Counsel explained the prior history of Leslie Kotler, DMD with the Board to include, prior 519 actions and the appearance before the Board to petition for permission to submit an 520 application for licensure to the Board. Dr Kotler submitted an application for licensure by 521 endorsement. Dr. Kotler and his attorney Raymond Gates, Esquire were present. Dr. Kotler 522 entered into a proposed stipulation agreement in good faith as a condition for licensure. The 523 prior action taken by the Board was discussed. Board Member Pisani made a motion to 524 approve licensure by endorsement. Seconded by Board Member Sanders. 525 526 527 Motion: Board Member Pisani 528 Seconded: Board Member Sanders 529 Discussion: No discussion 530 Motion Passes 531 532 533 *c. Consideration of Stipulation Agreement (For Possible Action) 534 535

(1) Leslie Kotler, DDS 536

537 538 539 General Counsel went over the proposed stipulation agreement entered into by Leslie Kotler, 540 DMD as a condition for the granting of licensure by endorsement. Board Member Pisani made 541 a motion to approve the stipulation agreement. Seconded by Board Member Sanders. 542 543 Motion: Board Member Pisani 544 Seconded: Board Member Sanders 545 Discussion: No discussion 546 Motion Passes 547 548 549 550 *8. New Business (For Possible Action) 551 552 *a. Approval for Travel of Board Members & Staff to the AADA & AADB Mid-Year Meeting 553 Chicago, IL April 22-23, 2018 (For Possible Action) 554 555

(1) Timothy Pinther, DDS 556 (2) Ali Shahrestani, DMD 557 (3) Gregory Pisani, DDS 558 (4) R. Michael Sanders, DMD 559 (5) Debra Shaffer-Kugel, ED 560 (6) Melanie Bernstein Chapman, Esquire 561 (7) Vacant 562 (8) Vacant 563

564 Ms. Shaffer-Kugel notified the Board of the meeting of the AADA/AADB in April of 2018. The 565 Executive Director requested approval for travel for the following listed Board Members and 566 Staff and requested to fill the remaining two positions. Ms. Pate and Ms. Bethea offered to 567 become members of the AADB and attend the meeting. Board Member Pisani made a motion 568 to approve travel and the two new members to the AADB. Seconded by Board Member 569 Champagne 570 571 572 Motion: Board Member Pisani 573 Seconded: Board Member Champagne 574 Discussion: No discussion 575 Motion Passes 576 577 578 *b. Approval of Dental Hygiene Board Member to Review Panel-SB256 (For Possible Action) 579 580

(1) Betty Pate, RDH 581 (2) Yvonne Bethea, RDH 582 (3) Maria “Sharon” Gabriel, RDH 583

584 Ms. Shaffer-Kugel explained that SB 256 requires a Board Member Dental Hygienist be 585 appointed to the Review Panel. The names of all dental hygiene Board Members were 586 submitted for possible approval. After further discussion, Ms. Pate offered to serve on the 587 Review Panel. Board Member Pisani made a motion to approve Ms. Pate to the Review Panel. 588 Seconded by Board Member Champagne 589 590 Motion: Board Member Pisani 591 Seconded: Board Member Champagne 592

Discussion: No discussion 593 Motion Passes 594 595 596 *c. Approval of $50.00 per hour salary for Review Panel Members (For Possible Action) 597 598 Ms. Shaffer-Kugel explained the current salary for Disciplinary Screening Officers and 599 requested the Board approved the same rate of salary for members of the Review Panel. Board 600 Member Pinther made a motion to approve $50.00 per hour for members of the Review Panel. 601 Seconded by Board Member Champagne 602 603 Motion: Board Member Pinther 604 Seconded: Board Member Champagne 605 Discussion: No discussion 606 Motion Passes 607 608 609 *d. Approval/Rejection of Evaluators recommendations of failure of the five (5) year re- 610 evaluation for the administration of conscious sedation permit specifically the emergency 611 scenarios and grant the re-evaluation upon request pursuant to 631.2235 (For Possible Action) 612 613

(1) Dr. Y 614 615

616 Ms. Shaffer-Kugel explained the recommendations of the Evaluators who’s recommendations is 617 for the Board to accept the failure of the five year re-evaluation of Dr Y and if the Board 618 accepts the recommendations of failure and should Dr Y request a re-eval the Board authorize 619 the Executive Director to grant the re-eval. Board Member Pisani made a motion to approve 620 the recommendations of the Evaluators of failure and grant the Executive Director the 621 authorization to approve. Seconded by Board Member Pinther 622 623 Motion: Board Member Pisani 624 Seconded: Board Member Pinther 625 Discussion: No discussion 626 Motion Passes 627 628 629 *e. Approval of Reactivation of Dental License – NAC 631.170(4) (For Possible Action) 630 631

(1) Albert Castellan, DDS 632 633 Ms. Shaffer-Kugel advised the Board of the application submitted by Dr Castellan for the 634 reactivation of his disabled license. Dr Castellan was present to answer questions. Board 635 Member Blasco asked about Dr Castellan’s licensure history and how long he has been out of 636 active practice. Discussion regarding the regulation for reactivation of license pursuant to NAC 637 631.170 and the requirement of a skills assessment by the Board. Board Members asked what 638 type of procedures Dr Castellan will be performing at the Prison where he will be employed. 639 After discussions, the Board stated they were willing to approve his license pending the 640 successful completion of a skills assessment for fixed restorative (fillings) and removal 641 prosthodontics. Board Member Pisani made a motion to approve the reactivation of Dr 642 Castellan pending the completion of a skills assessment. Seconded by Board Member 643 Champagne 644 645 Motion: Board Member Pisani 646 Seconded: Board Member Champagne 647

Discussion: No discussion 648 Motion Passes 649 650 *f. Approval of Public Health Endorsement – NRS 631.287 (For Possible Action) 651 652

Community Health Alliance Program: 653 (1) Marian Angelica L. Baldovino, RDH (5) Guadalupe Lopez, RDH 654 (2) Emily S. Brooks, RDH (6) Tamara L. Schwender, RDH 655 (3) Kristen N. Grayson, RDH (7) Liesel S. Tavey, RDH 656 (4) Karen L. Lohmeyer, RDH 657

658 Dr Champagne after reviewing the applications for compliance recommended the Board 659 approve applicants 1-7 for Public Health Endorsements. Board Member Pisani made a motion 660 to approve the applications. Seconded by Board Member Sanders. Dr Champagne 661 abstained. 662 663 Motion: Board Member Pisani 664 Seconded: Board Member Sanders 665 Discussion: No discussion 666 Motion Passes 667 668 669 *g. Approval for Anesthesia-Permanent Permit – NAC 631.2233 (For Possible Action) 670 671

(1) General Anesthesia (For Possible Action) 672 (a) Daniel C. Martin, DDS 673

674 Dr Johnson after reviewing the application for compliance recommended the Board approve 675 Dr Martin for a general anesthesia permit. Board Member Champagne made a motion to 676 approve the application. Seconded by Board Member Pinther. 677 678 Motion: Board Member Champagne 679 Seconded: Board Member Pinther 680 Discussion: No discussion 681 Motion Passes 682 683

(2) Conscious Sedation (For Possible Action) 684 (a) Lindsay M. Row, DMD 685 (b) Spencer C. Wirig, DMD 686 (c) Nasim Zarkesh, DDS 687

688 Dr Johnson after reviewing the applications for compliance listed as Drs. Row, Wirig and Zarkesh 689 Dr Johnson recommended the Board approve these applicants for a conscious sedation 690 permit. Board Member Pinther made a motion to approve the application. Seconded by 691 Board Member Pisani. 692 693 Motion: Board Member Pinther 694 Seconded: Board Member Pisani 695 Discussion: No discussion 696 Motion Passes 697 698 699

*h. Approval for Anesthesia-Temporary Permit – NAC 631.2254 (For Possible Action) 700 701

(1) General Anesthesia (For Possible Action) 702

(a) Kevin M. Croft, DDS 703 Dr Johnson after reviewing the application for compliance recommended the Board approve 704 Dr Croft for a temporary general anesthesia permit. Board Member Pinther made a motion to 705 approve the application. Seconded by Board Member Sanders. 706

707 708 709 Motion: Board Member Pinther 710 Seconded: Board Member Sanders 711 Discussion: No discussion 712 Motion Passes 713 714 715

*i. Approval for a 90-Day Extension of Anesthesia Permit – NAC 631.2254(2) (For Possible Action) 716 717

(1) Conscious Sedation (For Possible Action) 718 (a) Chandler D. Hyer, DMD 719 (b) Treagan N. White, DDS 720

721 Dr Johnson recommends the Board approve a 90 day extension for Drs. Hyer and White 722 regarding their temporary conscious sedation permit. Board Member Pinther made a motion to 723 approve the 90 day extension. Seconded by Board Member Pisani. 724 725 Motion: Board Member Pinther 726 Seconded: Board Member Pisani 727 Discussion: No discussion 728 Motion Passes 729 730 731 *i. Appointment of Infection Control Inspectors NRS 631.190 (For Possible Action) 732 733

Mary Bosnos, RDH Christine L Haskin, DDS Kathryn Spargo, RDH Donna J Hellwinkel, DDS Catherine Buckley, RDH Nelson D Lasiter, DMD Karen Clark, RDH Gordon J Murray, DDS Linda Fairley, RDH Brett A Noorda, DMD Joyce Herceg, RDH Pamela J Patten, DDS Elvera Kajans, RDH George F Rosenbaum, DDS Betty McGuire, RDH Bradley A Wilbur, DDS James J McKernan, RDH Bradley A Ditsworth, DMD John C DiGrazia, DDS Steven N Fleming, DDS

734 Ms. Shaffer-Kugel requests the Board appoint the following licensees to act as Infection Control 735 Inspectors for the Board. Board Member Pisani made a motion to approve the above 736 referenced licensees as Infection Control Inspectors. Seconded by Board Member 737 Champagne. 738 739 Motion: Board Member Pisani 740 Seconded: Board Member Champagne 741 Discussion: No discussion 742 Motion Passes 743 744 745 746

*k. Appointment of Disciplinary Screening Officers NRS 631.190 (For Possible Action) 747 748

Rick Thiriot, DDS, DSO Coordinator Richard Dragon, DMD Michael Squitieri, DDS Joyce Herceg, RDH James E Jones, DDS Sharon Peterson, RDH Bradley Roberts, DDS A Ted Twesme, DDS Bradley Strong, DDS Thomas Myatt, DDS Tina Brandon-Abbatangelo, DDS Edward Gray, DMD Jason Ferguson, DDS Mark Degen, DDS,MD Donna Hellwinkel, DDS Gary Braun, DMD J Gordon Kinard, DDS Gary Geracci, DDS J Stephen Sill, DMD David Welmerink, DDS Edward Herschaft, DDS Larry Frugoli, DMD Michael Webberson, DDS Kenneth Lang, DDS

749 750 Ms. Shaffer-Kugel requests the Board appoint the following licensees to act as Disciplinary 751 Screening Officers for the Board. Board Member Pisani made a motion to approve the above 752 referenced licensees as Disciplinary Screening Officers. Seconded by Board Member Sanders. 753 754 Motion: Board Member Pisani 755 Seconded: Board Member Sanders 756 Discussion: No discussion 757 Motion Passes 758 759 760 *l. Appointment of Anesthesia Evaluators/Inspectors-NRS 631.190 (For Possible Action) 761 762

General Anesthesia Conscious Sedation Blaine D Austin, DDS Michael G Almaraz, DDS Michel J Daccache, DDS Joshua M Branco, DMD Gary J Geracci, DDS Jason E Ferguson, DDS Edward J Gray, DMD Jon P Galea, DDS Gregory J Hunter, DMD, MD Ryan S Gifford, DDS Brendan G Johnson, DDS Perry T Francis, DDS Patrick O’Connor, DDS Tomas D Kutansky, DDS Amanda Jo Okundaye, DDS Brian P Mantor, DMD Troy D Savant, DDS Dawn L McClellan, DDS Steven A Saxe, DMD Jade A Miller, DDS Albert T Twesme, DDS Daniel K Moore, DDS Joshua L Saxe, DDS Paul D Schwarz, DMD Gilbert A Trujillo, DDS David J Trylovich, DDS

763 Ms. Shaffer-Kugel requests the Board appoint the following licensees to act as Anesthesia 764 Evaluators/Inspectors for the Board. Board Member Pisani made a motion to approve the 765 above referenced licensees as Anesthesia Evaluators/Inspectors. Seconded by Board Member 766 Sanders. Dr Johnson abstained. 767 768 Motion: Board Member Pisani 769 Seconded: Board Member Sanders 770 Discussion: No discussion 771 Motion Passes 772 773 774 775

*m. Approval of Moderate Sedation Training Program - NAC 631.2213 (For Possible Action) 776 777

(1) Academy of Dental & Medical Anesthesia (ADMA) with Memorandum of Understanding 778

with The Good Neighbor House – Conscious/Moderate Parenteral Sedation Course 779 [Cory Pickens, MD] (For Possible Action) 780

781 Dr Johnson recommends this item be tabled and he is requesting additional information. Board 782 Member Pinther made a motion to approve the 90 day extension. Seconded by Board 783 Member Champagne. 784 785 Motion: Board Member Pinther 786 Seconded: Board Member Champagne 787 Discussion: No discussion 788 Motion Passes 789 790 791 *n. Appointment of Maria “Sharon” Gabriel, RDH to Chair the Committee on Dental Hygiene 792

(For Possible Action) 793 Ms. Shaffer-Kugel is requesting the Board appoint Ms. Gabriel as the Chair of the Committee on 794 Dental Hygiene after the departure of Ms. Guillen. Board Member Pisani made a motion to 795 approve Ms. Gabriel as Chair of the Committee of Dental Hygiene. Seconded by Board 796 Member Johnson. 797 798 Motion: Board Member Pisani 799 Seconded: Board Member Johnson 800 Discussion: No discussion 801 Motion Passes 802 803 *o. Appointment of Board Member Pate, Board Member Bethea and Board Member Harris 804 to Resource Groups - NRS 631.190 (For Possible Action) 805 806 Ms. Shaffer-Kugel is requesting the Board appoint new Board Members (Pate, Bethea and 807 Harris) to resource groups. The Board considered the following appointments: Ms Harris is 808 appointed to the Legislative and Legal groups; Ms. Pate is considering Committee on Dental 809 Hygiene and Budget and Finance lastly Ms. Bethea is being considered for Committee on 810 Dental Hygiene and Infection Control groups. Board Member Champagne made a motion to 811 approve Ms. Harris to the Legislative and Legal groups. Seconded by Board Member Pisani. 812 813 Board Member Pisani made a motion to approve Ms. Pate and Ms. Bethea to the Committee to 814 the Dental Hygiene and Ms. Pate to the Budget and Finance group and Ms. Bethea to Infection 815 Control group. Seconded by Board Member Johnson. 816 817 818 *7. Resource Group Reports (For Possible Action) 819 820 *a. Legislative and Dental Practice (For Possible Action) 821 (Chair: Dr. Pinther; Dr. Champagne; Dr. Blasco; Dr Sanders; Ms. Harris) 822 No Report 823

*b. Legal and Disciplinary Action (For Possible Action) 824 (Chair: Dr. Pisani; Dr. Blasco; Dr. Shahrestani; Dr. Sanders; Ms. Harris) 825 826 No Report 827 828 829 *c. Examinations Liaisons (For Possible Action) 830 831

*(1) WREB/HERB Representatives (For Possible Action) 832

(Dr. Blasco; Ms. Gabriel) 833 No Report 834 835 836 *(2) ADEX Representatives (For Possible Action) 837 No Report 838 839 840 *d. Continuing Education (For Possible Action) 841 (Chair: Dr. Blasco; Dr. Shahrestani, Dr. Pisani; Ms. Gabriel) 842 No Report 843 844 *e. Committee of Dental Hygiene (For Possible Action) 845 No Report 846 (Chair: Ms. Gabriel; Dr. Shahrestani; Ms. Pate; and Ms. Bethea) 847 *f. Specialty (For Possible Action) 848 (Chair: Dr. Pisani; Dr Johnson; Dr. Pinther) 849 No Report 850 851 *g. Anesthesia (For Possible Action) 852 (Chair: Dr. Johnson; Dr. Pinther; Dr. Champagne; Dr. Sanders) 853 No Report 854 *h. Infection Control (For Possible Action) 855 (Chair: Ms. Gabriel; Dr. Blasco; Dr. Champagne; Dr. Pisani; and Ms. Bethea) 856 No Report 857 858 *i. Budget and Finance Committee (For Possible Action) 859 (Chair: Dr. Champagne; Dr. Pinther; Dr. Blasco; and Ms. Pate) 860 No Report 861 862 863 8. Public Comment: (Public Comment is limited to three (3) minutes for each individual) 864 Note: No vote may be taken upon a matter raised under this item of the agenda until the matter itself has been 865 specifically included on an agenda as an item upon which action may be taken. (NRS 241.020) 866

867 No Public Comment 868 869 870 9. Announcements 871 872 No announcements 873 874 *10. Adjournment (For Possible Action) 875 876 877 MOTION to ADJOURN: Board Member Champagne 878 2ND : Board Member Sanders 879 880 Motion Passes 881 882 MEETING ADJROUNED AT: 11:39AM 883 884 885

Financials

Moderate Sedation Training Program- ADMA / Cory Pickens, MD

Agenda Item 7(c)

ADMA - C. Pickens - New Material for Consideration

Approval of Public Health Endorsement Program

Agenda Item 7(d)

Voluntary Surrender

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