[{"_1":2,"_100":-5,"_101":-5},"loaderData",{"_3":4,"_26":27},"root",{"_5":6,"_17":10,"_18":19,"_20":21,"_22":10,"_23":-5,"_24":-5,"_25":10},"user",{"_7":8,"_9":10,"_11":10,"_12":-5,"_13":-5,"_14":15,"_16":-5},"roles",[],"isAuthenticated",false,"isPremium","planName","subscriptionStatus","featureFlags",{},"insightsBudget","isDevelopmentHost","userPreferences",{},"recaptchaSiteKey","6LcvOJcUAAAAAHsB-gPGfGktcRlKpH7OTIU_dMTD","isImpersonating","impersonation","affiliateStatus","isFreedomPortal","routes/v2/article/layout",{"_28":29,"_30":31},"notFound",true,"relatedArticles",[32,76,88],{"_33":34,"_35":36,"_37":38,"_39":40,"_41":42,"_43":44,"_45":46,"_47":48,"_49":50,"_51":52,"_53":54,"_55":56,"_57":58,"_59":60,"_61":62,"_63":64,"_65":66,"_67":68,"_69":70,"_71":72,"_73":74,"_75":74},"mediaId",6674659,"mediaKeyId","2372259-eec343e777a4c14fd646f208af2e7ac5","parentId",2372259,"title","TSBDE committee and board adopt several rule changes, move anesthesia reporting to annual cycle","audioSeconds",1597,"startMs",7196000,"endMs",8793000,"viewUrl","/Search/View?dp=1&key=2372259-eec343e777a4c14fd646f208af2e7ac5&start=7196&end=8793","thumbnailUrl","https://assets.pipeline.soar.com/2372259-eec343e777a4c14fd646f208af2e7ac5/thumbnail_7196000.jpg","articleUrl","/articles/6674659/Texas/TSBDE-committee-and-board-adopt-several-rule-changes-move-anesthesia-reporting-to-annual-cycle","mediaUrl","https://secure.pipeline.soar.com/6674659-c40cfec7d840816b59deb08c946fb83d/orig.mp4?Expires=1771141721&Signature=j4NCKhqM8ZJ2Xxg8Dnu2qVeA3zZ-sGR-2it1DiRwuSkBTj2giPPlAu-lSaon8gRMG5EYQ5uuM3NJHkyeNp4MdlKzs7GkPYtlKm2nSPU60Qdv9qIBWTiuZhoI0KvdHiHsDP2f3cOChB1M8EZD97VncAwucUpcOZZ7YONM9ONBOIHFF6RLTnFREuMl7Ndn6ZmnYfwvhbRKJ2alrmnRn9rVGQ-fgb2RX3FRbOASmh9oKLZD2m-EqLysGLH~5qndsTEXt85jjZBOiLpU2T9~YViGrJtvV5JgnMwHJVQ31fTdpCxB~bDKTmtVs6wYZOY8mkA2s4dMQW9MA~zWDjZD0sQpXw__&Key-Pair-Id=KUT5TJCACFTXG","author","State Board of Dental Examiners TX","date","2025-02-21T18:14:15.927Z","article","At its Feb. 21 meeting the Texas State Board of Dental Examiners voted to adopt a set of rule changes and committee recommendations affecting practice standards and data reporting.

Why it matters: The amendments update rules to reflect current clinical guidance, remove dated references to lead aprons in some settings, standardize record and radiation language, and reduce the frequency of data reporting requested from regulated entities.

Major rule decisions and committee recommendations

- Anesthesia committee: The board accepted an anesthesia‑committee motion to change the collection and reporting of enforcement and licensing data under Rule 107.4 from quarterly to annual reporting. Committee members said a visual presentation (bar and pie charts) will help track trends over time and that an annual cadence balances staff workload and reporting value.

- X‑ray/lead apron language: The board adopted amendments to remove a standing lead‑apron requirement from the mobile dental facility permit rule (Rule 108.42) and from rule 113.2 (x‑ray laboratories). Committee members noted the changes align the rules with recent professional guidance and modern imaging practice.

- Records and radiography language: The board amended Rule 108.8 (records of the dentist) to require that radiographs be used “in accordance with the standard of care” rather than specifying an external trade association standard. The committee said the change avoids referencing a single trade group and retains a patient‑safety standard.

- Continuing education and provider rules: Committee recommendations included readoption of chapters 108 and 112, adoption of Rule 111.1 (additional continuing education required) as cleanup language, and a number of technical edits. The board also acted on continuing‑education provider fees and removed one approved provider after staff review (Dental Risk Solutions, LLC) because the provider did not respond to staff requests.

Why the board changed reporting cadence: An audit found the pieces of information required under Rule 107.4 existed across the agency’s public materials, and the committee concluded consolidating into an annual report would reduce workload while keeping the data accessible; staff offered the board visual displays to track changes over time.

Process notes: Committee reports were presented at the meeting, staff cited stakeholder comments (including support from TAGD on the mobile‑unit change) and the board voted on each item in turn. Several items were adopted unanimously at the meeting.

Speakers quoted

- “Our recommendation out of committee was to make this an annual report as opposed to a quarterly report,” Dr. Henderson, Anesthesia Committee chair.

- “This was to amend the rule to say that X rays should be taken in accordance with ADA guidelines. So it removes that language and instead requires dentists to use X rays in accordance with the standard of care,” Miss Studdard (staff summary of Rule 108.8 change).

What the board said: Members said the board must keep rules aligned with evidence and current clinical practice and be mindful of staff workload. The board also emphasized the public‑safety intent behind record keeping and radiography guidance.

What's next: Staff will publish the adopted rule amendments and update guidance materials and newsletters for licensees explaining the changes. The anesthesia committee will begin collecting data on an annual schedule and present visual trend reports to the board.","mediaType","Video","parentTitle","TSBDE February 2025 - Board Meeting","oneSentenceSummary","The board adopted multiple rule actions at its Feb. 21 meeting: readopted chapters, removed lead‑apron language for mobile units and x‑ray labs, adopted cleanup to record retention and continuing‑education rules, and the Anesthesia Committee recommended changing enforcement/licensing data reporting from quarterly to annual.","taxTitle","State Board of Dental Examiners, Boards & Commissions, Executive, Texas","taxId",36441,"location","Texas","headline","","shortSummary",{"_33":77,"_35":36,"_37":38,"_39":78,"_41":79,"_43":80,"_45":81,"_47":82,"_49":83,"_51":84,"_53":85,"_55":56,"_57":58,"_59":86,"_61":62,"_63":64,"_65":87,"_67":68,"_69":70,"_71":72,"_73":74,"_75":74},6674663,"Professional Recovery Network reports steady referrals; board members press PRN on monitoring nitrous‑oxide misuse",276,3612000,3888000,"/Search/View?dp=1&key=2372259-eec343e777a4c14fd646f208af2e7ac5&start=3612&end=3888","https://assets.pipeline.soar.com/2372259-eec343e777a4c14fd646f208af2e7ac5/thumbnail_3612000.jpg","/articles/6674663/Texas/Professional-Recovery-Network-reports-steady-referrals-board-members-press-PRN-on-monitoring-nitrousoxide-misuse","https://secure.pipeline.soar.com/6674663-04f0a661376d3089aebc51c6da5cf3bd/orig.mp4?Expires=1771141721&Signature=MT2ZwV18DfAUuaDK2eOU94uH9tEji1wA59-TcACQbjyqvZ4-IaoaJOY7DbIL25sTkFV1Sq3FPyTVU4lu6CcOScwnqO5W6pveyxjGWl1bveL32-E5HeFr5Aj90qDEIFY-MVLjAAXmPxdg-RlkJcqwRl7gaH6uRmjW1lgyU3tuEXehnP8vD6iMwUl~UPHnzPGwfqxYGHfRS~coVUSY8IAOwxZQnnlFsI05AHqPHA4gKjVJMfCXpyU0i~QylGgobwhGZVo2dK~fiKIbFnl5dsIj~EUuwaWBIqx~Et3xayrMDjkAVT3s~oHSRYGJ-zbmbr7m0nt4MNoimg1REEBxKa6qhg__&Key-Pair-Id=KUT5TJCACFTXG","The Professional Recovery Network reported a steady flow of referrals for potentially impaired dental professionals and described support mechanisms the program uses for clinicians with inhalant use, including nitrous oxide.

Why it matters: Board members pressed PRN for how it monitors inhalant‑use disorders because nitrous oxide cannot be detected by standard drug tests and misuse presents unique workplace‑safety and patient‑safety risks.

What PRN reported

Raquel Bridal, director of the Professional Recovery Network, told the board PRN’s second‑quarter fiscal‑year report showed “a steady number of referrals regarding potentially impaired dental professionals.” She summarized PRN services and educational events, noting a fall seminar and two speakers who addressed compassion fatigue and trauma‑informed care.

Bridal provided LBB numbers PRN submitted for the prior quarter, listing enrolled participants by category: six board‑ordered dentists, one compelled volunteer dentist, 18 volunteer dentists, zero board‑ordered or volunteer hygienists, zero board‑ordered or volunteer assistants and one volunteer assistant.

Board questions about nitrous oxide monitoring

Board members asked detailed follow‑ups about PRN’s approach for clinicians who have challenges with nitrous oxide. Miss Jones asked specifically how PRN handles respondents with inhalant problems. Bridal described PRN support options: assigning a worksite monitor (a coworker authorized to watch tank usage), engaging an on‑site supervisor or connecting the clinician with a local colleague who can provide supervision and reporting, and coordinating with therapists or psychiatrists involved in the clinician’s care.

Dr. Henderson and others pressed practical questions: nitrous oxide is not readily testable, tanks can be accessed by multiple staff members, and offices may not have independent oxygen supplies. Bridal acknowledged the challenge and said PRN is considering how to limit reliance on a single office staff member for reporting; PRN also relies on treatment providers to corroborate reported problems.

Dr. McNeil asked whether PRN treats inhalant‑use disorders similarly to alcohol‑use disorders. Bridal said PRN’s assessment and treatment pathways are the same, with individualized approaches once a diagnostic evaluation identifies a specific disorder.

What the board said and next steps

Board members emphasized the monitoring difficulty and noted concerns about staff reluctance to report supervisors or employers because of employment consequences. PRN told the board it will continue to refine protocols for worksite monitoring, therapist engagement and supervisory reporting and will provide follow‑up to the board if case compliance is not achieved.

Speakers quoted

- “We offer extra support in those cases where we'd get a worksite monitor to sign on, somebody who works with them, who has access, to be able to see if that person... how often they are accessing and for what purpose they’re accessing nitrous oxide specifically,” Raquel Bridal, PRN director.

- “Nitrous oxide is a very difficult drug to monitor because there’s no way to really test for it,” Dr. Henderson said, pressing PRN on monitoring limits.

Speakers and attendance

PRN’s presentation and the board’s follow‑up took place during the agency reports portion of the meeting. PRN said it will provide requested seminar materials and coordinate with PRN staff as needed.","At the Feb. 21 TSBDE meeting PRN reported steady referrals and described monitoring options for clinicians with inhalant use issues. Board members questioned the limits of monitoring nitrous oxide misuse and PRN’s strategies for worksite monitoring.",{"_33":89,"_35":36,"_37":38,"_39":90,"_41":91,"_43":92,"_45":93,"_47":94,"_49":95,"_51":96,"_53":97,"_55":56,"_57":58,"_59":98,"_61":62,"_63":64,"_65":99,"_67":68,"_69":70,"_71":72,"_73":74,"_75":74},6674668,"Texas State Board of Dental Examiners adopts staff recommendations in multiple disciplinary and licensing matters",2579,4201000,6780000,"/Search/View?dp=1&key=2372259-eec343e777a4c14fd646f208af2e7ac5&start=4201&end=6780","https://assets.pipeline.soar.com/2372259-eec343e777a4c14fd646f208af2e7ac5/thumbnail_4201000.jpg","/articles/6674668/Texas/Texas-State-Board-of-Dental-Examiners-adopts-staff-recommendations-in-multiple-disciplinary-and-licensing-matters","https://secure.pipeline.soar.com/6674668-308edf293f4566398a95968f4ab77fac/orig.mp4?Expires=1771141721&Signature=DYYjdsOkK9XFTILS-OfjnwkfXLabY1OQzjmUYngipenj-szhrbhNXB1zXXHJm61dgx9H5DrOhcocqFXV-Uyfbn7RkhHAPaI4HA3mAvciX3Kx~x5aaUnzuq47HAPHF0JBrskotW9o-~-tYklpmFiOYUYETA8bOqFu0vhRXczZnbCJ~3oXb~hZyZVy6rDcYaJ57cW3VX2MOm6YbJfmCloio1d1dcH4HhIDftnRWx7ZDGuR-QAF9wEKk8HsFk6TASrWh7~1lojTWfhJp2BYFW5lzku2j8~2PYCzoZmjq4pMrPDaDKExekCp1wa9DIli9tDnYDL9mX63p1oyZrTM-DdISA__&Key-Pair-Id=KUT5TJCACFTXG","The Texas State Board of Dental Examiners on Feb. 21 adopted a series of staff-recommended orders in disciplinary and licensing matters and referred one pending patient complaint to an informal settlement conference.

The board voted to adopt administrative findings and revoke or deny licenses or registrations in multiple cases where administrative law judges had granted staff motions for summary disposition. In each matter the board recorded motions to accept the administrative proposals, held roll-call votes and announced the outcomes on the public record.

Why it matters: These actions close administrative enforcement tracks in several cases and publicly record the board’s reliance on the administrative-law process and statute when revocation or denial is mandatory.

Decisions and key votes

- Revocation of Texas dental license (Terry Lee Carano, Texas license no. 15481; docket 5042502360): The board moved to adopt the administrative-law judge’s proposal for summary disposition and revoke the license. Motion: Miss Jones; second: Dr. McNeil. Dr. Henderson recused. Roll-call votes recorded the remaining board members as voting in favor; Miss Palermo was absent. The chair announced the motion carried.

- Denial of dental hygiene licensure application (Mildred Hale; docket 5042506856): Staff recommended adoption of the ALJ’s proposal for summary disposition and denial of the application. Motion: Dr. Burke; second: Dr. Morehead. The board called roll and approved the staff recommendation by recorded vote; Miss Palermo was absent. The decision followed the administrative-record process outlined in the proposal for decision.

- Denial of dental licensure application (Rashmi Malhotra; docket 5042502355): Staff recommended adoption of the ALJ’s proposal for summary disposition and denial of the application (foreign graduate, exam older than the 7‑year grace period discussed by staff). Motion: Dr. McNeil; second: Dr. Maldonado. The board recorded a roll-call vote in favor and adopted the order.

- Revocation of registered dental assistant registration (Daniel Ramirez, RDA no. 9074804; docket 5042502421): The board moved to adopt the ALJ’s order and revoke the RDA registration following staff’s motion for summary disposition. Motion: Dr. Burke; second: Dr. Morehead. The board approved the order by roll-call vote; Miss Palermo was absent.

- Referral to informal settlement conference (case 202301203): The board received an in-person statement from the complainant and voted unanimously to refer this matter to an informal settlement conference (ISC) so that the parties could present additional material in a more focused, private setting rather than resolve the matter on the public meeting agenda.

Committee and other enforcement votes

- The board also approved multiple committee-recommended enforcement dispositions in bulk: agreed settlement orders, remedial plans, agreed administrative penalties, consent orders, and pre- and post-ISC dismissals were accepted as presented in committee packets. Votes on those committee items were taken in the meeting and carried unanimously, except where committee minutes or the record indicate otherwise.

What the board said: Board staff repeatedly cited statutory limits and prior ALJ findings in recommending adoption of the orders. For example, staff referenced the board rule requiring mandatory revocation where applicable and the statutory requirement discussed in one case (statute cited in the discussion as 257.002) that limits board discretion after a license has been expired for the statutorily specified period.

Process notes: Several of the matters adopted were the product of an administrative‑law process that included prior court or ALJ rulings granting summary disposition. In multiple cases the board explained that the administrative record contained no exceptions and staff recommended adoption of the attached orders.

What's next: Adopted revocations and denials are reflected in the board’s public orders. The complainant whose case (202301203) was referred to ISC will receive contact from agency legal staff to schedule the conference; the board said the referral will allow more time and a private setting to review detailed allegations and supporting materials.

Speakers quoted

- “Staff recommends that the board move to adopt the order of the board as attached and revoke Texas Dental license number 15481 issued to Terry Lee Carano,” (staff presentation summarizing the administrative-law proposal for summary disposition).

- “Since it’s mandatory that the application be denied ... outside of that it’s a mandatory requirement that we deny the license application,” (agency counsel describing statutory limits in a denial matter).","At its Feb. 21 meeting in Austin the Texas State Board of Dental Examiners adopted administrative orders including license revocations and denials following administrative-law summary dispositions, and referred a high-profile patient complaint to an informal settlement conference.","actionData","errors"]

Article not found

TSBDE committee and board adopt several rule changes, move anesthesia reporting to annual cycle

Professional Recovery Network reports steady referrals; board members press PRN on monitoring nitrous‑oxide misuse

Texas State Board of Dental Examiners adopts staff recommendations in multiple disciplinary and licensing matters