The Texas State Board of Dental Examiners’ disciplinary review committee presented several enforcement actions on Nov. 7; the full board approved the committee’s recommendations.

The board adopted the agreed settlement orders as presented after discussion. Board member Doctor Masters asked that settlement record 202400150 be pulled and reworded because it named the drug Precedex (Precedex) as the basis for a level‑4 sedation finding. Masters suggested the order be rephrased to describe the patient’s level of sedation rather than referencing a specific drug. The board held a roll-call vote on a motion to pull record 202400150 for rewording; the motion failed on a 4–5 vote. The board then approved the agreed settlement orders unanimously.

The board also adopted multiple SOAH (State Office of Administrative Hearings) orders and carried out revocations: Alyssa Gutierrez (RDA registration no. 135319), Raymond Rivera (RDA no. 9705), Erica Valenzuela (RDA no. 113784) and Charles Williams (DDS license no. 8495). Each revocation motion was adopted unanimously.

Why it matters: The board’s actions represent formal disciplinary enforcement. The discussion over the alleged use of Precedex highlights sensitivity about using specific drug names in pleadings when rules define sedation by depth rather than by drug alone.

Sources: Disciplinary Review Committee items and SOAH orders discussed during the Nov. 7 meeting; transcript excerpts at 01:29:17–01:31:56 and 01:43:36–01:46:04.