Ci"';S ls3~] SECTlC~ )

," This document is made available electronically by the Minnesota Legislative Reference Library as part of an ongoing digital archiving project. http://www.leg.state.mn.us/lrl/lrl.asp Ci"';S ls3~] SECTlC~ 24.07) ;' MNNESOTA BOARD OF DENTSTRY 77 S.E. ~laware Street, Suite 338 \ 802769 Minneapolis, MN 5544 STATUTORY AUTHORTY: M.S. 50A, 978; M.S. 24, 978 REPOrtT PEROD: J_u_l.~",,'_l. 9_7_8 To: June 30, 930 SUBNTTED BY: Dale J. Forseth, Executive Secretary October, 980 Name Title D:.lte Copies of this report s~all be delivered to: (A) the Legislature in aceordance with Section 3.95 ( copy to the Secretary of the Se~~teJ copy to the Chief Cle~k of the House of Represen~atives and 0 copies to the Legislative Reference Library); (B) the Gov~rnor; and (C) Co~~issioner of Administration. Each he~lth ~elated board shall also deliver a copy of their report to the Bo..lrd of Heal th.

MNNESOTA BOARD OF DENTSTRY ~~. BOA?..D Cl~Hse a: GErER,4L ST!~iE,\E;fT OF BO.~RD ACTVTES This description should cover both FY 79 and FY 80 and includa any cba~ges (additions/deletions) in ~ctivitie3 between those years. The purpose of the Board of Dentistry is to ensure the people of professional competen~y by licensing or registering dentists, dental hygienists and registered G~ntal assistants whose fitness to practice has been tested and whose other qualifications meet the requirements of the state; to annually renew each license or registration, and to receive and resolve consumer grievances. During the twoyear period ending June 30, 980, the Board licensed 328 dentists and 394 dental hygienists; initially registered 86 registered dental assistants and 4 corporations; annually averaged the registration of 7,655 dentists, dental hygienists, registered dental assistants and professional corporations; received and took action on 30 consumer complaints; participated in 30 regional and national dental and dental hygiene examinations; approved the credentials of approximately 50 foreign dentists to enable them to take the National Board Examination; initiated legislation for reorganization of the Dental Practice Act and revising advertising restrictions; conducted two public forums on proposed amendments to the Board's Rules; initiated a public hearing on proposed Rule amendments; reviewed approximately 600 continuing dental education programs; actively par'ticipated in state, regional and national continuing education and examination committees; conducted eight onsite evaluations of Minnesota dental assisting schools; and participated in three Commission on Accreditation evaluations of dental assisting programs. Page of pages for Clause a Page

MNNESOTA BOARD OF DENTSTRY BOARD l ' '\ tl )(~ h : TOTAL rlljrner r 'FET NGS HELD e FY 7q 6 FY 80 7 FY 79 AND 80 3 PPRO M/\ ~ E TOTAL UU'DER OF HOURS SPENT BY BOARD ~Et~BERS N NEET NGS AND ON OTHER BOARD ACT VTES. oi\nn n~~hh,:n' S N" ~E Robert W. Anderson Dillon B. Donaldson ~n~etng. HOUnS OTHER AcrVTES nouns TYPE Ji' 79FY 00 FY Board Meeting 38 30 Executi ve Meeti ng 7 4 Examinations 64 8 Complaint Convn. 32 24 Board Meeting 5 Executi ve Meeti ng 6 79 &. 68 3 45 56 5 6 ao TYPE Other COTm. Other COrmt. & Misc. & Mi sc. FY 7 9 FY 80 r 'Y 240 230 7 7 '.J... 8 O~ 470 7 Ja"~s E. Garrity Board Meeting Executive Meeting 2 30 4 9 5 23 Other Comm. &Misc. 6 38 99 Complaint Convn. 65 66 3 Sister Cecelia Mary Harrington Board Meeting Executive Meeting 5 6 5 6 Other Comm. &Misc. 3 3 age of 4_ pages for Clause b Page 2

DOARD MNNESOTA BOARD OF DENTSTRY 7 CJ :ltlse h: TOTAL NlHRER r'eetngs HELD FY 7q 6 FY 30 FY 79 AND 80 _3 PPROf/\TE TOTAL nur'ider OF HOURS SPENT BY BOARD ~'Er"BERS N NEETNGS AND ON OTHER BOARD ACTVTES. MgETNG. nours OTHER ACTVTES nouns 0"HJ) f, n~ ~. n:n's N\ HE TYPE FY 7 9 JFY a0 FY 7 9 & 00 TYPB Ka ren E. Hi nnan 'Y 7 9 ~"Y 3 0 ~_'Y _ Board Meetings 38 39 77 Other Coom. & Mi sc. r 83 59 Walter G. verson Executi ve Meeti ngsl 8 8 36 Robert E. McDonnell Examinations 32 32 Complaint Comm. 20 46 ~66 Board Meeting ~ 74 Other Co~. & Mi sc. 258 3 569 Executive Meetings 6 8 34 Examinations 32 32 Complaint Comm. 6 32 ~48 Board Meetings 8 39 47 Other Comm. & Mi sc. 92 203 Edward T. Nelson Executive Meetings 8 9 Examinations Complaint Comm. 9 i 84 84 ~ 9 of 4 pages for Clause b Page 3.

MNNESOTA BOARD OF DENTSTRY C.:lU:;(\ ; TOTAL thnner r F.ETNGS HELD FY 7q 6 FY GO 7 FY 79 ANn 80 3.......,...w _ PPRO~l/'T[ TOTAL rlllt"dt:r OF lours SPENT OV BOARD t EroBERS N teetncis AND ON OTHER BOARD ACTVTES t Kenneth M. Nelson N"~tE MgETNG. nouns OTHER ACTVTES ouns TYPE ify 79 PY 80 FY 79 &. ao TYPE FY 79 Board Meeti~ 29 29 Executl ve Meeti n9 4 2 Examinations 64 32 Complaint Camm. 2 8 Board Meeti n9 B 39 Executive Meeting 8 Examinations 20 58 26 96 20 Comp ai nt Conm. 30 30 47 9 20 Other Comm. Other COlll\. &Misc. & Hi sc. 92 FY 00 FY.79 & 80 43 355 _ ' 6' 6 l! Board Meeting 2 2 Other Comm. &Misc. 72 72 James M. Rasmusson Executive Meeting 6 6 Examination 48 48 Complaint Camm. 0 0 Carol L. Schuppe Board Meeting 38 39 77 Other Comm. &Misc. 24 93 37 Executive Meeting 8 8 36 Examinations 32 7 49 oj _4_ paf~cs for Cl~\.use b Page _4_

~ MNNESOTA BOARD OF DENTSTRY BOARD C.:luse b: TOTAL thhner ' F.ETNfiS ElD P 7q 6 FY 80 _7 FY 79 AN D 80 :..::3:..._ _... PROMJ\rE TOTAL rhjfwder OF HOURS SPENT BY BOARD ~EtiBERS N tveetngs AND ON OTHER BOARD ACTVTES 0,'Hn ~n'~~.nn:n' s anet H. Spoodis N"~tE f t UgETNG. nours OTJEn ACfVTES OUS TYPE FY 79FY a0' FY Board Meeting 38 39 Executive Meeting 8 8 J 79 &. 77 36 a0 r 'l'ypg Other COOll. & Misc. ~ }i' 7 9 74 ry 0 0 r"y? <] F:. 8 0~f l l 20 375 Examinations 96 76 72 r i==l j ~l (J:;': L. par~cs for Clause b Page: 5

MNNESOTA BOARD OF DENTSTRY BOARD, C La ~.se c: THE RECE PTS A~'D D SBU~SEfEi'JTS OF BO;~RD FU;'~DS Total State Appropriations Total NonDedicated Fee Receipts Total Disbursements FY 79 c'{ on 0" FY's 79 80 l $200,500 $202,000 t $402,500 f 222,900 229,800 452,700 96,000 84,00, 380,500 co~nlents (Optional) Minnesota Statutes, Chapter 24, requires the Board to adjust its fees a sufficient amount so that the total fees collected will as closely as possible equal anticipated expenditures during the fiscal biennium. Therefore, the Board, by Rule, increased its fees during Fiscal Year 979 because of a $25,500 deficit brought about by unanticipated legal costs during Fiscal Year 977. The Board, by Rule, will reduce its fees during Fiscal Year 980 because of surplus revenues during Fiscal Year 98. Page of pages for Clause c Page _6_

MNNESOTA BOARD OF DENTSTRY BO.\~D ~A;.!E (A) ~;~'ber of Board members (B) & ADDRESS 'l'he statutory length of OCCUPATO:i Robert W. Anderson Dentist P.o. Box 56 Aurora, MN 55705 _. Oi on B. Donadson Dentist 2548 Broadway Slavton.. MN 5672 James E. Garrity, 0 So. th Ave. Moorhead, MN 56560 Sr. C.M.Harrington 2004 Randolph Ave. St. Paul.. MN 5505 Ka ren E. Hi rman Angushi re Apts. #0 St. Cloud, MN 5630 County JudQe ( Walter G. verson Dentist j t 5538 Chicago Ave. Mp s. ~l~ 5547 Oent;~t Robert E. McDonnell t 550 So. Snelling St. Paul, MN 556 Edward T. Nelson jll NO. Latsree Ave. Thief Riv. Falls, MN College Faculty Assistant Registered Nurse Dentist Dentist Dentist Kenneth M. Nelson Dentist : 020 Fourth Avenue Windom. MN 560 rt~qui~e\.i by statute: te~:m: Nine Four GVE BEG~ A~iD E:iD DATE OF rlppo~it~ E~T k'ld EAell P.E A'PO ~it~'[e~'"t Oct. 6,973 Jan.,979 & May 8, 979 June 2, 980 Jan. 9.. 976 June 2, 980 Jan. Jan. Jan. JaR. 3, 983 2, 984 7.. 980 2. 984 Nov. 9, 976 Jan., 979 [Mar. 7, 976 Jan. 3. 977 Jan., 977 Jan. 5, 98 Nov. 3, 972 Jan., 978 & Jan... 972 Jan.. 3.. 983 Mav 8.. 979 Jan. 3. 983 Feb. 7, 975 Jan. 7, 980 P;J gc (f 2 pages for Clause d 7

MNNESOTA BOARD OF DENTSTRY BOA:ll FOR EASY REFE~ENCE PLEASE GVE: Nine (A) ~~~~ber of Board members requi~ed by statute: _ Four (B) The statutory length of te.r:..'ll: _ N;\~lE & ADDRESS OCCUPATO:i GVE BEG~ ~id E~iD DATE OF APPO~iT~E~T A:.~D APPO ~T~,rs~T EACH RE ~$ Ma ry Jane Ploof Spec. Education Teacher May 8, 979 Jan. 3, 983 Route 2 Chaska.. MN 5538 James M. Rasmusson Denti st Jan. 5,976 Jan.,979 430 Oak Street Breckenridge, MN Carol L. Schuppe Registered dental asst. Aug., 977 Jan., 978 4035 No. Girard Av. t Mos, MN 55423 Jan... 978 Jan. 4.. 982 Janet H. Spoodis Dental hygienist Aua... 977 Jan. 5.. 98 7250 York Ave. So. Fnintl_ MN 5545 i ~ Pnge 2 of 2 pages for Clause d Page 8

MNNESOTA BOARD OF DENTSTRY, noa:an STATUS CLASS CT" FT _ J Dates of " '0' i:~~/!e J03 CLASSFCATON/TTLE & CLASS CODE Service 3/6/77 Patricia A. Bradford ClerkTypist 0098 current Dale J. Forseth Executive Secretary 0863 Arla~ne J. Nelson Adn]tn 0026 A nes M. Toulouse CerkT ist 0929 Mary M. Wickholm CerkT ist V 00666 J ~+... ~a...j...+t ~ + +~f Page of pages for Clause e P:lge 9

MNNESOTA BOARD OF DENTSTRY _._ no.\rd Cl~use [: BRE~ SUM~~RY OF BOARD RULES PRO?OSE0 OR ADOPT~D DURiNG THS REPORTr~G PEROD) FY 79 AND FY 80. G'~ APPROPR!AT~ CTATONS TO THE STATE REGSTER AND PUBLSHED RULES FOR THOSE ADOPTED. A public hearing concerning the Board's proposed amendments to its Rules was conducted by the Office of the State Hearing Examiner on June 26, 980. The proposed amendments related to applications for licensure, fees, licensure by credentials, auxiliary personnel services, advertising and clarification and reorganization of existing Rules. A Notice of Hearing concernino the proposed amendments appeared in the State Regi 5 ter on May 5, 980. Page Jl of pages for Clause f Page.N

MNNFSCTA BOARD OF DENTSTRY BOARD Clausp <~>: LST T:i:: iuj 3ER 0;= PERSO~S HA'~G E,~CH TY?E OF LC~:SE AND REG!STR.\TO~~ SSUED BY THE BOARD f\s 0:= JU~J~ 30.. ls80 (~l THE YEAR OF THE REPORT). TYPE OF L CZ~;SE / R3G STRAT O~l TOTAL ~ jtj :.[B ER.,r.. S?FECT r _. Dentist 3,648 Dental hygienist 2,073 Registered dental assistant 2,443. Professional corporation 494. \ ~ Page of pages for Clause g Page

MNNESOTA BOARD Of DENTSTRY,:\;\!'U i Cla.use h ADMNSTRATON OF EAMNATONS BY BOARD #...7 ~ C5!:tl "" EAMNATON: f..t (, ~ LOCl\TON TYPES OF LCENSE/REGSTRATON DATES NOTE: The Board of DentisttJ does not administer examinations for nticensure and 0.. reglstra'tlon DUl: accepts l:m rresul {;~ ur Lfle eacjjclu:) V crcu UJ,'C V 'un l~ national and regional organ j ations: A. For Dentists &Dental 'jgienists: PUl;e L of..:l pages for Clause h l. Commission on Nat!( na Board Exami nations n., n, _~_, or....: _ t'_..: T&..':...... v~rn.;... "'+.;... lr. '. vel,,'u, ",~~,vnu, ''; rtvu""t... '::... "... r. _. is given at 4 va ~ing times at nine test sites within the ~...,. _.._.... or '0#, ~... ~ ~&...........~...... ".:... :'v"lm; n:a ~; nne! :a ~tl offered in March, ay, June, August and December.) B. For Registered Dental ~~ sistants: The Board accepted the ~esuts of the examination offered by +&..... r... +.:,f:'u.;...,. Dn:a... n r '+h... lm",r;r::an nonf'::al lc:cdc:+~nf"c: nf";..".~ August, 980, and th ~l. the results of the examination "''''~';'''';'''''''\rorl hv +ho N~ ~inn~l "'on+o~ fnr rnntinu;nn F:dlJc~tion.., These examlnatons are ) fered several times annually at the.f';.f'+oon Mi.L c:rhn n c: nt rl~ntill il~cd~t;nn ilnrl at the' State School of Scienc~ Wahpeton, NO. C. An examination on the Res of the Board and the Minnesota )Anf"~l Pr~rtirp Act is dministered in con.iunction with the Central Regional Denta Testing Services examination when it is oiven in Minnesota~ hv the state's four dental hygiene schools; and by the ental assisting schools. t may also be taken any day at th e Board of Dentistry Office. t j f..t CJ n B 0, W,..." tr..' f ei fj 0 ~ ~ 4 i jl W! ~S H ~ ', J i Page..l2... H ~, n h C '

MNNESOTA BOARD OF DENTSTRY r,old~p Clauses i, j, k: MNNESOTA RESDENTS BY TYPE OF LCENSE/REGSTRATON List the number of Hinnesota Residents only who \'lcre () examined and cithcr (2) Licensed/Registered or (3) Not licensed/registered after bping examined for the type of license/registration:noted. Use a separate page for each type of license or registration r::===="=~""'~ "" FY 79 FY a0 _.. At~ E _._ r GROUP EA~vnNED M F.. T ++. Under ~0f lf..fl, ",, 0.,,. J8_=~B_~t.i!i45 0 88 6 94 87 6 93 2~~ 24 24 ~4~~t~5 ~ 69 65~ 69 2C3. H~ 32 3 34 ~ 4 35fl!) 7 4 8 77 4 8 _ 65 ~ 75 64~_74~~~~_=~~ ~._' '_O.' '_.'_O'_O,,,t J........ &_~_........ _... _ GOGG. ~ f._.~.. ~ ~::l!~! O!~~~~3r _ ~ ~ ~k;j~] 08~ 0 l~ ~ 248 ~~3G~? ;~~~=d Calc uratc % of Malc and % of Fcmulc tu the Total of EJch Cltcgory ~~ or Totall~ 00:; ; ~ 0 ~o 95 ~ 00[; 5 _00 00 94 EG ~ l~[~~~[j:~~~l NOTE: Minne~ota accepts the results of the Central Regional Dental Testing Services, nc. (CRDTS) examination for licensure as a dentist in Minnesota. CROTS administers 4 examinations annually at seven test sites in an llstate region. Every applicant that applied for licensure in Minnesota successfully passed this examination, with the exception of one, and was granted a li~ense. One application was denied as incomplete. Jttl!CS for Clausus i, J. k (Minnesota nestdent~)

MNNESOTA,BOARD OF DENTSTRY ~lausu~ i. j. e HON('NrJESOTA RESDENTS BY TYPE OF LCENSE/REGSTRATON M "' List the number of ~onminnedota Residents Qaty ~lho were () examined and either (2) Licensed/Registered or (3) HQt liccn~cd/rc9istered after being examined for the typ~ of license/registration noted. Use a separat~ page for each type of license or r('f~ i fi Lra t ion. TYPE OF LCENSE/REGSTRJ\TON. Dentist License FY "9 FY 80 NOl NOT E /\M~ JFJ) JC/r~EGJS lc{ffegs EAMNED LC/REGS LC/REGfS EAMNED LC REGS LC7tEGS F T M F T M F T M "_.. F T M F T M F T 'M F T F T f i f.. M F T FY 7~ AND FY 8"0 'N<5r M ' ~. _. 2 2 J 2 2 2 2 22 23,42 2 44 42 2 44 2 _. 5 5 5 5 7 ~ f 20.L 20 ~ 2 22 23._ 2 _. 2 2 ~. ~ 7 7 7 f! 24 25 24 25 27 28 2J 28 5 2 53 5 ~ 53 Calculate % of Male and % of Female to the Total of Each category 96 00 96 0 00 9 40096400 00" 96 400 96 00 00 i ii. if'~ ~'r. '.J.l.n[... t 2 2!;, 3== 3 3 ~. 3 fi ''_Jt J ~ 2 2., 3 r 3 3 3 :~:"!_~:=..=;!:.~_:_~~.:=;::.=. 2: ' r,;,,, '_,' ",,,... ' _

Clalt~:es i, j, t: fjont J lnnesotf\ RESDENTS BY TYPE Or: LCEHSE/REGSTR\TOrJ t ' S'rA'l'E Li!jt the number of Nonllinncsota Rcsidc.:nts n.nl.y \olho ",ere () examined and ei.ther. (2) Licen~~d/nc9istcrcd or (3) Un.t licensed/registered after being c)(i\ll\incd for the typo of license/registration noted. U~a a separate page for cacll type of license or rc~isll'ation... TYPE or LCENSE/REGSTlmTON ~~~~~se~~~~~~~~~~~~~~~~~ \ r: ~{A~\'t ~JEf) ~ft FY 79' JC/llEGS M FT" 'k NUl lc7l~(~ S M F T E.AMNED f\l F T FY 80 _..,,.... LC/l E~ S h \ : T _..~ * NOT.~ j~(~ S \\ F T FY 79 AND l"y EAMNED LC leels M F T M F T.f owa 3 3 3 3 3 3 3 3 80 * NOT L<~/l E'l ~ S "\':r._~... f._. r Ohio Oklahoma Oregon " _...._..... 4 4 r 2.. 4 f 2 4.. i noi s 4 4 4 4!._. _. " ' 4 4 4 4. Kansas _.. :. _.._ Louisiana ~. Maine f _. _. r _. > Hi ssouri 2 2 2 3 2 3 Montana 2 2 2 2 2 2 _. 2 2.. _. " Nebraska 4 4_. 4 4 4 4 4 4..._.._. f. New Jerse} _. ~ _. New York 2 2 2 2 2 2 ' f. i' ' No.Dakota 2 2 2 2 2 2 2 2 r.... +

MNNFSOTA ROARO O OENT STRY C] a lt~:us i, j, t: UONf NNESOTf\ RES DENTS DV TyrE Or L CENSE REG 5T R/\TOrl t Lizt the number of Nor.Ninnesota Residents ml..y \Jho \ Jel.~C () examined and citiler' (2)... iccn!j~d/ncgistcrcd or (3) tl!lt lic~jlsed/rc9i.fjtercd after being e>ciul\incd for the typ0 of license/registration noted. U~O a separate page for each type of license or l'el.~ i. l ntt i uil '!'YPE 0'" ~,CENSE/nEGS'rllA'l'ON Denti~:. ti ce~e STATE 3 3 3 ~ 3 FY.e/flEGS M;rf 3 3 t LC7iTECi S M F r :AMNED M f F 'ft FY FY 2 AND "Y * NOT ~*Nor.l~/! "Co S W6/i,fC;(S E AMNED.. rc fl EG rs LC /lu.': t ~ rs!ht. ~rtrl;r 2 ; ~t~ ~m~l: _. t~ _ EH~' 8 8 _'_5 >. ~ M p~ ll~ r,.r: T M F T M~'T Ml'9'. T r 0 _' l 4. f 4 2 f+ 3 5 5 r' ~ 8 4 4 HllJJ.f ~,.._. 'fj~...+ 4lf '.......J 0 + _, ~t " '.,..''f _.._.t ']± EE r

UU~lJ~~nT_A BOARD OF DENTSTRY~ Clauses i, j, k: MNNESOTA RESDENTS BY TYPE OF LCENSE/REGSTRATON List the number of Ninnesota Residents only who ".,ere () examined and ci th~r (2) Licensed/Registered or (3) Not licensed/registered after being examined for the type of license/registrationnoted. Use a separate page for each type of license or registration TYPE OF LCENSE/REGSTRATON Dental Hygienist License FY 79.. FY 80 FY 79A.N"lTf 80.._.. ~~,jt AGE NOT NOT GltOUP EAMNED,C/REGS LC/REGS EAMNED LC/REGS LC/REGS EAMNED LC REGS LCTl~~(~ S. M F.. T M F T M F T M F T M F T M F r M F T lv F \\ F 'J" f. Under 8 ~ ' ~ t?25 2 ~40 42 2~40 4~ 25 25 25 25 2 265 267 2 265 267 f ' f t..._~ 263 3 9 22 3 9 2~ 20 20 20 20 3 39 42 3 39 42 '._..._. '..... 3559 6 6 6 6 4 4 4 4 0 0 0 0. >..: _. ~_._... 0065._. f, _. Li6 & 0.Y.Q.!' _.!. _.. ~ ~ Total 5 65 70 5 65 7C " 49 49 _ 4] 49 5 34 39 _~ ill 39 '_. Calc ul.:\te % of M,\lc and % of Female to the Total of E~ch CHegory ~\) of Total 3 97 00,;~[O~ l!oo 00 00 0~}i~~[~[J~~~j NOTE: Minnesota accepts the results of the Central Regional Dental Testing Services, nc. (CROTS) examination for licensure as a dental hygienist in Minnesota. CROTS administers 4 examinations annually at seven test sites in an state region. Every applicant that applied for licensure in Minnesota successfuy passed this examination a~d was granted a license. pn~es for Clau:ics i, j, < (Minncsotn tosidcnts)

Clauses i, j, k: MNNESOTA BOARD OF DENTSTRY DOARD NONMNNESOTA RESDENTS BY TYPE OF LCENSE/REGSTRATON List the number of NonMinnesota Residents QDy who were () examined and either (2) Licensed/Registered or (3) ~ licensed/registered after being examinea for the typ~ of license/registration noted. Use a separate page for each type of license or rc~istration... TYPE OF LCENSE/REGSTRATON Dental Hyglene llcense FY 79 FyaO ' FY 79 AND FY 80 AGE NOT NOT NOT GROUP E \M~!En ~C/f{EG S LC7ffEGS EAMNED LC/REGS LC/REGS EAMNED LC/REGS LC/REGS Under M F T M F T 'r", F r M F T M F T M F T M F T M F T M F T i f f lr, ~ 4 4 4 4 27 27 27 27 4 4 4 4 J8~.~ _., _. '. _. f f 2634 3 3 3 3 3 3 3 3 6 6 6 6 f. " :355D. f ' 6065 _. GG &. Over l f Total 7 7 7 7 30 30 30 30 47 47 47 47 Calc uja te % of Male and % of Female to the Total of Each e:tegory % of Total = State DOD foo 0C OC 00 00 00 00 00 00 00 00 0C 00 M PLEASE LST TH~ TOTAL NUMBER OF NONRES[DENTS BY STATE llinois f. f owa f. 5 5 5 5 f d 6 6 Kansas tt:>ntana _._._.._~.: ~~_._===:_ ~~==:;. ~. f 6.~ _.

Clau~:L's i, j, e fjonnnnesot" RESDENTS BY TYPE Of LCENSE/REGSTR\TON \ ' " Li5t the number of NonNinnesota Rcnid<.:nt.s 0.Jly \/ho \Jere () examined and either (2) Licens~d/Regi5tcrcd or (3) H.!lt lic~jlsed/re9i.fjtered after being eulllincd for the typ0 of license/registration noted. U~U a separate page for each type of license or l'ul~isll ation. 'l'ype 0",Cc;NSE/nEC~'llllA'rON ~!'.!~HJ.2.ene lic~~ _ FY 79' FY 80 PY 79 AND,ly RO 'k NOT * NOT * Nor STATE \ _,: ~{A~U.tlE () JC/~EGS LC7iT~~ S E Af\ t NEt)..C/l EG S l. rc: iiri.~ S E A~.tJNEt).CJll EC S LC/l~ Lt ~ S M'; Tr'l:' _.._ F ;\\r:r.\\ F T T M F r M F T V,\, F T \\ F r ~, T ' Nebraska No. Carol. : ~ No. Dakota 4 4 9 9 9 9 3 3 3 3 So. Carol..._ So.Dakota f _. Texas Wisconsin 9 9 ~._ l 20 20 DO 20 fo ~.> '".._. _. f r..i._ ' _._ f ~. ' _. _.. _.f ~,. :. _....

MNNESOTA BOARD OF DENTSTRY._ B()l\l~P Clauses. j, k: MNNESOTA RESDENT~ BY TYPE OF LCENSE/REGSTRATON Under 8 6 J 35~~, "_,_,,,_,_ 6 List the number of ~tinnesota Residents only ~ho were () examined and either (2) Licensed/Registered or (3) Not liconsed/registered after being examined for the t~pq of icense/registration:noted. Use a separate page for each type of license or registration 2 32 263 37 37._. GOG5 GG & OVQ..._ :2..ta TYPE OF LCENSE/REGSTRATON FY 79 G~~tp EAMNED..C/REGS LC7.~~S MF.,.T MFTT MFlT ~,_... ~'._ ~ of r;c00 00 ~~0 407 407 457 J457 Calc ulate % of Male and % of remole Dental Assistant Registration. " FY 80. FY 79 ANiri7"YBO EAMNED Le/REGS LC~~JGS.EAMNED ]uc ~~G~l~~~:~rr~;" ~fft MLFT MfFJr MtFT ~~_L~.~._t\~._.FJ~ _ 4ff. 407407.Jll to the Total of E.Jch C:'Ltcgory 728 _. 728 70 70 33 33 33 33 l.....t _~ t _ 83f 83 ' "._~ i83.j _..l_._l.. _ ~~' 00 l~ ~~oo 00 00 El[F~~E~il[~[~J~~ol NOTE: A prerequisite for application for registration is the successful completion of the examin3tion offered by the Certifying Board of the American Dental Assistants' Association or by the National Center for Continuing Education; therefore, every applicant was granted registration by the Board. 3 pages for Cluuses it J. k (Minnesota Residents) Pa O'C'" 20. t,

A Gl u JJL MNNESOTA BOARD OF DENTSTRY Clauso~ i, j, k: NONMNrESOTA RESDENTS BY TYPE OF LCENSE/REGSTRATON :!G 35 5D 00 GG Ove 'l'nt D0\RO List the number of NonMinnesota Residents QUY who were () examined and either (2) Licensed/Registered or (3) ~ licensed/registered after being examined for the typ~ of license/registration noted. Use a separate page for each type of license or r c r~ i s t ration.... TYPE OF LCENSE/REGSTRATON Dental As~nstant Reglstratlon FY 79 FY 80 FY 79 AND FY BO.~E NOT NOT ~ NOr ~)UP!Y./'.A:' r H:'() JC/nEG5 LC7in~GS EAMNED LC/REGS LC/RE(~S!AMNr:n LC/REGS LC7rrEGS M F r \\ F T f\.\ F T ' ~ F r :,\ F T M F T t~ F r M F T M F T cler _0 _.. L_." f ' 0 0 0 0 9 9 9 9 29 29 29 29 g~ ' _.. "".,p, 3i t r '.r' f. ",. ~~. " :. r. _l 0 0 0 0 9 9 9 9 29 29 29 29 Calculate % of Male and % of Female to the Total cf Each C:ltegory \) of TotallE00 000a 00 00 00 l0q 00 00,0000 n;uq local J 00 State PLEASE LST THE TOTAL NUMBER OF NONRES'lENTS BY STATE Colorado,J~_ J _ lllrtlfl ~~ _,_~t 4 7 7 ~a =*m+~ ~issouri ~ No. Dakota 2 2 2 2 4 ]~~~~~: 6 6

Clall~:L'S j, j, e HONNNNESOTf\ RESDENTS BY TYPE or LCENSE/REGSTRJ\TOJ Li~l:. the number of NonNinncsota nc!iidcnts ml.y \lho,/ere () examined and either' (2).liccn~~d/RcCJistelcd or (3) 'n.t ict::llsed/rcg i.~ tcrcd i\ fter being cxall\incd for the typr_~ of license/registration notcu. U~l.! a scpclratc page for each type of license or l' l~ ~ j ~ l 'a t i () n TYPE 0" J,CENSE/nEGB'l'lA'lON _Q.ent!._~~sist~nt.~~g.i_s_t_ra_t_i_o_n. _ S'l'A'fE FY f '''Y PY. AND "Y LC7ffl~(;S 't NU EAMNED LC/HEeS ~*.~/lrlfgs Nor ~AMNE) r.crl~r:c's LC/lU:'(;/S * Nor ~Fl r MTi"[[: ~" r:,~=rflf ~ MDT M":r r;l 2 2t2 2, 22 r ~r~'" 7 7 ~~._... 7 ~~.. t 7 7 7 \ 7 _._..._.'.. ~.'."._'' '' i Llt.~........_..._.._.... _.. t 4 _.tfif."0 ' 'i + 6..._.. t '" ~ f _t"~. _._..._. _L_ H4~. ~ ~+,fj~ =l 'E=~="'..L~!! '... '..&..'... =~'j t j J

MNNESOTA BOARD OF DENTSTRY._ nol\nd Clause : T.E NUMDER OF PERSONS NOT TAKNG E~MNATONS WHO WERE LCENSED OR REGJSTERFn ~y THE \OARD OR \J/HO \'/Ef3.F_'pENED LCEtJSJta:; 0L~EiiJ. _:R/\TON \~Tf'l THE RFAsqr'ls FOR THE LCENSNG OR REGSTRATON OR DENAL THEREOF ill... 'fotal NU~tllER OF PEnSONS!l9. TAKNG EAMS AND GRANTED LCENSES on REGSTRATON FY 79 29 PY 80 26 ry 79 20 55 TOTAL NUMDEn OF PERSONS.NOT TAKNG EAMS AND DENED LCENSES on REGSTRATON 3 3 6 FOR EACH PERSON GVE: pc of lic./rcgis' j entist License entist License State of Res. * Method of AGE GROUP. SE Lic./Regis. ':O~=rJ~O:::2t"'::5:~2~6=3l~ 3559 6065/ 66 r M t F., y t, L MN MN Manitoba OH, ', f ' x Grantl Deny.~. ~. Rcasons for Granting or Denial Met all i censure reauirements NO ntist License A SD MN MN M x,, " _' J \ * DENTFY METHOD: e.g. Application, Reciprocity, Endorsement.s, Credential Evaluation, Comity, etc," * ne~sons FOn GRANTNG OR DENAL: Att~ch Additional Sheets if necessary. age Jl of ~ pages for Clause Pa.~c 23

MNNESOTA BOARD OF DENTSTRY noj\ro Clause : T~E NUMDER OF PERSONS NOT TAKNG E~MNATONS WHO WERE LCENSED on REGSTERFn nv THE noarp OR v/l\o \'/E JLE..PEN ED Le ENS JtH~ OR!lEGJii)"RATON \' TH THE RF.ASq!i~ FOR THE LCENSNG OR REGSTRATON OR DENAL THEREOF NU~tBER or PEnSONS!ill! 'l'akng EAMS AND GRANTED LCENSES on REGSTRATON, '2 ~ 55 FY 79 FY 80 FY 79 80 TOTAL NUM.JER OF PERSONS )'lot TAKNG EAMS AND DENED LCENSES on REGSTRATON 3 3 6 FOR EACH PERSON GVE:, c of lie./regis_. State i of AGE GROUP. SE~ M~"5. 08 ; ~ 26~3 35 59 r6i 66. :t~ ri. ;: F x L ~. Method of Lic./Regis. Credenti as.. ntist License L ntist License MA ntist License CO Mar.: toba MN ntist License CA. x t \:.* Reasons for Granting or Denial _ ntist License L L W * DEN'rFY METHOD: e.g. Application, Reciprocity, Endorsements, Credential Evaluation, Comity, etc. REASONS Fon GRANTNG OR DENAL: Att~ch Additional Sheets if necessary. p;c 2 of 6_ pages for Clause Page 24

MNNESOTA BOARD OF DENTSTRY 0 _ nol\rn Cln.usc : THE N~!,nER QF PERSONS NOT TAKNG E""[NATDNS NHO '~ERE _LJCENSED pr REGJSTF.RFn r,~ JHE nol\rd OR ~/HO 'o/ebj_j)ened LCEt5JHi 0!LR~ Jlt:RATON \~T THE RF.ASOm FOR THE LCENSNG OR REGSTRATON OR DENAL THEHEOF 'fo'rar, NU~tUEn or PERSONS ~OT TOl'A~ FOR EACH PERSON GVE: : ntist license License ntist License ntist License W ntist License MN ntist li~l; ntal Hygiene License n SC.. FY 79, 29, f. W ' " N r.. NY L x...' ~...~_ ',. " u _' " ". TAKNG EAMS AND GRANTED LCENSES on REGSTRATON NtJMDER OF PERSONS..N..Q! TAKNG EAMS AND DENED LCENSES OR REGSTRATON ~ x " 3 FY 80 2.6 u " " " 3 PY 79 UO pc o( lic./rcgis. j State * Method o(.y.:( Rco~ons for of SE Lic./Regis. Granting or Denial f nc~. 08 66 M F. Grant Deny _ ntist ~. Credentials Met all licensure n....:..._....:... \ requirements _ ~~ ~~: ~ :: : 55 " Failure to understand etioloqv dental disease Met all licensure requirements 6 DENTFY METJOD: e.g. Application, Reciprocity, Endorsements, Credential Evaluation, Comity, etc," nea~)ons FOn GRANTNG OR DENAL: Att:..ch Add:!tional Sheets if necessary, a r:(~ _3_ 0 r _6_ prgcs :for Cl l.use P~r,e 25

MNNESOTA BOARD OF DENTSTRY, noj\nn Clause : THE NUf DER OF PERSONS NOT TAKNG E"~NJ\TONS \\'0 NERE _~Lt!~t~~n O~ RF.~5TERrn r.y THE "OARD OR \ fo \'/ER~_ DENtED LCENSNG 0L~i...t:R\TON \~TH THE RF.AS~!.!2 F()~ THE LCENSNG OR REGSTRATON OR DENAl... THEHEOF _.._ FY 79 FY 80 FY 79 30, 29 'rotj\l NUMUER OF PERSONS.NOT TAKNG EAMS AND GRANTED LCENSES on REGSTRATON 26 55 TOTAl" NUMDER OF PERSONS.N..Q! TAKNG EAMS AND DENED LCENSES on REGSTRATON 3 3 6 FOR EACH PERSON GVE: y e oc lic./regis.; Slote. of Res. MN.. MN * Method of.~ x Remols ror AGE GROUP. SE Lie./Regis.. Granting or Deniol 08 825 263/ 3559 6065 66. M F. GrantrDen; f'et ~atli~censure,.. Reinstatement l~re~enti~ls x requirements MN.. NY MN P.. MN.... ~~ MN... M i.. nitoba.. KY ~ MN,,,,!, _ xl ".. ' J... DENTFY METOD: e.g. Application, ne~iprocity, Endorsements, Credential Evaluation, Comity, etc. ne~sons Fon GRANTNG OR DENAL: Att~ch Additional Sheets if neces5a~y. 4 of 6 pages for Clause Page 26

MNNESOTA BOARD OF DENTSTRY n0\rd Claus!} : THE NUt,n[;R OF PERSONS NOT TAKNG E"~NATONS NHO \~ERE L.lCENSED_OR REGJSTE.R J p.y THE no\rd OR "'''0 \'/ERE_j)ENED LCENSJltG O!L~E l. _:RATON NT THE RF.AS0!l~ FOR THE LCENSNG OR REGSTRATON OR DENAL THEREOF. FY 79 FY 80 FY 79 30, 29 'rot\l NU~tUER OF PERSONS }lot. TAKNG EAMS AND GRANTED LCENSES on REGSTRATON 26 55 TOTAl.. NUMOEn OF PERSONS..N..Q!. TAKNG EAMS AND DENED LCENSES OR REGSTRATON 3 3 6 FOR EACH PE~SON pc or lie./regis.; Slote H GVE: M W L L t MN MN r~n " MN Re insta temen t MN Credentials (Reci proci ty) L.H * M~thod o~ i., Re050rlS for H of AGE GROUp SE LH::./~egls.. Granting or Denied Res. 0 t8 825 263(~ 3559 6065 66 M F Grant Deny Met all r; :, licensure DENTFY METHOD: e.g. Application, Reciprocity, Endorsements, Credential Evaluation, Comity. etc " RE~30NS Fan GRANTNG OR DENAL: Att~ch Additional Sheets if necessary. 5 of 6 pages for Clause Page 27

Cln.us(~ : MNNESOTA BOARD OF DENTSTRY._ nof\nd r.,r: NUr DER OF PERSONS NOT TAKNG E""lNATONS NfO \tjere_lj_~ensed OR REGJSTF.8Ff r.y THE "DARD OR ~/'O \'/ERE_ DENED LCENS NC; 0!L~E.!~~RATJON \'/T THEB.fA50lL~ FOR. THE LCENSNG OR REGSTRATON OR DENAL THEREOF _.._ 'total ~UMlJEn OF PERSONS liq! TAKNG EAMS AND GRANTED LCENSES on REGSTRATON FY 79 " 29 FY SO 26 py.., 9 80 55 rr0'al, NUMDER OF PERSONS ]'lot TAKNG EAMS AND DENED LCENSES OR REGSTRATON 3 3 6 FOR EACH PERSON GVE: * Method of,. x Rcosons for e o[ lic./regls.; State AGE GROUP. 6 M F Li~./~egis,. Met Granting all or censure Denial r...~ H NY ".. SE, Grant'Deny. _. ~ MN MN MN NO A WA of, 08 825 263 3559 6u6 ~ 6 Credent i ~ s regui remen t s Res. lreciproc tn x. x, x _._.... x x Lack of knowledge of dental diseaseclinical "xamination recommenoect: urtner tranng n current functionsrequired tacked training in root MN J l~ (Reciprocity) J,plannil!9..LLicense t~e.. 'grantecljpon complet0n of course Met all licensure reaui relnents...:... ',,.,,! '.. " _... DENTFY METHOD: e.g. Application, Reciprocity, Endorsements, Credential Evaluation, Comity, etc. RE~SONS FOn GRANTNG QR DENAL: Att~ch Additional Sheets if necessary. 6 of 6 pages fol Clause Page 28 "

MNNESOTA BOARD OF DENTSTRY C.L~:'.~2 m: PERSO~~S PREVOUSLY LCEnSED OR REGST~~E:J EY r:te BOA~J HHOSE LCENSES OR REGSTRATCriS \"lere REVOKSJ SUSPE~~DEJ OR OTHERWSE ALTERED n STATUS \'TH BREF STAT=ME~TS OF THE REASONS FOR THE REVOCATON" SUSP::NSQN OR..~LTERATON, TOT.\L numher of revocations TOTAL nurnber of suspensions TOTAL nurnber of other status changes?y 79, Fv 80 FY's 7980 69. 73 3 3 2, 3 TYPE OF LCENSE TYPE OF RE:\SO~S FOR EAcrr CHANGE OR REGSTRATON STATUS CHA...'GE N STATeS FOR EACll CASE (By case) Revoked Suspended Other (Specify) ~ i Dentist ncompetency Dentist Fined $500 Welfare fraud Limi ted Chemical abuse and illegal Dentist Licensure use of auxiiaires Dentist Limited Licensure Chemical abuse Chemical abuse, violation Dentist of limited licensure Dentist Chemical abuse Twentyfour licenses revoked Dental Hygiene (24 for nonpayment 979 annual reqistration fees Dental Onehundred twenty registra Assistants (20) tions revoked for nonpayment of 79 annual regis. fees Twentyfour dentists licenses Dentist (24) revoked for nonpayment of 79 annual registration fees Dentist Conditional Failure to properly interpret ~ Licensure xd~yso~~er i~t~omplete.cours~ ra 0arao c n eroretatl on. Suggestive, lewj, lascivious Dentist and improper advances to two female patients Page of pages for Clause m Page 29

MNNESOTA BOARD OF DENTSTRY Clau~e n: LST THE nu:"'bc~ 0;= COj'~PL.;i~TS A:JD OTH~~ CO~\'U~HC;'\TiO;'iS RECE '=D BY THE E~CUT '::" SECRETARY J E.~CH BOARD ~'~i'\3=rj ErPLOYEE OR OTHER PERSOi'~ PERFOR~:~G SER'!CE3 FOR THE 30A~D N FY 79 N F\' 80 72 No. No. THAT ALLEGE OR ~LY A V!OL\TC~ OF 72 Written No. Oral = ~ No. A STATUTE OR RULE WHCH THE BOARD S EMPOWERED TO ENFORCE. N FY 79 N FY 80 No. Oral ~ WdCH ARE FORWARDED TO OTHER AGENCES, No. ~ No. Oral AS REQURED BY M.S. 24.0. Please indicate the number of complaints referred to each other governmental agencies in each fiscal year. (Federal~ State. and Local). Page of pages for Clause n Page 30.

_MlDiESClABOARfl OF. Otn].sJJ~ _.. f,0~\ ~~~) (Dispositions occuring during this period 0= cc~?lain~s and com:r.unications received prior to July, 973 C!nd co~pl3.ints and co~munications received but not disposed of as of June 30, 930, should be included). SUj~ARY OF CONPLA NTS AND SUi'li"lARY OF RESPONSES AND COMMUNCATONS BY CATEGORY DSPOSTONS (Give nurnt~r in each catego_r_y~ ~} ~ (~G_i_v_a n_._u_rn_~_e_r i_h e a_c_h c_a_t_(_:g~_o_l_v~) 7 Chemical Abuse 2 Licenses limited 2 Licenses suspended 2 Pending No violation _._ 29 Unprofessional Conduct Suspension and Fine 6 Warnings Voluntary Termination 8 Pending nvestigation/board Action ~O No Violation 42 ncompentency Revocation 9~ Pending nvestigation/board Action 38 No violation 7 Performing Unnecessary Services 2 Limited license Warning 3 No violation Pag(~ 0 f pages 3 for Clause 0 Pending Page 3l.

am~nn SQA BOARQ OF DENTSTRY BQ.:;?.~ (Dispositions occuring during ~~is period of complain~s and corrmunications received prior to July, 978 and co~plaints and co~~unications received but not disposed of as of June 30, 930, should be included). SUMMAR\ OF COMPLANTS AND COMMUNCATONS ~Y CATEGORY (Give nurnter in each categoryj 5 Practicing Dentistry without a License SUiU'lARY OF RESPONSES AND DSPOSTONS (Give nu~~er in each ca~egory) Cease &Desist Order Refund made to Complainant 2 Pending 2 No violation Gross mmorality License permanently tenminated as a result of disciplinary action 2 Unsanitary Conditions Warning Pending 7 llegal Use of Auxiliaries 0 Warnings Conditional License 2 Pending 4 No violations 20 Fee Disagreements Page _2_ of pages _3_ for Clause 0 2 Warnings 8 No violationi Page 32

f":('. 'J') M~ESO+A_iOARC()f: DENT! STR'L _...j ~... : (Dispositions occ:jring during ~'is period o~ cor~?lai.nt:s and corr~unications received prior to July, 973 ~nd co::tpl~ints and co~~unications received but not dis90sed of as of June 30, 930, should be included). SUMMARY OF COMPLANTS AND COMMUNCATONS BY CATEGORY (Give numter in each category; 4 Charging for Services Not Rendered SUMMARY OF RESPONSES AND DSPOSTONS (Give nurn;"er in each. cat =gory) Warning 2 Pending ndescriminate Dispensing of Drugs Warning Pending 0 Advertising and Other 2 Warning 3 Pending 8 No Violation 3 Pending Page 3 of pages 3 for Clause 0 Page _R

~MNNES~TA BOARD OF DENTSTRY Bo.\:tn (F:'Ji' Lxa!:~plt.:: n what oth0r states do \"our li~t,nsees hold licen~:~:;? Number of ~.rinnesot~ lice;se~ \ eri.tiecl/ccrtiliecl to ol:.her states? :';umber of i:lspections? Comparisons \ith ij~~st Biennial Reports?) NonAccredited Dental Schools Each year the Board reviews the credentials of 75 50 graduates of nonaccredited (foreign) dental schools. f the credentials indicate that the training is substantially equivalent to that of accredited schools, the Board will approve the credentials permitting the dentist to take the examination offered by the Commission on National Board Examinations. Upon successful completion of the National Board Examination, the dentist may apply to the University of Minnesota, School of Dentistry for an evaluation to determine whether or not he/she meets the minimum requirements of a graduate of an accredited school. f the dentist successfully completes this evaluation, he/she may then take the licensure examination offered by the Central Regional Dental Testing Services, nc. Continuing Dental Education Each year, the Board reviews 300500 programs offered for Continuing Dental Education. A Board member serves on a national continuing education committee. Registration Examinations During 980, the Board assisted the National Center for Continuing Education in the development of registration examinations for dental assistants. Dentist &Dental Hygienist Examination Board members serve as examiners for Central Regional Dental Testing Service (CRDTS). One member is a CROTS officer, one is a member of the CRDTS Steering Committee, another is a member of CRDTS' Examination Construction Committee. The Board cosponsors, with the University of Minnesota, School of Dentistry, the examination offered by the Commission on National Board Examinations. This examination is given to students in their junior year in dental schools. Board members serve as examination administrators. A public member of the Board is also a public member of the Commission on National Board Examinations. Page of pages for Clause p,page 34