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DEPARTMENT OF HEALTH, BOARD OF DENTISTRY vs CHARLOTTE GERRY, D.M.D., 19-002900PL (2019)

Court: Division of Administrative Hearings, Florida Number: 19-002900PL Visitors: 35
Petitioner: DEPARTMENT OF HEALTH, BOARD OF DENTISTRY
Respondent: CHARLOTTE GERRY, D.M.D.
Judges: E. GARY EARLY
Agency: Department of Health
Locations: Jacksonville, Florida
Filed: May 30, 2019
Status: Closed
Recommended Order on Friday, January 31, 2020.

Latest Update: Feb. 17, 2020
Summary: The issues to be determined are whether Respondent violated the applicable standard of care in the practice of dentistry in violation of section 466.028(1), Florida Statutes, as alleged in the Administrative Complaints filed in each of the consolidated cases; and, if so, the appropriate penalty.Petitioner proved that Respondent violated the dental standard of performance with regard to three patients. Other allegations not proven. Recommend suspension.
STATE OF FLORIDA BOARD OF DENTISTRY DEPARTMENT OF HEALTH, PETITIONER, v. CASE NO: 2015-10268 CHARLOTTE YVONNE GERRY, D.M.D., RESPONDENT. / ADMINISTRATIVE COMPLAINT COMES NOW Petitioner, Department of Health, by and through its undersigned counsel, and files this Administrative Complaint before the Board of Dentistry against Respondent, Charlotte Yvonne Gerry, D.M.D., and in support thereof alleges: 1. Petitioner is the state department charged with regulating the practice of dentistry pursuant to Section 20.43, Florida Statutes; Chapter 456, Florida Statutes; and Chapter 466, Florida Statutes. 2. At all times material to this Complaint, Respondent was a licensed dentist within the State of Florida, having been issued license number DN 14223. 3. | Respondent’s address of record is 8750 Perimeter Park Blvd., Jacksonville, Florida 32216. 4, On or about May 14 or 15, 2014, Patient G.H presented to Respondent's practice for a new patient examination. Patient G.H. reported to Respondent that she had been experiencing some discomfort in the upper left quadrant of her mouth. 5. According to clinical notes created on or about that date, Respondent performed an examination and diagnosed the need for restorations on several teeth. Respondent identified tooth number 13 as being the most significant issue for Patient G.H. and noted that the tooth had deep decay to the nerve. Respondent treatment planned to provide root canal treatment and a crown restoration on tooth number 13. 6. | Respondent's clinical records for Patient G.H. contain an entry created on or about July 24, 2015, with “additional notes” for the appointment which occurred on or about May 14 or 15, 2014. 7. | These “additional notes” include a record of endodontic testing performed on tooth number 13. 8. Respondent performed root canal treatment on Patient G.H.'s tooth number 13 on or about May 14 or 15, 2014. 9. On or about May 19, 2014, Respondent performed restorations and placed sealants on several teeth, and prepared several for porcelain inlays and crowns, including the preparation of tooth number 13 to receive a post and core for a crown. 10. Respondent's clinical records for Patient G.H. contain a second entry created on or about July 24, 2015, for an appointment which the record stated occurred on or about July 7, 2014. 11. According to the July 24, 2015 record for the July 7, 2014, appointment, Respondent noted that she seated crowns for teeth numbers 8, 9, and 13, and placed inlays on teeth numbers 12 and 14. 12. According to the clinical record, on or about July 9, 2014, Patient G.H. came by Respondent's practice on that date to pick up a bleaching tray for tooth whitening. According to the record, Respondent took an impression for the tray and performed “a little [adjustment] on the upper left side.” 13. According to the clinical record on or about July 29, 2014, Patient G.H. returned to the practice complaining of a “funny taste” in her mouth when she flossed around tooth number 13. 14. Respondent performed a limited examination and recorded that she flossed in the area around tooth number 13 and did not detect an odor on the floss. Respondent noted that Patient G.H. still felt that an odor was present. Respondent noted that she recommended a prescription rinse to treat the area, but Patient G.H. refused and left the appointment. 15. According to the clinical record for that date, Respondent took a periapical radiograph of tooth number 13. 16. The radiograph taken on or about July 29, 2014, revealed a radiolucency at the distal margin of the crown on tooth 13 consistent with an open margin or decay. 17. The minimum standard of performance in diagnosis and treatment in the practice of dentistry requires a dentist to adequately diagnose any deficiencies or fit issues in restorations such as crowns and provide appropriate corrective treatment. 18. Poor margins in restorations such as crowns may lead to problems such as decay, compromised gum health, and tooth failure. 19. Despite taking a periapical radiograph that revealed an issue(s) with the crown on tooth number 13, Respondent failed to assess and correct the defective crown she placed on Patient G.H. 20. On or about March 10, 2015, Patient G.H. presented to subsequent treating dentist Dr. P. with a complaint about odor and bleeding gums in the area of the crown on tooth number 13. 21. Dr. P. diagnosed an open distal margin on tooth number 13 with overhang and noted gingival inflammation with bleeding upon probing with the tip of the dental explorer going into the marginal gap of the tooth. Dr. P’s colleague confirmed the lack of biologic width on the tooth and Dr. P. recommended crown lengthening and a new crown. 22. An additional subsequent treating dentist also diagnosed the open margin, lack of biological width, and overhang on the tooth number 13. 23. Section 466.028(1)(x), Florida Statutes (2013-2014), states that “[bJeing guilty of incompetence or negligence by failing to meet the minimum standards of performance in diagnosis and treatment when measured against generally prevailing peer performance[,]” shall constitute grounds for disciplinary action by the Board of Dentistry. 24. Respondent violated Section 466.028(1)(x), Florida Statutes, by failing to adequately diagnose the issue(s) with the crown on tooth number 13 and provide appropriate corrective treatment. WHEREFORE, Petitioner respectfully requests that the Board of Dentistry enter an order imposing one or more of the following penalties: restriction of practice, imposition of an administrative fine, issuance of a reprimand, placement of Respondent on probation, corrective action, refund of fees billed or collected, remedial education and/or any other relief that the Board deems appropriate. SIGNED this |[4™day of Bam LOL du 2017. Celeste Philip, MD, MPH Surgeon General and Secretary Voudop kL Cormet Bridget’ K. McDonnell Assistant General Counsel DOH Prosecution Services Unit 4052 Bald Cypress Way, Bin C-65 Tallahassee, Florida 32399-3265 Florida Bar #99874 TEL: 850.245.4444, FAX: 850.245.4684 Express Mail Address: 2585 Merchants Row, Suite 105 Email: Bridget.McDonnell@flhealth.gov CLERK Angel Sande! CLERK 9 "S017 pate JAN 1 FILED DEPARTMENT OF HEALTH DEPUTY PCP: January 13, 2017 PCP Members: J.T, T.M., NF DOH v. Charlotte Yvonne Gerry, D.M.D., Case # 2015-10268 6 NOTICE OF RIGHTS Respondent has the right to request a hearing to be conducted in accordance with Section 120.569 and 120.57, Florida Statutes, to be represented by counsel or other qualified representative, to present evidence and argument, to call and cross-examine witnesses and to have subpoena and subpoena duces tecum issued on his or her behalf if a hearing is requested. A request or petition for an administrative hearing must be in writing and must be received by the Department within 21 days from the day Respondent received the Administrative Complaint, pursuant to Rule 28-106.111(2), Florida Administrative Code. If Respondent fails to request a hearing within 21 days of receipt of this Administrative Complaint, Respondent waives the right to request a hearing on the facts alleged in this Administrative Complaint pursuant to Rule 28-106.111(4), Florida Administrative Code. Any request for an administrative proceeding to challenge or contest the material facts or charges contained in the Administrative Complaint must conform to Rule 28-106.2015(5), Florida Administrative Code. Mediation under Section 120.573, Florida Statutes, is not available to resolve this Administrative Complaint. NOTICE REGARDING ASSESSMENT OF COSTS Respondent is placed on notice that Petitioner has incurred costs related to the investigation and prosecution of this matter. Pursuant to Section 456.072(4), Florida Statutes, the Board shall assess costs related to the investigation and prosecution of a disciplinary matter, which may include attorney hours and costs, on the Respondent in addition to any other discipline imposed. DOH v. Charlotte Yvonne Gerry, D.M.D., Case # 2015-10268 7

Docket for Case No: 19-002900PL
Issue Date Proceedings
Oct. 29, 2020 Certificate of Costs (filed in Case No. 19-002902PL).
Oct. 29, 2020 Supporting Affidavit for Attorneys Fees (filed in Case No. 19-002902PL).
Oct. 29, 2020 Affidavit of Attorney's Fees (filed in Case No. 19-002902PL).
Oct. 29, 2020 Motion for Attorney's Fees (filed in Case No. 19-002902PL). (DOAH CASE NO. 20-4825F ESTABLISHED)
Sep. 10, 2020 Agency Final Order filed.
Feb. 17, 2020 Respondent's Exceptions to the Recommended Order (filed in Case No. 19-002902PL).
Feb. 17, 2020 Respondent's Exceptions to the Recommended Order (filed in Case No. 19-002899PL).
Feb. 17, 2020 Respondent's Exceptions to the Recommended Order (filed in Case No. 19-002900PL).
Feb. 17, 2020 Respondent's Exceptions to the Recommended Order (filed in Case No. 19-002901PL).
Feb. 06, 2020 Motion for Continuance of Hearing on Recommended Order (filed in Case No. 19-002902PL).
Feb. 06, 2020 Motion for Continuance of Hearing on Recommended Order (filed in Case No. 19-002901PL).
Jan. 31, 2020 Transmittal letter from Claudia Llado forwarding Respondent's Exhibits not offered into evidence to Respondent.
Jan. 31, 2020 Recommended Order (hearing held October 28 through 30, 2019). CASE CLOSED.
Jan. 31, 2020 Recommended Order cover letter identifying the hearing record referred to the Agency.
Jan. 08, 2020 Respondent's Proposed Recommended Order (filed in Case No. 19-002899PL).
Jan. 06, 2020 Petitioner's Proposed Recommended Order filed.
Jan. 06, 2020 Respondent's Proposed Recommended Order (filed in Case No. 19-002902PL).
Jan. 06, 2020 Respondent's Proposed Recommended Order (filed in Case No. 19-002901PL).
Dec. 02, 2019 Order Granting Extension of Time.
Nov. 27, 2019 Motion for Extension of Time (filed in Case No. 19-002900PL).
Nov. 27, 2019 Motion for Extension of Time (filed in Case No. 19-002899PL).
Nov. 27, 2019 Motion for Extension of Time filed.
Nov. 27, 2019 Motion for Extension of Time (filed in Case No. 19-002902PL).
Nov. 27, 2019 Motion for Extension of Time (filed in Case No. 19-002901PL).
Nov. 26, 2019 Order Granting Motion to Accept Exhibit.
Nov. 26, 2019 Notice of Filing.
Nov. 25, 2019 Notice of Filing Transcript.
Nov. 25, 2019 Transcript of Proceedings (not available for viewing) filed.
Nov. 15, 2019 Petitioner's Proposed Exhibits filed (exhibits not available for viewing).
Nov. 15, 2019 Petitioner's Proposed Exhibits filed (exhibits not available for viewing).
Nov. 15, 2019 Petitioner's Notice of Filing Confidential Documents (Motion to Determine Confidentiality of Document) filed.
Nov. 15, 2019 Petitioner's Notice of Filing filed (confidential information, not available for viewing). 
 Confidential document; not available for viewing.
Nov. 15, 2019 Petitioner's Motion to Accept Exhibit filed.
Nov. 15, 2019 Petitioner's Proposed Exhibits filed (exhibits not available for viewing).
Oct. 30, 2019 Deposition filed.
Oct. 28, 2019 CASE STATUS: Hearing Held.
Oct. 25, 2019 Petitioners Notice of Filing Trial Exhibits filed.
Oct. 25, 2019 Petitioner's Proposed Exhibits filed (exhibits not available for viewing).
Oct. 25, 2019 Order on Request for Official Recognition/Judicial Notice.
Oct. 25, 2019 Respondent's Proposed Exhibits filed (exhibits not available for viewing).
Oct. 25, 2019 Objection to Lester Chambers Testimony by Telephone filed. (medical information; not available for viewing.) 
 Confidential document; not available for viewing.
Oct. 24, 2019 Deposition of Robert Fish (filed in Case No. 19-002902PL) (medical information; not available for viewing.) 
 Confidential document; not available for viewing.
Oct. 24, 2019 Deposition of Robert Jay Fish (filed in Case No. 19-002901PL) (medical information, not available for viewing.) 
 Confidential document; not available for viewing.
Oct. 24, 2019 Joint Pre-Hearing Stipulation for Case Nos. 19-2898PL, 19-2899PL, and 19-2900PL filed.
Oct. 24, 2019 Joint Pre-Hearing Stipulation for Case Nos. 19-2901PL and 19-2902PL filed.
Oct. 24, 2019 Order Allowing Testimony by Telephone.
Oct. 24, 2019 Petitioner's Motion for Telephonic Appearance filed.
Oct. 23, 2019 Notice of Appearance (Chad Dunn) filed.
Oct. 21, 2019 Notice of Intent to Rely Upon Deposition Testimony (filed in Case No. 19-002902PL).
Oct. 21, 2019 Notice of Intent to Rely Upon Deposition Testimony (filed in Case No. 19-002901PL).
Oct. 18, 2019 Petitioner's Request for Official Recognition/Judicial Notice filed (confidential information, not available for viewing). 
 Confidential document; not available for viewing.
Oct. 17, 2019 Notice of Intent to Admit Medical Records (Part 4; not available for viewing) filed. 
 Confidential document; not available for viewing.
Oct. 17, 2019 Notice of Intent to Admit Medical Records (Part 3; not available for viewing) filed. 
 Confidential document; not available for viewing.
Oct. 17, 2019 Notice of Intent to Admit Medical Records (Part 2; not available for viewing) filed. 
 Confidential document; not available for viewing.
Oct. 17, 2019 Notice of Intent to Admit Medical Records (Part 1; not available for viewing) filed. 
 Confidential document; not available for viewing.
Oct. 14, 2019 Respondent's Cross Notice of Taking Deposition (filed in Case No. 19-002902PL).
Oct. 14, 2019 Respondent's Cross Notice of Taking Deposition (filed in Case No. 19-002901PL).
Oct. 08, 2019 Respondent's Witness List (filed in Case No. 19-002902PL).
Oct. 08, 2019 Respondent's Witness List (filed in Case No. 19-002901PL).
Oct. 07, 2019 Order Denying Petitioner's Motion to Temporarily Relinquish Jurisdiction.
Oct. 03, 2019 Petitioner's Motion to Temporarily Relinquish Jurisdiction filed.
Oct. 03, 2019 Notice of Court Reporter filed.
Oct. 03, 2019 Petitioner's Notice of Taking Deposition filed.
Oct. 02, 2019 Order Denying Continuance of Final Hearing.
Oct. 01, 2019 Motion to Determine Confidentiality of Document filed (Request to Change Court Date; not available for viewing). 
 Confidential document; not available for viewing.
Oct. 01, 2019 Request to Change Court Date filed (confidential information, not available for viewing). 
 Confidential document; not available for viewing.
Sep. 27, 2019 Petitioner's Amended Notice of Taking Deposition in Lieu of Live Testimony Pursuant to Subpoena Ad Testificandum filed.
Sep. 26, 2019 Order Denying Continuance of Final Hearing.
Sep. 25, 2019 Notice of Disclosure of Expert Witness (filed in Case No. 19-002902PL).
Sep. 25, 2019 Notice of Disclosure of Expert Witness (filed in Case No. 19-002901PL).
Sep. 25, 2019 Motion for Continuance (filed in Case No. 19-002902PL).
Sep. 25, 2019 Motion for Continuance (filed in Case No. 19-002901PL).
Sep. 17, 2019 Petitioner's Notice of Taking Deposition in Lieu of Live Testimony Pursuant to Subpoena Ad Testificandum filed.
Sep. 11, 2019 Respondent's Notice of Taking Deposition (filed in Case No. 19-002902PL).
Sep. 11, 2019 Respondent's Notice of Taking Deposition (filed in Case No. 19-002901PL).
Aug. 14, 2019 Order Acknowledging Withdrawal of Motions.
Aug. 14, 2019 Motion to Withdraw Prior Motions filed.
Aug. 13, 2019 Amended Motion to Compel Discovery filed.
Aug. 12, 2019 Petitioner's Notice of Taking Deposition Pursuant to Subpoena Ad Testificandum filed.
Aug. 02, 2019 Response to Request for Production (filed in Case No. 19-002902PL).
Aug. 02, 2019 Response to Request for Admissions (filed in Case No. 19-002902PL).
Aug. 02, 2019 Notice of Serving Unverified Responses to Plaintiff's First Set of Interrogatories (filed in Case No. 19-002902PL).
Aug. 02, 2019 Response to Request for Production (filed in Case No. 19-002901PL).
Aug. 02, 2019 Response to Request for Admissions (filed in Case No. 19-002901PL).
Aug. 02, 2019 Notice of Serving Unverified Responses to Plaintiff's First Set of Interrogatories (filed in Case No. 19-002901PL).
Aug. 02, 2019 Motion to Compel Discovery and to Deem Petitioner's Requests for Admissions Admitted filed.
Jul. 24, 2019 Petitioner's Response to Respondent's Request for Copies filed.
Jul. 17, 2019 Request for Copies (filed in Case No. 19-002902PL).
Jul. 17, 2019 Request for Copies (filed in Case No. 19-002901PL).
Jul. 09, 2019 Order Granting Continuance and Rescheduling Hearing by Video Teleconference (hearing set for October 28 through 30, 2019; 9:00 a.m.; Jacksonville and Tallahassee, FL).
Jul. 09, 2019 Unopposed Motion for Continuance (filed in Case No. 19-002902PL).
Jul. 09, 2019 Unopposed Motion for Continuance (filed in Case No. 19-002901PL).
Jul. 03, 2019 Notice of Serving Petitioner's First Request for Admissions, Petitioner's First Set of Interrogatories, and First Request for Production (filed in Case No. 19-002902PL).
Jul. 03, 2019 Notice of Serving Petitioner's First Request for Admissions, Petitioner's First Set of Interrogatories, and First Request for Production (filed in Case No. 19-002901PL).
Jun. 27, 2019 Notice of Serving Petitioner's First Request for Admissions, Petitioner's First Set of Interrogatories, and First Request for Production filed.
Jun. 27, 2019 Amended Petitioner's Notice of Intent to Serve Subpoena Duces Tecum Without Deposition on a Non-Party filed.
Jun. 26, 2019 Respondent's Notice of Intent to Serve Subpoena Duces Tecum Without Deposition on a Non-Party filed.
Jun. 18, 2019 Request for Production (filed in Case No. 19-002902PL).
Jun. 18, 2019 Request for Production (filed in Case No. 19-002901PL).
Jun. 11, 2019 Order of Pre-hearing Instructions.
Jun. 11, 2019 Notice of Hearing by Video Teleconference (hearing set for August 5 through 8, 2019; 9:00 a.m.; Jacksonville and Tallahassee, FL).
Jun. 11, 2019 Order Granting Motion to Withdraw.
Jun. 11, 2019 Order of Consolidation (DOAH Case Nos. 19-2898PL, 19-2899PL, 19-2900PL, 19-2901PL, 19-2902PL).
Jun. 06, 2019 Petitioner's Unilateral Response to Initial Order filed.
Jun. 05, 2019 Petitioner's Response to Respondent's Consent Motion to Withdraw filed.
Jun. 05, 2019 Consent Motion to Withdraw filed.
May 31, 2019 Notice of Serving Petitioner's First Request for Admissions, Petitioner's First Set of Interrogatories, and First Request for Production filed.
May 30, 2019 Initial Order.
May 30, 2019 Election of Rights filed.
May 30, 2019 Petition for Formal Administrative Hearing and Response to Administrative Complaint filed.
May 30, 2019 Administrative Complaint filed.
May 30, 2019 Agency referral filed.

Orders for Case No: 19-002900PL
Issue Date Document Summary
Sep. 01, 2020 Agency Final Order
Jan. 31, 2020 Recommended Order Petitioner proved that Respondent violated the dental standard of performance with regard to three patients. Other allegations not proven. Recommend suspension.
Source:  Florida - Division of Administrative Hearings

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