Open Records Requests

Over the years, Dr. Rainey's quest to improve the practice of dentistry took him down many roads leading to startling discoveries and the development of a technology that is best described as "MINIMALLY INVASIVE PREVENTIVE DENTISTRY™".

The following are Dr. Rainey's opinions based on his amazing journey through his professional life of dentistry.

The following "Open Records Requests" just scratch the surface. Read on.

The first of this series of ORR's was a September 13, 2010 ORR: 2012_06_03 OpenRecordsRequestUTSA.pdff

After allowing enough time for UTSA to contact the TSBDE, I sent this ORR to the TSBDE: 2011_05_15 TSBDE ORR.pdf

The TSBDE Reply? 2011_06_11 TSBDE Reply.pdf The TSBDE would have you believe that they have no control over the standards of licensing of dentists into the state of Texas. Really, now.

After giving UTSA DS the 2010 "Heads Up" and two years to panic then correct their deficiencies, I again wrote a similar ORR and stacked it on top of the 2010 ORR: 2012_06_03 OpenRecordsRequestUTSA.pdf

The Reply? UTHSCSA TPIA Resposne.pdf Business as usual. Incomplete, childish evasiveness, answered by lawyers and not by the people in charge.

To correct incorrect curriculum, you have to toss out the old and start all over. Since the UTSA DS is refusing to use peer reviewed, modern descriptions of human tooth anatomy to teach their students, simply pull their beloved, antiquated, and erroneous textbook, "Wheelers Dental Anatomy and Occlusion". 2012_03_04 Textbook Scandal. When asked to provide the curriculum guidelines, my opinion was that the response was incomplete. So I went to the UTHSCSA official bookstore, and we compared lists. According to the personnel at the book store, this was the first time they had seen this list from UTSA. Here are the two lists, UTSA DS's, UTHSC at SADS.pdf, and UTHSCSA's Book store: UTHSC Book Store.pdf. You can only speculate on why there were vastly differing lists.

After reading the responses that were drafted by UTSA DS's lawyers, it should be obvious at this point that instead of meeting a problem heads on, the faculty and dean of UTSA DS Decided to hide behind lawyers who were uneducated and incapable of providing a straight forward answer in the first place. This is extremely serious correspondence. It is implied that UTSA DS has completely abrogated its responsibility in teaching the next generation of dentists and UTSA DS has done nothing to defend itself. It is time to rethink the entire structure of dental education in this state.

Although Dr. Rainey knew in dental school that what he was being taught were merely techniques handed down from the 19th century, he first started on this amazing odyssey with a conscious decision to "Change the practice of dentistry for the benefit of the patient" in 1977 by trying to define the proper anatomy of teeth and to create a truly reliable system of preventive dentistry through reliable "Sealants". By 1985, he achieved his primary goals and published a technique that is so reliable that he has placed a limited, professional lifetime warranty on the permanent teeth he has treated that erupted under his care. Some of these original restorations on seen on a regular basis some three decades later.

You would expect organized dentistry to beat a path to Dr. Rainey's doorstep the same way patients from all walks of life from all over the US and several foreign countries have done. The very existence of his practice is dependent on patients who travel from elsewhere over the county line to his small, rural county he has called home all of his life. However, one thing that is very predictable about human nature is humanities innate resistance to change, and the dental schools and their partners in apathy, the state regulatory boards and the professional dental organizations have done everything they possibly can to prevent the teaching and implementation of these procedures.

How reactionary are these bureaucratic agencies, the dental universities, the state regulatory boards, and the professional dental organizations? It would take an article of book length to do proper justice to this topic. However, you can get a glimpse into the shared incompetency and apathy by just reading some of the open records requests Dr. Rainey has sent to the targeted partners in apathy, The University of Texas @ San Antonio Dental School and the Texas State Board of Dental Examiners.

What little information he was able to glean from these useless bureaucracies was chilling. Dr. Rainey shared his technology with the TSBDE in 1998, which was predictably ignored. Although the UTSA DS was given all of the information and resources regarding Dr. Rainey's findings on tooth anatomy and his extremely successful technique in early intervention by the early 2000's , UTSA DS continued to teach discredited assumptions from an antiquated, incomplete, and flawed textbook, "Wheelers Dental Anatomy". UTSA DS has successfully kept a full generation of dentists from learning proper tooth anatomy and preservation of tooth structure. Predictably, UTSA DS also dumped the technology that is so successful in stopping the cycle of "drill, fill, and bill" that is the lifeblood of most dental practices and actually participated in yet another redundant and useless study on "Sealants" using your tax dollars and resources, an article published in the Journal of the American Dental Association in 2009. For the last decade it has been business as usual. Read the Open Records Requests and the responses.

How did the TSBDE fare? Although the disproven techniques of GV Black's 1891 (NOT a misprint, 1891) theories of "Extension for Prevention" were extensively questioned and more reliable and conservative preparations were researched and published in Peer Reviewed Journals by the faculty and staff of UTSA DS, the TSBDE still required massive mutilation of human tooth structure in their licensure exams. At some point in time, the TSBDE gave up direct supervision of these exams and passed the authority for licensure to a regional examining board that required the same massive and unnecessary mutilation of human tooth structure. When pinned to the wall for this egregious offense against the citizens of the state of Texas, well, just read the responses.

Dr. Rainey does not believe in ambushing anyone from a hidden position. He will confront any evil head on, eyeball to eyeball, toe to toe, and he gave these useless bureaucracies a "Heads Up" in his 2010 and 2011 Open Records Requests, and then gave two years to get together and correct their glaring and obvious deficiencies. He then followed up with almost exactly the same requests two years later. Just read the ORR's and the responses. Nothing was done, nothing happened to change business as usual, and they would have you believe that there was no communication between these two agencies. Really, now.

The response? You would expect that UTSA DS would call a meeting, get rid of the dead wood, like the professor who ridiculed a patient and encouraged his student to do likewise for questioning the use of amalgam. You would have expected a serious howl of protest regarding the ditching of UTSA DS's research in favor of the 1890's technology that their very own research disproved, but the response will be predictable, howls of protest for questioning their incompetence. In advance, I'll use a centuries old quote from Shakespeare: "Methinks thou dost protest too much". The TSBDE? I predict that they will continue the charade of pretending to have no input on the licensing of dentists into the State of Texas, which will also beg the question, "Then, what the heck do we need this incompetent agency for since they admittedly completely abrogated their responsibility of licensing dentists?"

The Predictable Results? The bottom line is that both of these bureaucracies have fiddled while Rome burned. Their inactions have cost the taxpayers of this state of Texas BILLIONS of Dollars in dental costs alone, and the collateral damage in health costs is incalculatable.

The solutions? There are logical, simple, and cost effective solutions.

First: We sunsetted the TSBDE years ago primarily due to the arrogance of the board members, and here we are again. We left regulation up to the local district attorneys and the plaintiff's attorneys, and that system worked well. Sunset the TSBDE again and forever.

Second: How to address the incompetency of the Texas Dental Schools that have opted to allow the teaching of techniques according to 1891 standards to get students through the licensing procedure?

Defund the schools and rewrite the curriculums. The dental schools have proven that they are incapable of teaching according to the peer reviewed literature!!!! The schools have long outlived their useful justification, and it would be impossible to correct the massive incompetence that represents Texas dental education. Simply follow the models of modern medicine. Use the schools for two years of didactics, after the curriculum is updated. It is impossible to teach dentists modern techniques in a dental school setting, as the schools have already proven beyond a doubt. After two years of didactics, rotate dentists through preceptorship programs in qualified settings. Harvard has used an internship program similar to this proposal for years.

By the way, just how hard is the Early Diagnosis/Early Intervention that the Texas Dental Schools, the Texas State Board of Dental Examiners, and other cronies in apathy, i.e. the American Dental Association, have so successfully ignored? When the "Standard of Care" is practiced as "Supported by the Literature", I have video and pictures of hygienists and experienced dental assistants delivering a higher standard of care off of the back end of a banana plantation loading dock in a third world country than the dental schools in this state can teach to their students and provide to their patients.

The following "Open Records Requests" just scratch the surface. Read on.

The first of this series of ORR's was a September 13, 2010 ORR: 2012_06_03 OpenRecordsRequestUTSA.pdff

After allowing enough time for UTSA to contact the TSBDE, I sent this ORR to the TSBDE: 2011_05_15 TSBDE ORR.pdf

The TSBDE Reply? . 2011_06_11 TSBDE Reply.pdf The TSBDE would have you believe that they have no control over the standards of licensing of dentists into the state of Texas. Really, now.

After giving UTSA DS the " 2010 "Heads Up" and two years to panic then correct their deficiencies, I again wrote a similar ORR and stacked it on top of the 2010 ORR: 2012_06_03 OpenRecordsRequestUTSA.pdf

The Reply? UTHSCSA TPIA Resposne.pdf Business as usual. Incomplete, childish evasiveness.