Creekside Endodontics v. Kathryn Sullivan

Colorado Court of Appeals·Decided December 22, 2022·No. 21CA1615·Published

Opinion

The summaries of the Colorado Court of Appeals published opinions constitute no part of the opinion of the division but have been prepared by the division for the convenience of the reader. The summaries may not be cited or relied upon as they are not the official language of the division. Any discrepancy between the language in the summary and in the opinion should be resolved in favor of the language in the opinion.

SUMMARY

December 22, 2022

2022COA145

No. 21CA1615, Creekside v Sullivan — Torts — Defamation; Courts and Court Procedure — Regulation of Actions and Proceedings — Action Involving Exercise of Constitutional Rights — Anti-SLAPP — Special Motion to Dismiss

In this anti-SLAPP case, a division of the court of appeals applies the heightened evidentiary burden articulated in L.S.S. v. S.A.P., 2022 COA 123, ¶ 41. In so doing, the division concludes that because Plaintiffs failed to produce clear and convincing evidence that Defendant’s communications were made with actual malice, and since the remainder of her communications were nonactionable as a matter of law, the district court erred in denying Defendant’s special motion to dismiss filed pursuant to section 13- 21-1101(3)(a), C.R.S. 2022. We further determine that, on remand, the district court must enter an award of attorney fees and costs for Defendant consistent with section 13-21-1101(4)(a), C.R.S. 2022.

COLORADO COURT OF APPEALS 2022COA145

Court of Appeals No. 21CA1615 Saguache County District Court No. 20CV30024 Honorable Crista Newmyer-Olsen, Judge

Creekside Endodontics, LLC, and Andrew Stubbs, Plaintiffs-Appellees, v. Kathryn Sullivan, Defendant-Appellant.

JUDGMENT REVERSED AND CASE REMANDED WITH DIRECTIONS

Division III

Opinion by JUDGE FOX

Tow, J., concurs

Yun, J., specially concurs

Announced December 22, 2022

Gelman & Norberg LLC, Weston Cole, Greenwood Village, Colorado, for Plaintiffs-Appellees

Ballard Spahr LLP, Ashley I. Kissinger, Denver, Colorado; Ballard Spahr LLP, Lauren Russell, Washington, D.C., for Defendant-Appellant

¶1 Defendant, Kathryn Sullivan, appeals the district court’s denial of her special motion to dismiss defamation claims brought against her by Creekside Endodontics, LLC, and Andrew Stubbs (collectively, Plaintiffs). Sullivan sought dismissal under Colorado’s recently enacted anti-SLAPP statute.1 See § 13-20-1101(3)(a), C.R.S. 2022.

¶2 Because we conclude there is not a reasonable likelihood that Plaintiffs will prevail on their defamation claims, we reverse and remand with directions to dismiss the complaint and award Sullivan attorney fees and costs pursuant to section 13-20- 1101(4)(a).

I. Factual Background

¶3 Dr. Stubbs, a licensed dentist, is the owner and sole member of Creekside Endodontics. Sullivan was his patient. After Dr. Stubbs performed root canal therapy on Sullivan, she was dissatisfied with the procedures and publicly expressed her dissatisfaction.

1“SLAPP” is an acronym for “strategic lawsuits against public participation.”

¶4 In early July 2019, Sullivan came to Creekside Endodontics complaining of severe pain in four teeth — specifically, teeth numbers 3, 5, 6, and 13. After examining her, Dr. Stubbs determined that the four affected teeth required treatment and that a metal file was embedded in tooth number 3 (apparently from shoddy dental work performed by another dentist). Dr. Stubbs advised Sullivan that she had three options: (1) do nothing, (2) undergo root canal therapy, or (3) have the teeth extracted. Sullivan elected to proceed with root canal therapy.

¶5 Over the span of several appointments between July 22 and August 5, Dr. Stubbs completed root canal therapy on the four teeth. While treating Sullivan, Dr. Stubbs discovered that teeth numbers 3 and 13 were fractured. He informed her of this discovery and explained that this reduced the likelihood of a successful treatment for the affected teeth; she chose to proceed with the surgery.2

¶6 Within days, Sullivan emailed Dr. Stubbs complaining of persistent pain in tooth number 3. Dr. Stubbs prescribed pain

2 Sullivan claims she was only informed that tooth 3 was fractured.

medication, steroids, and antibiotics to mitigate the pain. Soon after, Sullivan posted a positive review on Yelp of Creekside Endodontics and Dr. Stubbs.

¶7 But Sullivan’s pain soon returned. Acting as her own advocate, Sullivan began conducting independent research on root canal therapy. As part of this research, she emailed Dr. Franklin Pineda on August 22 with copies of the x-rays Dr. Stubbs had taken and described experiencing severe pain.3 Dr. Pineda concluded that (1) dental filling material extended beyond the roots (i.e., the tip) of teeth numbers 5, 6, and 13; and (2) the roots of teeth numbers 5 and 13 were in close proximity to one of her sinuses. He opined that the overfilling — especially in the two teeth close to the sinus — could be causing her pain.

¶8 Armed with this information, Sullivan contacted Dr. Stubbs, told him that she was experiencing intense pain, and asked whether an “overfilling” of her root canals could be the cause. During the ensuing email exchange — from August 23 through September 4 —

3Dr. Pineda is an endodontist educated and licensed in Mexico. He held a postgraduate teaching position in endodontics at the University of Washington and is an affiliate member of the American Endodontic Association.

Dr. Stubbs persistently denied that overfilling occurred and stated that, even if the canals were overfilled, it was not the cause of her pain. He repeatedly offered to re-examine her.

¶9 Meanwhile, Sullivan continued her research. To that end, she posted a comment on Denver Dental Peeps (a dental-focused Facebook group) on August 25, in which she claimed that her “sister” had undergone root canal therapy but was still in severe pain. She included the x-rays Dr. Stubbs had taken and floated the possibility that the pain was caused by overfilling of the canals. Several posts disagreed with this diagnosis, commenting that the root canals looked good, the fillings within normal limits, and the pain may be attributable to underlying fractures in the teeth. With the exception of one commenter (who identified herself as a dental assistant), the commentators did not indicate their credentials.

¶ 10 Owing to her continued pain, Sullivan returned to Dr. Stubbs’ office for a follow-up examination on September 5. Dr. Stubbs performed cone-beam computed tomography (CBCT) scans — essentially a three-dimensional x-ray — on each tooth he had treated. After reviewing the images, Dr. Stubbs discovered that teeth numbers 5 and 6 were overfilled, and that gutta percha (a

thermoplastic filling that is heated and compressed into the tooth’s canal) extended one millimeter beyond the tip of tooth number 13. He also learned that he had missed a canal on tooth number 3. Dr. Stubbs uploaded these CBCT images onto a CD and gave it to Sullivan.

¶ 11 Although Dr. Stubbs filled the remaining canal on tooth number 3, Sullivan’s pain persisted. As she had in late August, Sullivan continued to ask Dr. Stubbs whether the overfilling was the cause of her pain — a theory that he persistently rejected. Instead, Dr. Stubbs advised her to see a neurologist.

¶ 12 On September 19, a week after treating tooth number 3, Dr. Stubbs terminated his doctor-patient relationship with Sullivan — citing her “adversarial” behavior — and denied her request for a full refund. In response, Sullivan said, “[Y]ou want to escape community accountability. Okay, but it is your reputation on the line.”

¶ 13 In early October, Sullivan temporarily relocated to Florida to live with family. On October 15, 2019, she saw a dentist in Florida,

Dr. Carlo Litano.4 Dr. Litano took new CBCT scans because he was unable to view the ones on Dr. Stubbs’ CD. Based on his analysis of these images, Dr. Litano concluded that teeth numbers 5, 6, and 13 were overfilled, that number 13 had material extruding near the sinus, and that there were multiple infections near these locations.

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