Roy v. NH Department of Corrections, Commissioner

CourtDistrict Court, D. New Hampshire
DecidedApril 18, 2025
Docket1:24-cv-00313
StatusUnknown

This text of Roy v. NH Department of Corrections, Commissioner (Roy v. NH Department of Corrections, Commissioner) is published on Counsel Stack Legal Research, covering District Court, D. New Hampshire primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Roy v. NH Department of Corrections, Commissioner, (D.N.H. 2025).

Opinion

UNITED STATES DISTRICT COURT FOR THE DISTRICT OF NEW HAMPSHIRE

Steven J. Roy

v. Civil No. 24-cv-313-JL-AJ

N.H. Department of Corrections Commissioner Helen Hanks, et al.1

REPORT AND RECOMMENDATION

Before the court is Steven J. Roy’s Complaint (Doc. No. 1), Amended Complaint (Doc. No. 5), an Addendum to his Amended Complaint (Doc. No. 6), the matters alleged in Roy’s motion for a preliminary injunction (Doc. No. 7).2 Roy’s claims arise from his allegations regarding his teeth and the dental services at the Northern New Hampshire Correctional Facility (“NCF”). Roy claims that the defendant NCF dentist Dr. Edwards, whose first name is unknown, and the defendant prison officials have been deliberately indifferent to the deterioration of his teeth in violation of his rights under the Eighth Amendment and/or in a manner amounting to torts under state common law. The matter is

1 Plaintiff names the following defendants: New Hampshire Department of Corrections (“DOC”) Commissioner Helen Hanks, DOC Director of Medical and Forensic Services Paula Mattis, DOC Deputy Director of Medical and Forensic Services Mary Reed, DOC Dental Administrator/Assistant Alexis Isabelle, and DOC Dentist Dr. Edwards, whose first name is unknown.

2 The motion for a preliminary injunction (Doc. No. 7) remains pending. A briefing schedule on that motion is established in a separate order. here for review under 28 U.S.C. § 1915A and LR 4.3(d)(1).

Preliminary Review Standard In conducting a preliminary review of a prisoner’s claims seeking relief from government officials, this court considers whether those claims should be dismissed because there is a lack

of subject matter jurisdiction, a defendant is immune from the relief sought, the plaintiff failed to state a claim upon which relief can be granted, or the action is frivolous or malicious. See 28 U.S.C. § 1915A(b); LR 4.3(d)(1). To determine whether to dismiss claims for failure to state a claim upon which relief can be granted, this court takes as true the factual content in the complaint and the reasonable inferences drawn from those facts, and, after stripping away legal conclusions, considers whether the claim is plausible on its face. Hernandez-Cuevas v. Taylor, 723 F.3d 91, 102-03 (1st Cir. 2013) (citing Ashcroft v. Iqbal, 556 U.S. 662, 678 (2009)). When plaintiff lacks counsel,

the court construes his pleadings liberally. See Erickson v. Pardus, 551 U.S. 89, 94 (2007) (per curiam).

Background I. Roy’s Teeth and Dental Health Needs Roy has dental problems. A full set of adult teeth, including four wisdom teeth, is thirty-two teeth. As of February 21, 2025, Roy had only thirteen teeth left, some of which are just roots lacking crowns. Ten of his remaining teeth are in his top jaw (Teeth #2, #5-#7, #8 (no crown since Jan. 16, 2024), #9, #10 (no crown as of Feb. 21, 2025), #11, #13, #14). His lower jaw has the roots of only three lower teeth left (Teeth #20-#22), all without crowns. See Feb. 21, 2025 Aff. of

Steven J. Roy (Doc. No. 7-3). Roy states that eight of his top teeth and the three roots of teeth in his bottom jaw are decaying. Mot. for Prelim. Inj. ¶ 2 (Doc. No. 7). Roy asserts that the decay has an adverse effect on his cardiovascular system. Feb. 21, 2025 Aff. of Steven J. Roy (Doc. No. 7-3). He asserts that since the prison will not perform root canals, extraction is the only way the prison proposes to handle the decay in his tooth roots. Id. Roy prefers to keep what remains of all of his teeth until he receives his preferred form of treatment, dental implants. Id. Eating solid food is painful for Roy because of the status

of his lower teeth and gums. Id. Solid food presses against his lower gums as he chews. Id. Roy refuses to eat pureed food, and he does not want dentures. He refused to have his last three bottom teeth extracted in September 2024, to avoid losing jawbone mass he believes he needs if he were to get implants. See Feb. 5, 2025 Aff. of Steven J. Roy (Doc. No. 7-2) (“February 5 Roy Aff.”); Feb. 21, 2025 Aff. of Steven J. Roy (Doc. No. 7-3). Roy asserts that defendant Dental Administrator Alexis Isabelle, in early 2022, told Roy that the treatment of cavities in his upper teeth was conditioned on his agreement to allow his lower teeth to be extracted. See Am. Compl. ¶¶ 8, 12, 14, 16,

30 (Doc. No. 5, at 4-5). Roy refused that treatment plan. After examining Roy and speaking out of Roy’s presence with Administrator Isabelle, Dentist Dr. Edwards told Roy on May 11, 2023 that the plan was to extract Roy’s lower teeth, talk about getting a denture, and then fix Roy’s upper teeth. See Aug. 2, 2024 Aff. of Steven J. Roy ¶ 14 (Doc. No. 1-1 at 2). Roy rejected that plan on that day and afterwards, telling Dr. Edwards and prison officials that since his lower teeth were not painful, infected, or loose, repairing his upper teeth was Roy’s highest priority. See id. From early 2022 until October 2024, Roy asserts, he received no upper teeth fillings, only a “no-

drill ‘patch’ to Tooth #10.” Am. Compl. ¶ 31, at 12. From May 11, 2022 until December 4, 2024, Roy did not obtain any fillings despite sending Inmate Request Slips (“IRSs”) asking for fillings for his upper teeth to NCF Dental and to Alexis Isabelle. See Mot. for Prelim. Inj. ¶ 6 (Doc. No. 7, at 2); Doc. No. 1-1, at 6-23. In early June 2024, Roy received an appointment to patch Tooth #10, followed by two separate appointments in July 2024 for a cleaning and for x- rays. Am. Compl. ¶¶ 19, 21. Roy also received an appointment with a hygienist in August 2024, two appointments with a dentist for extractions in September 2024, and a filling on or about December 4, 2024. On August 27, 2024, an NCF dental hygienist informed Roy

that the plan for Roy at that point was to extract three of his six remaining lower teeth on September 5, 2024 (Teeth #26-#28), repair cavities in seven of his upper teeth, then extract the last three teeth in his lower jaw (Teeth #20-#22) on a later date and give Roy a denture. See February 5 Roy Aff. Roy went forward with the extraction of Teeth #26-#28, on September 5, 2024, but on September 26, 2024, he refused to allow his remaining three bottom teeth (Teeth #20-#22) to be extracted. Roy told dentist Dr. Caric that he wanted dental implants. Id. Dr. Caric then “advised” Roy to wait on removing Teeth #20-#22, since Roy said he expected to obtain court-ordered implants.

See id.; Mot. for Prelim. Inj. ¶ 1 (Doc. No. 7); Am. Compl. ¶¶ 25-26 (Doc. No. 5). Roy asserts as a general matter that the NCF hygienists or dentists who perform dental exams and cleanings do not notify him when they identify cavities. Am. Compl. ¶ 28. Roy asserts that he finds out about his cavities when they become bad enough to see, cause pain, or break teeth. Id. Roy claims that New Hampshire Department of Corrections (“DOC”) Medical and Forensics Director Paula Mattis has the duty to train the dental staff regarding what and when to tell prisoners about their cavities, and that she failed to train or oversee the dental staff to communicate with him about his cavities. Id. Roy also faults defendants for their failure to respond on

time, or at all, to his IRSs and grievances. Id. ¶ 13. He asserts that DOC Medical and Forensics Deputy Director Mary Reed in May 2024 promised that Roy was scheduled for a complete oral exam and for an appointment to address a plan of care for his upper teeth. Id. ¶ 18.

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