The state Department of Health on Friday issued an advisory to patients of a Lycoming County dentist that mirror those issued earlier this month about Shamokin dentist Dr. Vincent J. Paczkoskie.

A joint investigation by the departments of health and state recently found Dr. David J. Clouser did not follow appropriate procedures to properly clean, disinfect or sterilize dental tools used at his Montoursville office, located at 1300 Fairview Road, the department reported. Patients were advised they "might be at risk for infection after an investigation discovered the dental facility did not follow appropriate infection control procedures."

As was the case with Paczkoskie, the State Board of Dentistry issued an order of temporary suspension for Clouser's license. It was effective Thursday.

Also, it "strongly" encourages current or former patients who were seen by Clouser be tested for hepatitis B, hepatitis C and human immunodeficiency virus (HIV). But the state has not received any related reports of disease transmission or illness to date. The same applied to Paczkoskie's case.

State investigators said in announcing Paczkoskie's license suspension June 13 that there are no records to show if any dental tools had been sterilized at his office, 315 N. Shamokin St., after June 2013.

The dentistry board will conduct a preliminary hearing next month at which Paczkoskie is entitled to be present. If the case is found to lack merit, Paczkoskie's license will immediately be restored. If it is found to have merit, the suspension will remain in effect for up to 180 days.

A separate action to suspend, revoke or restrict his license will also be filed. An answer from Paczkoskie must follow within 20 days, followed by another hearing.