We understand that everyone has their own preference regarding communication and confirmation of your next dental appointment. We are proud to announce that we have updated our system to allow more choices to communicate with you. These includes email, text messages, phone calls, and post cards. 

So far, we have great compliments from most people. The most popular method is through text messaging. Since most people have cell phones, appointment confirmation is just a fingertip away. Furthermore, you can reply at your free time. 

Let us know how we are doing next time you come in. Your opinion is very important to us. 

One of our sweetest patients dropped off these beautiful flowers right before the Memorial Day Weekend. They would look great in our office. And yes, Go Warriors! 

Thank you for all the support from our dental patients. We had a blast during Halloween. 

CPR is a very important skill as a dental care provider or health care provider. However, CPR certification is not exclusive to us. Anyone can sign up to obtain CPR certified and I think that it is well worth it regardless of your profession. Nevertheless, we still prefer not to run into situations that needs this skill. 

Wish you all Happy Mother's day. 

Thank you for the premium tea from Sharon. The Dammann Frères premium tea is absolutely divine. I can't wait to try them all, especially the Jardin Bleu Tea that has blue flowers in them. But before that, we couldn't resist a selfie. 

Jabin and Lynn from First Citizens Bank also came by and dropped off some very nice cookie. Seems like a gift day. 

For whatever reason, we were talking about boba drink, and we discovered that some of our staff have never had one. So, I decided to treat them all to one drink. Boba drinks are not the most healthy drink in the world, even with less sugar. But they are really good, and there are many flavors to choose from. 

As to almost all food and drink, brush afterwards to prevent tooth decay. 

I feel that the topic of using antibiotic prophylaxis (ABP, AKA prophylactic antibiotic) to prevent prosthetic joint infections (PJIs) is an important matter that affects many of my patients, and it is difficult to explain everything in detail in a realistic clinical setting and to assume proper understanding in such a short encounter. So, I decide to create this relevant post that my patients can read at their leisure... or better yet, ask their physician to come read the referenced article (see below). 

I must declare upfront that my position must be based on the recommendation of American Dental Association (ADA) because it is based on the most current and recent researches, that by no means can I do these researches in my practice or spare time. Medicine should be practiced based on evidence, and when there is a conflict between conventional practice and new evidence, one should have an open mind to consider the new recommendations that are based on new evidence. 

According to the current research, there is "no evidence that [dental-related] bacteremias are related to prosthetic joint infections." Therefore, for most dental patients with a prosthetic joint, ABP are "not indicated before dental procedures to prevent PJIs." Orthopedic surgeons should consider prophylactic antibiotic only if patient has serious health issues or previous complications related to prosthetic joint surgery. Thus, you still must consult with your orthopedic surgeon, but if your orthopedic surgeon insists that you need antibiotic prophylaxis to prevent PJIs, courteously ask him/her to read the referenced article (see below). 

As of today, this is the most current and authoritative article regarding ABP to preventing PJIs. 
Link to article
Link to full text
Link to PDF

Reference:
Meyer, D. DDS (2015). Providing clarity on evidence-based prophylactic guidelines for prosthetic joint infections. The Journal of the American Dental Association, 146(1), 3-5. doi: http://dx.doi.org/10.1016/j.adaj.2014.11.009