At Karen Archer DDS, we see our patients as partners in care; we’ll work together to achieve the best results. Offering general, cosmetic, and emergency dental care, Karen Archer DDS is the Leamington, ON, community choice for comprehensive and trusted dental care.
We aim to make your appointment as smooth and understandable as possible — which is why we prioritize patient education.
Are you accepting new patients?
Yes! Patients of all ages are welcome to experience our high standards of dental care. We are happy to get referrals, too!
Do I need to take a prescription before dental treatment after I have a hip or knee replacement?
The American Dental Association and the American Academy of Orthopedic Surgeons have released a new evidence based guideline on the prevention of orthopedic implant infection in patients undergoing dental procedures. Based on a collaborative systematic review of the scientific literature, the AAOS and ADA have found that the evidence does not support routine prescription of antibiotic prophylaxis for patients with joint replacement undergoing dental procedures. Treatment decisions should be made in light of all circumstances presented by the patient. Treatments and procedures applicable to the individual patient rely on mutual communication between patient, physician and other healthcare practitioners in accordance with evidence-based medicine applicability.
The evidence does demonstrate that antibiotics taken before dental procedures help prevent infections of orthopedic implants, and the routine use of antibiotics in this manner has potential side-effects, such as increased bacterial resistance, allergic reactions, diarrhea, and possibly death. Therefore, members (Dentists) should not prescribe antibiotic prophylaxis unless patients have a medical condition that may place them at a greater risk for implant infections, diabetes, rheumatoid arthritis, cancer, chemotherapy, and chronic steroid use. Members (Dentists) are reminded that patients may present with a recommendation from a physician that is inconsistent with current guidelines for antibiotic prophylaxis. This may reflect a lack of familiarity with the guidelines or special considerations about the patient’s medical condition of which the dentist is unaware. In such circumstances, members are encouraged to consult with the physician. Ideally, consensus should be reached among the professionals involved. However, each (dentist) is responsible for his or her own treatment decisions.
As a result of this consultation, the dentist may decide to follow the physician’s recommendation or, if professional judgment dictates that antibiotic prophylaxis is not indicated, decline to provide it. In the latter circumstance, the dentist may suggest that the physician should prescribe for the patient as she or he deems appropriate.”
- RCDSO Dispatch. Professional Practice. May/June 2013. Page 30-31.
Learn more about Antibiotic Prophylaxis and Joint Replacements here:
What services do you provide?
We provide a comprehensive range of general and cosmetic dental services, including routine cleanings, periodontic services, teeth whitening, bonding, veneers, crowns & bridges, dental implants, Invisalign®, sealants, custom sports guards, and more.
Click here for more information on our full-spectrum approach to family dentistry!
Can I schedule an appointment for a second opinion?
We are always willing to offer another perspective! Dentistry is both an art and a science — dentists will often take differing approaches to treatment. We are happy to examine your unique circumstance and provide independent assessment and individualized recommendations.
Post-Op Instructions Following an Extraction
Please refer to these guidelines if you are experiencing unreasonable discomfort after your procedure. If you have followed these instructions and there is no improvement, please call us.
Bite on folded gauze for a full hour. (1/2 hour for primary teeth) Some blood on your pillow in the morning after your extraction is normal. If a drug has not been prescribed for pain, Tylenol or Advil (Ibuprofen) may be taken to alleviate mild discomfort.
If swelling occurs, apply an ice pack on the outside of your face over the extraction area, 10 minutes on and 10 minutes off for 2-3 hours. A bag of frozen vegetables wrapped in a towel also works.
Do not rinse mouth (spit), use a straw, or smoke for 24 hours. After 24 hours, rinse your mouth with warm saltwater. 3-4 times a day for 3-4 days.
Stay on a diet of soft foods or soups for 24 hours; do not eat or drink anything extremely hot for 24 hours.
If moderate bleeding persists after one hour, continue biting firmly on sterile gauze. Should bleeding be excessive, Dr. Archer can be reached at 519-326-3313
Sutures placed will dissolve in 3-7 days.