We have seen an increase in bruxism related injuries from patients, possibly due to the stress each of us have felt during this time. Patients are clenching or grinding, which can create stress fractures in teeth. Another issue we have seen is generalized periodontal disease. Some of this could be due to missing your normal cleaning date as a result of our mandatory cancellations earlier in the year per ADA®, CDC, and the state board of dentistry's requirements. It is still very important to keep up your oral health. Studies have shown that if you do contract the COVID-19 virus and have not managed your oral health, your symptoms could be substantially greater than if your mouth is healthy! Quite frankly, the dental office may be one of THE safest places you will visit.

The hygiene department in my office has had little or no change for a number of years until this past few months. David Duman, RDH, joined us this summer, has adjusted well to work in our office, and has completed his laser proficiency certification. We also just welcomed Patty Shields, RDH, to our practice this month. Patty was actually a patient of ours while growing up and moved to Colorado after graduation from USD Department of Dental Hygiene. We are happy to have her back in Sioux Falls and in our practice. Another addition to the office is Heather Banister, who is at the front desk. Coincidentally, her twin sister is a hygienist. Heather is a quick learner and offers a friendly face to those entering the office. Finally, we are waiting for our new associate to start in June. Andrew Schuiteman is graduating in June 2021 from University of lowa Dental School. Не is excited to be part of our office, and in January of 2021, he will be taking his IV sedation training. His wife was a previous patient at our office, and she has family members who are still a part of our practice. Andrew and his wife have a daughter who is 9 months old.

I have still been very active with organized dentistry, as I am currently president of the Academy of Laser Dentistry. Since the ALD was not allowed to have its annual meeting, it has put a substantial financial burden on the organization. Thus, most of my efforts have been on creating new revenue sources for the loss of the ALD's major income. Efforts have proved successful, and I will be able to hand off my presidency to the president elect with a viable organization. I am also on the executive committee for American Academy of Implant Dentistry (secretary). Working with both organizations has occupied a number of hours in addition to my work schedule. Again, thanks for your confidence in us with your referral of family and friends. Stay healthy and safe.