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Patient Forms

Below you can find the forms that our office may ask you to fill out for your new patient appointment. You may print & complete them or fill them outline to submit electronically. Please note that when filling the forms out electronically, you will need to click the link in the confirmation email you receive in order for the forms to arrive at our office.

We are proud to be your Bangor Maine dentist. If you have any questions or concerns, please feel free to contact us at (207) 942-3000

New Patient Form

Notice of Privacy Practices

Authorizations to release records to Creative Dental Solutions

Antibiotic Premedication Following Joint Replacement

Since 1997, based on an Advisory Statement Developed by the American Dental Association (ADA), the American Academy of Orthopaedic Surgeons (AAOS), and infectious disease specialists, it had been recommended that for two years following joint replacement surgery, patients should take antibiotics prior to dental appointments to prevent possible bacterial infections. In 2012 after careful review, the ADA and the AAOS replaced this statement and released new evidence-based guidelines. Based upon a systematic review of the literature, the literature review found no direct evidence that dental procedures cause orthopaedic implant infections.

Despite the 2012 evidenced based guidelines that have been endorsed by their own national member organization (AAOS), some orthopaedic surgeons have continued to recommend that their patients with prosthetic joints take antibiotics before any dental procedure, some recommending that this premedication continue for a lifetime, with no consideration for the type of dental procedure being done or when the joint was replaced. Unfortunately, overusing antibiotics has resulted in antibiotic resistant strains of bacteria with significant negative ramifications for health care. Dr. Sevey and Dr. Sigwart therefore encourage patients to follow the more recent 2012 evidence based guidelines and use the shared decision making tool when deciding whether or not to take antibiotics before their dental appointment.


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