Cynthia L Graves, DDS

Cynthia L Graves, DDS

Comments

Very personable and informative staff. Always get in very close to appointment time. Very caring!
I simply can't praise Dr. Graves and her staff enough for taking care of my emergency dental problem while I was visiting the Austin area recently. Without an appointment, I stopped at her office to reseal a temporary cap. Within 30 minutes, Dr. Graves was working on me and within 90 minutes I had a new temporary crown and was pain free which allowed me to have a very enjoyable week visiting my daughter in Austin. Kudos to Dr. Graves and staff. I wish I could take them back to Phoenix.
Marina Flores Butts
Dr Graves spent the weekend in Charlotte, NC, at the Dentsply Sirona sponsored conference titled:

EPIC Women in Dentistry.

Through this association, she will network with other female dentists who are passionate about advanced dental care with digital technology.

Did you know only 14% of the dental practices in the USA are owned by female dentists?

And of all dentists (male and female) in the USA less than 10% are fully integrated with 3D extraoral and intraoral technology.

This makes our practice exceptional!
Dr Graves spent the weekend with other female dentists at the Inaugural EPIC WOMEN IN DENTISTRY conference in Charlotte NC at the national headquarters of Dentsyply Sirona. Dr. Graves uses Sirona digital technology to deliver high tech dentistry.
We celebrate #NationalSmileDay everyday!

Join us to learn how we make dental health something to smile about. Call 512-258-8001 for your consultation or appointment. Or email at [email protected]
#NationalSmileDay should be EVERY DAY!

Smiling (even when you're having a troubled day) actually decreases your stress levels. https://www.smithsonianmag.com/science-nature/simply-smiling-can-actually-reduce-stress-10461286/
It's a great day when your patient asks to hug the team after a dental visit. We enjoy getting to know our patients and making them a member of our Patient Family!
I so happy I was able to get in for appt. when I was having a problem. I had seen 2 other dentist whom said nothing was wrong when I was in pain for 2 years. Thank goodness I got in and Dr Graves did the 3D CT Scan and there it was, an infection at the bottom and around my tooth roots. Had the extraction and I feel great, that was yesterday. THANKS DR GRAVES
I've probably been with Dr. Graves the longest! I trust her with my dental health! I know she is working to keep my teeth the best they can be!

Beautiful smiles, exceptional care! If you are looking for a high-tech dentist who delivers exceptional care, you will love our Austin, TX, practice.

Dr. Cynthia Graves and her staff are dedicated to staying up to date with the latest in dentistry and oral health research, so you can count on receiving the best care possible and enjoying the timeless beauty of a healthy smile. When you become a part of our patient family, you will be given full access to Dr. Graves for your after-hours emergency needs. Dr. Graves is committed to providing her p

Operating as usual

06/24/2021

Summer’s here. Stay cool.

Summer’s here. Stay cool.

Photos from Cynthia L Graves, DDS's post 05/21/2021

One of our resident squirrels found a cool spot on a rock. Notice the classic Corgi “sploot” to place his tummy on the cool rock. This is an activity that cools the body.

[05/20/21]   In a ZOOM study club tonight: Austin Sleep & Airway study club. Never stop learning!
#nerdsRcool

Photos from Cynthia L Graves, DDS's post 05/13/2021

We are updating the gardens after the Big Freeze. Our resident birds and critters seem pleased with the springtime changes.
This baby opossum is seen in early mornings. The squirrel seems to have found a friend ❤️

04/29/2021

We have a resident possum at the office. Did you know they are a marsupial (like a kangaroo)? Their babies are born then climb into a pouch where they finalize their development before leaving the pouch.

We have a resident possum at the office. Did you know they are a marsupial (like a kangaroo)? Their babies are born then climb into a pouch where they finalize their development before leaving the pouch.

04/17/2021

Why is this dentist smiling?
Because the technology in the practice makes dentistry more precise and fun.
Having fun doing what you love to do is a blessing. ❤️❤️
The butterfly was selected as our logo purposefully

🦋🦋 Be like a caterpillar—transform your life

Why is this dentist smiling?
Because the technology in the practice makes dentistry more precise and fun.
Having fun doing what you love to do is a blessing. ❤️❤️
The butterfly was selected as our logo purposefully

🦋🦋 Be like a caterpillar—transform your life

03/20/2021

Not gonna lie—-several times that week, I vowed I would not complain about the heat this summer if the snow and ice would just go away!!!

Not gonna lie—-several times that week, I vowed I would not complain about the heat this summer if the snow and ice would just go away!!!

[03/15/21]   "Dr. Graves and her staff are the best. Always greeted with a smile. Minimum wait time. Every person is both friendly and professional. And they care. About the patient and the quality of the work they do. That attitude starts with Dr. Graves and flows throughout her entire practice. I wouldn't go to anyone else."---another happy long time patient

03/14/2021

Good news about vaccines—they appear to be protective against new variants. Continued Masking is needed to slow the jump of virus between individuals. If the virus cannot move about freely it’s not going to mutate and spread (making resistant variants)
Immunology is one of the least understood areas of biology. I have a BA in biology and a post doc degree in clinical science. I am frustrated by bad information in the media. This source is valid and helpful. Please share.
The ignorance and misinformation helps the virus spread
Stay safe and keep smiling 😀

This was quite the week for COVID19-related scientific findings. Here is my attempt to catch you up…

1. Novavax released data from their U.K. and South Africa trials. These numbers are important because they give us insight on the effectiveness against new variants. In short, Novavax works great against the old variants (efficacy=96%) and against B.1.1.7 (U.K. efficacy= 86.3%) and B.1.351 (South Africa efficacy= 48.6%). In all of the trials, there were 0 hospitalizations and 0 deaths in the vaccine group. This data has yet to be peer-reviewed.

2. Transmission
-Among those with at least one mRNA vaccine dose, asymptomatic disease (and thus transmission) was reduced by 72%. Among those that received two doses, asymptomatic disease (and thus transmission) was reduced by 73%
-Remember that leaked study from Israel? Well, Pfizer finally commented and confirmed an effectiveness of 94% against asymptomatic transmission. While I do have access to the leaked study (thanks to a YLE follower), I’m going to wait to comment until the preprint is released for general consumption. We need to respect the scientific process.
For those counting, there are now 7 sub-studies/press releases that confirm a 50-95% reduced transmission after vaccination. This is a big range, which is typical for such drastically different scientific studies. Variability is likely due to different sample sizes, locations, vaccines, genetics, cultures, etc. It will be a while until we know the “true” percentage for each vaccine.

3. Other noteworthy studies that came out this week:
-In K-12 schools, increasing physical distancing from ≥3 feet to ≥6 feet was NOT associated with a reduction in COVID19 cases among students or staff. But this was only if other mitigation measures were implemented and enforced, like masks.
-We got confirmation from Syrian hamsters that the variant B.1.351 (first discovered in South Africa) reduces AstraZeneca neutralizing antibodies by 9.5-fold compared to B.1.1.7.

I updated our vaccine table and added a new “Transmission” row. Remember that the peach color indicates new information.

That’s it for now!

Love, YLE

For data sources or better quality image, go to my Newsletter here: https://yourlocalepidemiologist.substack.com/p/noteworthy-covid19-studies-from-the

03/14/2021

Don’t forget to change your clocks

Don’t forget to change your clocks

Photos from Your local epidemiologist's post 03/11/2021

More solid science from an expert and her peers
Because facts are all that matter

03/09/2021

If you are not following this page (Your Local Epidemiologist), I HIGHLY recommend it. She's brilliant and compassionate. A rare combination and a great source for advice.

As I’m sure you’ve seen by now, CDC published their guidelines for vaccinated people. Here are my thoughts…

1. “Indoor visits between fully vaccinated people who do not wear masks or physically distance from one another are likely low risk.”
Not surprising. We know vaccines protect the vaccinated. Time to keep moving.

2. “Unvaccinated people (…) can visit with fully vaccinated people indoors, without anyone wearing masks, with a low risk of SARS-CoV-2 transmission.”
So, if you’re vaccinated you can be unmasked around an unvaccinated, low-risk family member. I’m surprised (and happy) about this recommendation. I’m surprised because the CDC doesn’t like risk. They are incredibly careful (sometimes too careful). Even if someone is low risk, that doesn’t necessarily mean there is NO risk; they can still end up in the hospital from COVID19. So, to me, this is an indication of two things:
A. CDC is confident that vaccinated transmission is really low. We do have preliminary evidence, but nothing concrete yet. Maybe they have some secret insider information; and/or,
B. The CDC is confident with the science and their list of high risk diseases.
Nonetheless, this is great news.

3. “If any of the unvaccinated people or their household members are at increased risk of severe COVID-19, all attendees should take precautions”
You need to be careful if you’re vaccinated and visiting an unvaccinated older adult, pregnant friend, or someone with medical conditions (listed HERE). Period. We have 523,850 deaths in the United States that can “prove” COVID19 is not friendly to some. This particular guidance will also help keep hospitals above water.

4. “If unvaccinated people come from multiple households, there is a higher risk of SARS-CoV-2 transmission among them. Therefore, all people involved should take precautions”
This highlights two things. First, individual risk between two unvaccinated people from two households is high. This is not surprising. Epidemiologists have been shouting this from rooftops for a year now.

Second, this hints at population risk. The vaccinated person can still transmit the virus (even if it’s at a lower rate) to all unvaccinated in a room. The vaccinated person can still do serious damage to multiple households at a time. So, in this case, everyone needs to still be careful when we start mixing households.

5. “All people, regardless of vaccination status, should avoid medium- or large-sized in-person gatherings and to follow any applicable local guidance restricting the size of gatherings.”
Again, this highlights individual risk (among unvaccinated) and population risk (among vaccinated). Fine. No concerts yet. I have tickets from a postponed 2020 concert that’s rescheduled for November 2021. I’m hopeful this will still happen.

6. “At this time, CDC is not updating our travel recommendations and requirements.” Which is: “Delay travel and stay home to protect yourself and others from COVID-19.”
This was surprising to me and made me grumpy. But after sleeping on it, I think I understand why CDC decided this. If you’re vaccinated, there is very little individual risk while traveling. The problem comes when we start talking about populations moving. The more people travel (especially from a high risk area to a low risk area), the more you threaten low risk areas. Vaccinated people put populations at risk when they travel. This also tells me that the CDC is still very much worried about variant spread.

Bottom line:
-CDC took a safe and cautious route, as per usual. This guidance did not to take any risks (except for one small one).
-Can vaccinated grandparents hug healthy grandkids? YES. YES. YES.
-There’s an undertone that vaccines significantly reduce transmission
-We still do have quite a few questions that need to be answered. For example, do vaccines reduce chances or severity of long COVID19? It will be months (if not years) before we have a clear understanding of this. Proceed with caution.

Love, YLE

P.S. CDC’s guidance doesn’t change anything about my infographs; the implications of those scenarios are still accurate.

For data sources and pictures, see my newsletter here: https://yourlocalepidemiologist.substack.com/p/cdc-guidelines-re-vaccinated

03/07/2021

Science behind the newest COVID19 vaccines. The J&J vaccine uses the same methodology as many other vaccines including the shingles vaccines

Vaccines and fetal cells...

Johnson and Johnson’s (J&J) emergency authorization has caused quite the hoopla in some circles. For some, the origin of cells is a significant moral issue. In order to dive into this, we need a baseline understanding of this type of vaccine.

Adenovirus vaccines (like AstraZeneca, J&J or vaccines for Ebola and Hep A) have three components. I’ve talked about this before in detail. But, in short, the vaccine needs:
1. Instructions: The vaccine needs to tell what the body to do. This vaccine tells cells to make the COVID19 spike protein.
2. A carrier: Scientists insert the instructions into a carrier. The carrier is another weakened virus called an “adenovirus”. Adenoviruses are common viruses that typically cause colds or flu-like symptoms.
3. A pathway: Finally, scientists need to choose one of two paths for that vaccine to replicate in the body.

However, we need to do a few things before throwing these three components into a vaccine vial…

We need to modify the adenovirus (i.e. common cold virus) to hold the instructions. We do this in three steps:

1. Remove a gene or two from the adenovirus so it can’t replicate in our body. We don’t want to get colds after we get the vaccine.
2. Replace that deleted spot with a SARS-CoV-2 gene for the “spike protein” (or the instructions on how to fight COVID19).
3. However, we still need those deleted pieces (from #1) in the vaccine. So, we create cells that contain those deleted pieces. For the AstraZeneca vaccine, cells came from a family (or cell line) called “HEK 293” (293 for short). For J&J, we used cells from the “PER.C6” cell line. These cells are the culprits for the hoopla.

What does this have to do with fetuses?
The cells that carry the deleted pieces were first isolated back in the 1970s and 1980s from aborted fetal tissues. Fetal cells were originally collected because of their ability to be maintained in the lab. (I really like THIS webpage that explains why use fetal cells in the first place). As time went on, we developed techniques to transform these cells into immortal cell lines that can grow indefinitely. The AZ and J&J vaccines do not have fetal tissue in them.

Other vaccines use this science too:
-Moderna and Pfizer COVID19: Cell lines allowed researchers to test the mRNA-based vaccines and prove that they worked. Cell lines were not used to produce the vaccines.
-Cell lines were also used to produce the hepatitis A, chickenpox and shingles vaccines.

Bottom Line: In adenovirus vaccines, cells that carry the deleted piece have ancestors from fetal issue. They do not use actual fetal tissue today. The science was developed more than 50 years and, since, has saved millions of lives.

Love, YLE

Special thank you: I wanted to be sure I got this correct, so I consulted a brilliant microbiologist/immunologist who happens to also follow YLE. He volunteered to proofread my “translation” and he provided critical suggestions (all on a Saturday night).

For pretty pictures and data sources go to my newsletter here: https://yourlocalepidemiologist.substack.com/p/vaccines-and-fetal-cells

[03/04/21]   As a former school board member I assure you citizen input does make a difference. The governor may not waiver but the rest of them probably will support masking at other levels.
Concerned Texans: Do your thing.....

Photos from Friendly Neighbor Epidemiologist's post 03/02/2021

This is not political, it's science. I love science because it's fact based. It doesn't care about feelings, or politics. It is what it is. Here's the science from a Texas epidemiologist. Less than 8% of the citizens of Texans are immunized.
Stay safe.

[02/25/21]   Said goodbye to a patient that’s moving out of state. Not gonna lie—I cried after she left today ❤️☹️

[02/23/21]   Thankful the office is fully functional with no damage. Sending best wishes to all as return to COVID normal after SNOVID

[02/21/21]   We have water and power at the office! We will be open tomorrow 7:30am-5pm

Here comes the sun with lyrics The Beatles 02/19/2021

Here comes the sun with lyrics The Beatles

https://m.youtube.com/watch?v=mc1ta1UMGeo
Thankful for the blessing of the sun and warmth.
Be safe!
We will be open Monday

Here comes the sun with lyrics The Beatles I recorded this video in the Grand Canyon National Park

Photos from Cynthia L Graves, DDS's post 02/19/2021

Hello Austin—Hang on for just 12 more hours! This week has been a challenge (to say the least). Sending you wishes for a warmer weekend and a return to normal life—-with a greater appreciation for power, water and hot showers!

[02/13/21]   This winter weather needs to make its way back to Canada. We endure 100 degree summers for a reason!

[02/11/21]   Due to Winter Weather we have closed the office for the day
TH 2-11-21
Stay warm and safe!!

[02/03/21]   "I have always had the best and most professional experience with everyone in Dr Graves office. Lucky to have found her when I moved to Austin."---Happy Patient from earlier this week

02/02/2021

Good Morning 😃
Sunrise over NW Austin from our parking lot.

Good Morning 😃
Sunrise over NW Austin from our parking lot.

[02/02/21]   Some facts about the COVID19 vaccines from a trusted source with reference links.
Stay safe and keep smiling
We can see the light at the end of this tunnel! 😊

01/23/2021

We have cleaned up the gardens because Bernie informed us the office looked shabby.

We have cleaned up the gardens because Bernie informed us the office looked shabby.

[01/21/21]   My wife and I have been patients of Dr Graves for well over 15 years. She is a very caring and engaged dentist. She always has the latest state of the art dental equipment and procedures. I know she spends a great deal of time on continuing education. Her hygienists, both Robinson and April are first class. They explain what they are doing and are very concerned with us being comfortable through the process. It is a real pleasure to be a patient of this practice."--Anonymous patient couple ⭐️⭐️⭐️⭐️⭐️

01/17/2021

How did the vaccines get made so quickly? That’s a common question and a reason for doubt about the safety. Here’s some solid science behind the vaccines

The vaccine got to us incredibly fast.

Americans got their vaccine emergency authorization in 9 months. This shatters all records of previous vaccines. (Before the pandemic, the fastest vaccine was made in 4 years). But it doesn’t mean scientists were rushed. Scientists had a few key things on their side that helped speed up the timeline without sacrificing quality.

1. Previous research.
We relied heavily on our previous SARS and MERS work. We were able to do this because COVID19 is roughly 80% identical to SARS. In 2003, we created a vaccine to recognize the SARS’ spike and started moving through clinical trials. However, trials ended because the SARS epidemic faded off on its own, and thus money dried up. If money didn’t dry up, we could've had a COVID19 vaccine much quicker. However, this also meant that we didn’t have to start from scratch in 2020. We were able to skip the pre-clinical and academic research (which takes years) because we were already very familiar with spike proteins, coronaviruses, and vaccines. Also, because of this SARS work, pilot factories were already planned to produce enough vaccines for trials. This groundwork was paramount to getting the vaccine trials up and running in March 2020.

2. Money and resources.
Never, in the history of public health, have we had this much money and this many people working on one disease at one time. Normally, researchers need years to secure funding, get approvals, and study results piece by piece. For example, researchers are typically dependent on grants. In order to get grants, you need data and months (if not years) go by between Phase I, II, and III in order to get data to secure money. But the pandemic is not “typical”. Scientists didn’t need to do this because of the monetary support from the federal government. They were able to just go.

3. High levels of disease.
The FDA specifies, before trials, the efficacy threshold needed to be considered for emergency use. For COVID19, companies needed a higher than 50% efficacy rate. In order to get to that threshold, trials needed to drag on until enough people got infected with COVID19. For example, in Phase III of Pfizer, scientists needed 162 people to get COVID19. Then they could compare how many of these 162 people were in the vaccine group and how many were in the placebo group. COVID19 transmission is rampant in the United States. They needed less people to enroll in the study to reach this threshold. This isn’t always the case in RCTs.

4. Production.
Sponsors were able to start producing the vaccine WHILE the vaccines were currently in trial. This is also very unusual. They were able to do that because governments, around the globe, were willing to put bets on the vaccines (risk vs. reward). Building and manufacturing early shaved off a ton of time, as the vaccine sponsors could anticipate that factories would be useful for a future vaccine.

5. Overlapping phases.
The scientists didn’t wait for Phase I to complete before moving onto Phase II. And didn’t wait for Phase II to end before moving onto Phase III. This isn’t the first time in history this has been done. In fact, this type of design even had a name before the pandemic: seamless and adaptive design. We basically save a ton of time by removing the “white space” between phases. For example, when we combine Phase II and Phase III, scientists evaluate “dose selection” (which is typically determined in Phase IIb) and “confirmation” (typically Phase III) into one trial. There’s quite a few advantages to this type of design (in addition to saving time). First, there’s more efficacy/dose information prior to triggering Phase III. Also, there’s higher chance of patients within the trial to be treated with efficacious and safe doses.

6. Enrollment
As a researcher, it’s incredibly difficult to find people to volunteer for studies. One follower also mentioned this: “I manage trials and my current study aims to find 240 subjects in TWO years”. The amount of people who flooded to volunteer for these studies is incredible. This couldn’t have been done without each and everyone of them.

Bottom line: Speed does not mean rushed. It meant, in this case, leveraging a whole lot of smart people, money, and decades of previous work to get us a vaccine in 9 months.

Hope this helps clear up the air!

Love, YLE

Non-FB link: https://yourlocalepidemiologist.com/the-vaccine-got-to-us-incredibly-fast/

Data sources:
More on seamless design: https://pubmed.ncbi.nlm.nih.gov/20724313/
More on timeline (with cool graphics to play around with): https://www.nytimes.com/interactive/2020/04/30/opinion/coronavirus-covid-vaccine.html

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10418 Lake Creek Pkwy
Austin, TX
78750

Opening Hours

Monday 07:30 - 17:00
Tuesday 07:30 - 17:00
Wednesday 07:00 - 15:30
Thursday 07:00 - 15:30
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