Blogs

Sedation of Asthma Patient

What is the protocol for a patient who carries a prophylactic asthma inhaler? Can they receive treatment under sedation?

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Seven Great Candy Alternatives for Halloween

No one wants to be the "disappointing house" during Halloween, so check out these fun alternatives to candy that will still delight trick-or-treaters.

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Tumors with Teeth: The Terrifying Teratoma

What looks like an homage to John Carpenter's The Thing, and in rare cases can grow up to five pounds in weight? An unusual form of tumor known as the teratoma!

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Why Use a Slurry?

The mechanics of medication absorption are an important factor in dosing to effect. A DOCS Education member inquires as to the delivery method of the different medications.

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Looking to Ward off the Flu? Start by Brushing Your Teeth

Oral health has major implications for the rest of the body, including risk of infection. Maintaining good oral health may increase resilience against seasonal illness, including the flu.

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Should Hygienists Practice Independently in Underserved Areas?

Access to care remains a significant problem in poor and rural communities. Many hygienists argue that preventative care could be made more accessible by practicing without direct oversight.

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Sedation of Athlete with Repeated Head Trauma

An athlete with recurrent migraines presents for treatment, and the clinician recognizes gabapentin as a possible interaction. Are there more considerations to be made?

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Need a New Tooth? Just Pee.

Could human teeth be grown from cells harvested in our urine? Researchers have reverse-engineered stem cells that could be used as a natural tooth-replacement therapy.

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"It's all in your mouth!" Occlusion and Balance Found to be Related.

Could a bad bite throw more than just your oral health out of balance? Researchers have found an link between the mouth and one's balance and posture.

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Forum: Why No Triazolam and Lorazepam Protocol?

Many of the DOCS protocols combine two different drugs of the same class to achieve a more consistent, smoother or longer-lasting result. A DOCS member asks about a new combination.

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No alcohol, avoid sushi, limit your caffeine intake…brush and floss? The importance of keeping your body healthy during pregnancy is common knowledge, but new studies suggest maintaining good oral health may be especially important during pregnancy, and poor oral hygiene can have some serious consequences. In the absence of adequate oral hygiene, periodontal bacteria accumulate in the gingival crevice. This bacteria may enter the bloodstream, disseminating throughout the body and triggering the induction of systemic inflammation responses and/or ectopic infections.
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On Monday, July 1, 2013, the University of Pennsylvania Health System joined dozens of hospitals across the country by implementing a ban on hiring smokers. Proponents say such policies lower health care costs and improve employee and community health. Others believe these restrictions may be the beginning of a slippery ethical slope.
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Dr. Paul Weiss's pediatric dental office in Williamville, NY, has a very special helper on their team. Like many other dental office assistants, Weiss’s new partner is friendly, caring and tries her hardest to make all patients feel comfortable and safe. However, she does differ in some respects: her idea of a perfect day involves sticking her head out of a car window, she has a taste for kibble and frequently has spats with cats. Yep, the newest addition to Weiss’s practice is a dog.
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The second largest health insurer in America, WellPoint Insurance, has agreed to pay a fine of $1.7 million to settle potential violations of healthcare privacy laws. Between October 2009 and March 2010, WellPoint breached the health and personal information protection of 612,402 individuals. The breach was due to a security flaw in an online application database.
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Losing a tooth: it’s jarring, painful and inconvenient. However, a recent study suggests there may be even more serious repercussions to lost teeth than slightly diminished chomping abilities.
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A Member of DOCS Education asks: I have a 61 year old, 175 lbs female patient requiring a long sedation appointment. She is currently taking Advair®, Cartia XT®, losartan HCT and fenofibrate. Due to the medication interactions we cannot use diazepam or triazolam. Would it be possible for me to use lorazepam the night before, and if so, at what dosage should it be administered? Then at what incremental and loading dose should the lorazepam be given an hour prior to the appointment? After assessing the patient on arrival, what dose of hydroxyzine should be given? Finally, what incremental doses of lorazepam should be given at what intervals?
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