Blogs

Sedating Patient on Morphine for Back Pain

A patient requests treatment under sedation, and discloses she has had two back surgeries with morphine as the principal painkiller. Can she safely be sedated per DOCS protocols?

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Beware the "Mount Everest Toothache."

We all have patients who complain that a sore tooth feels like it's going to explode, but did you know this is actually possible in certain circumstances? Incisor takes a look at barodontalgia.

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Mouth-To-Body Infections: What's the Actual Risk?

Experts are conflicted on whether antibiotic prophylaxis is necessary to treat patients with heart stents, knee replacements or other implanted surgical appliances. Get the facts here.

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Sedation of Patients with Benzodiazepine Allergy

What are the options when you cannot relieve a patient's anxiety with benzodiazepine medication? DOCS Education faculty weigh in.

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You'll Never Guess Which Famous People Used to Be Dentists

A career in dentistry can lead many places, from the Old West to the Silver Screen. Check out these historical and contemporary figures who got their start on the humble handpiece.

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"My Patient Eats Bricks!" – Problematic Patterns in Patients with Pica

Lots of activities can cause dental damage, but what do you do about patients who are compelled to eat non-food items?

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Moving Forward After a Break-In

When a DOCS member experiences a break-in damaging her DEA Cabinet, what should she do to continue serving the patients scheduled for the next day?

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Study Finds Women Predisposed to Develop Dry Socket

An analysis published in the Journal of the American Dental Association suggests that women may be predisposed to alveolar osteitis as a result of higher estrogen.

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Oral Cancer Risk may be Increased by Gum Disease Bacteria

Periodontitis associated bacteria have been found to secrete metabolic by-products that could lead to an increased risk for a type of oral cancer.

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Flossing for the High Score - Motivation in the 21st Century

Could goal-tracking software help patients maintain oral hygiene? The next step in getting patients to floss might be one of these apps.

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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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