Blogs

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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Are We Taking the Wrong Approach to Preventing Cavities?

The current state of dental healthcare in America has been described as an "epidemic" by numerous boards and committees. Are dentists providing a "band-aid solution" to a deeper problem?

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A Surprising New Look at Anxiety Treatment

Could a new treatment make dental fear a thing of the past? Researchers make a breakthrough in our understanding of anxiety and its etiology in the brain.

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Considerations for Patient Taking Cimzia

What's the best protocol when a patient is on medications with multiple uses? DOCS Faculty share advice for taking a medical history and evaluating drug interactions.

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Rectal Cancer Worsened by Oral Microbes, Research Indicates.

One of the deadliest cancers may be exacerbated by travelling bacteria from the oral cavity. A new study finds that fusobacteria localize to tumors in the lower intestine.

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Treating Elderly Patient with Colitis

Sedation can help to make older patients more comfortable during dental treatment, but accommodating medically-complex patients can be challenging depending on their condition.

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Root Tip Infections May Contribute to Heart Disease

A new study finds that hidden infections, such as those at the root tip, may predispose one to cardiovascular disease.

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No matter their age, everyone wants straight teeth. They look better, feel better and improve quality of life.


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A DOCS Education member seeks the faculty’s assistance:

I have a patient who has a GFR of 31. I understand that the normal GFR is 131 to 140 and that the minimum acceptable level is 60.

The patient's nephrologist said he considers the patient stable and that she could under-go anesthesia. However, he acknowledged he did not understand which type of anesthesia we would be using.

He also said that any medications utilized should be dose adjusted for her GFR. Should I stay away from treating her totally? Or, with him considering her stable is there a way that I can treat her with local anesthesia and sedation safely?


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We all know how getting a crown goes: A mold is taken of the patient's tooth. The mold is then sent to a dental laboratory and used to make a permanent crown.
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A DOCS Education member seeks the faculty’s assistance:

I would like to get all suggestions for sedating a 79-year-old female with a pacemaker and a history of heart problems. The patient is on clonazepam, 81 mg aspirin, verapamil, digoxin, hydroxychlorine, levothyroxine, meloxicam, metropolol, saccurate(?), Nitrostat® and potassium. Her MD has instructed us not to use any epinephrine. The patient is allergic to penicillin and MD suggested clindamycin, which is what I will prescribe.


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Dental amalgams have long been controversial. A mixture of mercury, silver, tin, copper and other metals, amalgam fillings were first introduced to America in 1833 by two French entrepreneurs, the Crawcour brothers.
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Opinions about hypnosis in dentistry are varied: More accurately known as “Hypnodontia,” this approach has been met by dental professionals with everything from skepticism, to indifference, to tota
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