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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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Past Meth User Claims Intolerance to Triazolam

What are the options when a patient with a history of methamphetamine usage appears to be so resistant to benzodiazepines that they produce no effect? DOCS Education faculty weigh in.

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Too Early to Recommend EDTA Dental Gel as Toothpaste Replacement, Say Experts

Recently recommended by famed inventor Sir James Dyson, a new dental gel claims to be more effective than toothpaste with no abrasives, foam or antibiotics.

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Breaking the Biofilm: New Nanoparticle Shows Promise

Iron nanoparticles may disrupt the ability of cariogenic bacteria to form biofilms, paving the way for next-generation anticavity treatments.

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A member of DOCS Education asks: My patient is a 21 year old female who presents for IV sedation and operative dentistry. She smokes 0.5 packs/day, reports she has bronchitis but has no medication for such. She also states she takes Depakote® for bipolar disorder and Propranolol for tachycardia. Lexicomp shows no interactions with the Depakote® and only a C rating for Fentanyl (a non-benzodiazepine) and Propranolol. No other interactions are listed.
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A Member of DOCS Education asks: The Sedation Dentistry Guidebook offers a form titled "Sedation Appointment Checklist." The checklist outlines some instructions specifically for smokers, specifically how long to refrain from smoking after a sedation appointment. To clarify, are we to use this form to communicate to patients how long they are not to smoke before their sedation appointment? I remember from the DOCS course that smokers were encouraged to smoke before and throughout the sedation appointment as needed. Do we offer this option to all patients that smoke, or only to those who smoke beyond a specific threshold of cigarettes per day? Off of that, what is the protocol for allowing a patient to smoke during the sedation appointment? Should we keep the pulse ox attatched to the patient and accompany them outside? Any clarification would be appreciated?
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If you tear up a bit while reading this post, we won’t judge you. Feel your feelings.
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A DOCS Education Member asks: I have a 32 year-old male patient with no health concerns other than a past history of opiate abuse. I first saw this patient three years ago for a sedation consultation; he never followed through with further treatment. At that time the patient was taking 24mg of Suboxone® a day. Patient is now down to 1mg of Suboxone® per day and is seeking treatment for his many dental problems. Is this a safe patient to treat with OCS medications, or are there changes I should make to the protocol? Patient may need several root canals and I normally do the extra strength Acetaminophen/Ibuprofen combo for the first day. I do not typically have to call in any pain meds for day two or beyond, but if this patient requires them, what would you suggest I do? My thought is to have the MD managing his Suboxone® make this judgment.
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Miley Cyrus, America’s favorite child-actor-turned-twerking-demon has been extremely productive lately: swinging naked from a wrecking ball in her new music video, wearing a bodysuit made out of a teddy bear, and reminding the world, “why yes, I was absolutely born with a tongue.” The pop star has been photographed numerous times with her trademark wide-eyed, tongue-cocked pose and people are talking. “She’s out of control! Where are her parents! Where can I get that teddy bear unitard?”
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If you’re a rapper (I’m looking at you, Flavor Flav), then you’re already well aware of the aesthetic benefits that diamonds can have for your million-watt smile. If you’re a dentist, you might be interested in the relationship between diamonds and teeth for reasons other than what style of grillz to buy this year.
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