Blogs

Patient-Limited Efficacy in Oral Conscious Protocols

What are the limitations of oral conscious sedation when treating very large and/or obese patients? DOCS Education faculty weigh in.

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Meet the Father of Dentistry

Nearly all of modern dentistry began with one man living in the early 1700s. Incisor takes a look at how the inventions and observations of Pierre Fauchard revolutionized dentistry.

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Optical Illusions in Dentistry

Can optical illusions interfere with treatment? A new study examines how the Delbouef illusion might influence the amount of material endodontists remove during a root resection.

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Hydroxyzine Reaction in Smoker?

A patient who is a pack-a-day smoker initially is sedated well, but arises agitated after several hours. Reaction to hydroxyzine or nicotine withdrawal? DOCS Education faculty weigh in.

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Paging Dr. Snake: Researchers Create Therapeutic Venom Database

Could venom from dangerous animals be used for medicine? Data scientists say it already has, and finding studies should be easier.

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Are Your Patients Damaging their Teeth with Whitening Products?

Are Your Patients Damaging their Teeth with Whitening Products?

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Is My Patient a Hyporesponder?

The importance of learning and disclosing all medications of a current patient is important, and may be a clue to why a patient doesn't respond to sedation as expected.

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Is Your Prescription Bankrupting your Patients?

What's behind the extreme variability in drug prices these days? Incisor takes a look at how fluctuations affect clinicians and patients alike.
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The Rise of No-Drill Dentistry

Is dentistry moving away from the handpiece? New atraumatic techniques may preserve oral health without the need for fillings in early cases.
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Tooth Extraction After Heart Surgery

A patient needs an abscessed tooth extracted, but his blood-thinning medication could complicate the procedure. DOCS Education faculty weigh in.
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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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