Blogs

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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Mind Your Manners with Sedated Patients

How much can sedated patients really remember? More than you think, says new study.
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A Clinical Imperative: Educate Your Patients About Antibiotics

Are you ready to join the fight against antibiotic resistance? An easy way to do your part as a community medical professional.
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ADA Resolution 77 Update: It's Not Over Yet!

You may know the final outcome of the ADA House of Delegates vote on Resolution 77. But understanding the who, how and what's next is just as crucial.

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Discharge Protocols after Sedation Appointments

Is there cause for concern if a patient's sedation level seems to increase after leaving the office, even if they are "perked up" by the administration of sugar post-operatively?

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How Stem Cell Therapy Will Give Your Patients Wolverine Powers

Think regeneration is just a "superpower" from comic books and sci-fi? Advances in stem cell therapies are turning what was once fiction into reality.

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Patient Receives Successful Implant-Supported Denture with Sedation Dentistry

A partially endentulous patient receives better denture support through sedation dentistry.
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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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