Blogs

How to Create a Healthy, Happy Waiting Room

As a sedation dentist, you're in the business of stress-free dentistry. You help patients relax in the chair and get the care they need. But are you extending that stress-free vibe all the way to your waiting room?

issue_no: 
3

First Case Using Single-Dose Protocol and Patient is Under-Sedated: What Next?

A DOCS Education member takes on his first sedation patient using a single-dose protocol. The patient is at her top dose, but complains that the sedation medication isn't working throughout the appointment. What should be done differently next time?

issue_no: 
3

The 4 Factors that Change the Economics of Pediatric Dentistry

True or false: There is no economic benefit in treating pediatric patients.It's true that this is a commonly held belief amongst dentists. But nowadays that statement is false. Dr. Roger Sanger explains why.

issue_no: 
2

The Wild Side of Dentistry: The Contributions of Dr. Peter P. Emily

Ever come across a 3-inch canine that needed a root canal? Welcome to the world of Dr. Peter Emily.

issue_no: 
2

The Wacky History of Nitrous Oxide: It's No Laughing Matter

You may use it every day at your practice, but do you know the story behind how nitrous oxide became one of the most commonly used anesthetics? Every dentist should…

issue_no: 
2

How Does a 15-year-old Patient's Lamictal® Medication Affect Sedation Protocol?

A 15-year-old patient taking multiple medications for ADHD is coming in for a sedation consultation. What does a clinician need to be aware of beforehand? Three DOCS Education faculty members advise.

issue_no: 
2

Is Your State Desperate for Sedation Dentistry?

What state has the most need for sedation dentistry? Check out our list of the top five states!

issue_no: 
1

What are the risks with sedation for a patient who won't stop vaping?

Will vaping cause complications during a sedation appointment if a patient refuses to cease? A DOCS Education member requests advice for his first solo sedation appointment.

issue_no: 
1

Ultrasound May Help Patients Keep their Teeth Longer

A futuristic-sounding non-invasive ultrasound therapy has the potential to invigorate dental tissue effectively strengthening teeth concludes a recent study. Learn more about how this discovery could change preventative care.

issue_no: 
1

You've Got a Target on Your Back

The ADA's Council on Dental Education and Licensure (CDEL) is pushing a major revision to the guidelines for the use of sedation dentistry. These new recommendations place an unmistakable bull's-eye on you and your patients. Take action!

issue_no: 
2

A DOCS Education member seeks the faculty’s advice:

I had a partly successful appointment yesterday. My patient was a 54-year-old male heavy smoker with controlled bp, Mallampati class 3, had premed with 10mg diazepam the night before and 0.25mg triazolam in the AM before the appointment.


Continue Reading Story ...


Let’s pretend there’s a group of lawyers sitting in a room. What are the chances any of them know how to properly fill a tooth with the same finesse as a dentist? Practically zero!
Continue Reading Story ...


A DOCS Education member seeks the faculty’s assistance:

I have a 41-year-old female patient who takes 10 mg of doxepin twice daily.

I checked Lexicomp™ for any interactions with diazepam, but it did not list any. Before I proceed with treatment, I would like to confirm it is ok to give diazepam to a patient taking 10 mg of doxepin twice daily. Thank you!


Continue Reading Story ...


A DOCS Education member seeks the faculty’s assistance:

I’m seeking advice on a 47-year-old male patient. I believe he is an ASA II individual. His blood pressure and pulse are WNL (131/83 & 68). He has a history of arthritis, kidney disease (renal insufficiency which patient says is categorized as stage II chronic kidney problems related to the meds he's taking), and lastly HIV.


Continue Reading Story ...


University of Adelaide researcher Dr. Kylie Ellis has made an unusual discovery: stem cells from teeth can grow into brain-like cells. The research was conducted by Dr.
Continue Reading Story ...


A DOCS Education member seeks the faculty’s assistance:

I am an endodontist who has received a referral for a 31-year-old caucasian male with a history of methemoglobinemia in response to esophageal benzocaine spray. The patient needs two root canals on vital teeth #4 and #19 and seven fillings.

After reviewing the literature with my local anesthesiologist's help, bupivacaine seems to be the medication with the least amount of risk. The recommendation from the anesthesiologist is not to perform sedation in the office, other than possibly nitrous as well as having an IV ready for up to 50 mgs TOP DOSE of methylene blue 1.0 -2.0 mg/kg IV every 60 minutes and very small amounts of bupivacaine per session. The other option would be general anesthesia.

What are your thoughts?


Continue Reading Story ...


Syndicate content