Blogs

Herbal Remedies and Sedation Medications: Know the Dangers

Find out how the use of seemingly-innocuous herbal supplements might affect patient response to your procedures. What are the ingredients you need to watch out for?
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Are You Ready for the New Boom in Pediatric Dentistry?

Pediatrics is the fastest-growing market in dentistry. Dr. Roger Sanger explains how DOCS Education's updated protocols can keep you on top of the new wave.
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Resolution 77: The Most Monumental Mistake the ADA Could Ever Make

The ADA is voting on revised sedation guidelines, known as Resolution 77, on November 10. The resolution will obliterate oral sedation dentistry—and put you and your patients at risk.

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One Step Closer to an Enamel Restorative Treatment

Researchers in England report progress in the search for an effective restorative agent that can curtail infection and sensitivity. If dentinal tubules, nanoparticles and fluorosurfactants are your thing, keep reading.

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Why Anesthetics Aren't Effective for Long Cases

A member has been on a losing streak when it comes to keeping his patients numb and comfortable for restorations. Why isn't the anesthetic as effective?

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The Single Most Important Reason Why Every Dentist Needs Advanced Life Support Training

It's inarguable, infallible and undisputable. Just ask veteran dentist and longtime DOCS Education Member Dr. Steve E. Chamish.

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Millennials Prefer Dentists to the Banking Industry

A study shows that Millennials are primed to wreak havoc on the banking industry, which has nothing to do with dentistry. Or does it?

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Is it Safe to Sedate a Bipolar, Diabetic Smoker with Active Hep. C?

A patient presents with multiple medical conditions, including bipolar disorder, diabetes and an active HCV infection. To top it all off, she's a smoker. Should the clinician proceed with oral conscious sedation?

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Why Google and the Movie Industry are Fighting over Dental Aligners

A lawsuit between two dental alignment device-makers is pitting Google and Apple against the movie and recording industries. Who knew dentistry could be so divisive?

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Should I Take on this Case or Punt to OR?

Sometimes even the most experienced sedation dentists need a little help from their friends. A DOCS Education Fellow seeks advice from faculty about whether he should take on a sedation case or refer it out.

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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.


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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!
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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!


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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.


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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.
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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?


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