Blogs

Can I get Alzheimer's from that Root Canal?

Does that seem like a ridiculous question to you? Unfortunately, it's not so preposterous according to a new study published in the Journal Nature.

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The Role of the Dentist in Controlling Blood Pressure for a Sedation Appointment

Should you be trying to control a patient's blood pressure with medication before, during or after a sedation appointment? A DOCS Education member wonders why DOCS Education courses don't cover this topic. Drs. Wellbrock and Goyal advise.

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Big Potential in the Oral Microbiome

700-plus. That's the current estimate for the number of different bacteria types that live in the human oral cavity. Major advances in DNA sequencing technologies are opening up new areas of research into the human microbiome. Study results already look promising.

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Caught Between Sucrose and Sucralose: A Dentist’s Dilemma

Americans are addicted to sweet, but both sugar and artificial sweeteners have serious health risks. How can dentists help patients understand the consequences of their sugary addictions? Get the facts, sweetheart.

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Previous Allergic Reaction to IV Sedation a Reason for Concern?

A patient needs sedation for a root canal and extraction. However, the patient reports that years ago she was intubated after IV sedation; she has since been IV sedated without any incidence. Should the doctor proceed with oral conscious sedation?

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Why Pediatric Dentistry Makes Sense in 2015

Once upon a time, dentists believed that treating pediatric patients was a fast track to a dead-end career. Wake up, sleeping beauties! Times have changed—pediatric dentistry ain't what it used to be.
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How Are You Giving Back to Your Community?

Volunteer time? Dental service trips? Mentoring or teaching? There are a lot of ways to use your skills and knowledge to help people beyond your daily routine of appointments and consultations. We've got a few extraordinary examples for you in the Summer issue of DOCS Digest - the digital edition is here!

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Can amoxicillin cause light-headedness in a patient who is allergic to penicillin?

A 91-year-old patient is taking 500 mg of amoxicillin leading up to a sedation appointment and is experiencing dizziness. The patient is allergic to penicillin. A DOCS Education Member seeks the advice of DOCS Education faculty for next steps.

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Cognitive Behavioral Therapy + Sedation Dentistry: The Silver Bullet for Anxious Patients?

New research from Sweden finds that people with dental anxiety respond well to a specific kind of mental health counseling called cognitive behavioral therapy. When combined with sedation dentistry it could be the silver bullet patients with dental fear have been looking for.

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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?

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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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