Blogs

Sedation Medication Interaction with Verapamil

How best should a clinician handle the sedation of an older patient taking verapamil? DOCS Education faculty weigh in.

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Archaeologists find Earliest Evidence of Dental Fillings

Researchers have identified ancient evidence of dental fillings used to stabilize a cracked tooth in the early Neolithic period, far earlier than previous finds have indicated fillings developed.

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Oral Cancer Screening and Beyond: The Changing Role of Dentists in Healthcare

Could dentists instead of physicians offer testing for diseases? Unprecedented availability of cancer, HIV and diabetes testing means dentists can go further in serving their patients.

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Patients with Addison's Disease – Is Antibiotic Prophylaxis necessary?

Do patients with Addison's disease need preventative antibiotics to receive ordinary restorative care? DOCS Education faculty weigh in.

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New Space Technology Modeled after Sea Urchin Teeth

Sea urchins can scrape, cut and chew nearly everything thanks to their unique dentition. Scientists are attempting to adapt this morphology to accomplish diverse tasks on space exploration missions.

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Next Step in Preventing HIV Transmission? Free Testing at the Dentist.

Experts estimate nearly 22,000 in New York are unaware they are infected with HIV. A new testing program at the Buffalo School of Dental Medicine aims to inform patients about their HIV status.

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Sedating Patients who have Undergone Bariatric Surgery

The pharmacodynamics of sedation are determined by factors including metabolism and gastrointestinal function. How do medical procedures that modify these attributes affect sedation appointments?

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New Delayed-Release Toothpaste Ingredient Helps Overnight Remineralization

Fluoride is undoubtedly one of the biggest advances in preventative dentistry, but could the application method make it more effective?

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The Top Three Most Bizarre Animal Teeth

Teeth have been modified for many purposes across the animal kingdom. These are our top picks for the strangest adaptations and structures.

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Unexpected Antibacterial Effect Observed in Bio-Ceramic Compound

Could the newly-discovered antibacterial effect of a bio-ceramic be used to curb the periodontitis epidemic in America?

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It’s that time again: DOCS Digest is in the air. The case-study buds are blooming and the spotlight trees have new leaves.

As always, we celebrate the release of each DOCS Digest with an Incisor post, a fresh copy delivered to your mailbox and naturally, a digital flipbook through which you can (virtually) page, consuming articles to your heart’s content.


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Pretend you’re a fine arts professor. You know everything about oil painting down to the finest details: the techniques, the process, the history. You’ve written books on impressionism.
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A DOCS Education Member seeks the faculty’s assistance:

I had a 24-year-old, recovering drug addicted female weighing 142 lb presents with multiple caries. She will require extractions, implants and dentures. Her rehab therapy medications are Suboxone® 8 mg two times daily along with 12.5 mg of Klonopin® daily. The patient is anxious about her dental treatment. She states she can come off these meds two days before her appointment. Is this ok and is there an OCS protocol for her?


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A DOCS Education member seeks the faculty’s assistance:

I have a patient who has a GFR of 31. I understand that the normal GFR is 131 to 140 and that the minimum acceptable level is 60.

The patient's nephrologist said he considers the patient stable and that she could under-go anesthesia. However, he acknowledged he did not understand which type of anesthesia we would be using.

He also said that any medications utilized should be dose adjusted for her GFR. Should I stay away from treating her totally? Or, with him considering her stable is there a way that I can treat her with local anesthesia and sedation safely?


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For this installment of the Incisor, we’re doing a special spotlight on an exemplary DOCS Education member who’s been here since the very beginning: Dr. Stephen McAnaney.
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A DOCS Education member seeks the faculty’s assistance:

I would like to get all suggestions for sedating a 79-year-old female with a pacemaker and a history of heart problems. The patient is on clonazepam, 81 mg aspirin, verapamil, digoxin, hydroxychlorine, levothyroxine, meloxicam, metropolol, saccurate(?), Nitrostat® and potassium. Her MD has instructed us not to use any epinephrine. The patient is allergic to penicillin and MD suggested clindamycin, which is what I will prescribe.


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