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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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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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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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