Blogs

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?

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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.

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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.

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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…

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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.

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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!

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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.

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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.

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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!

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Exclusive Breastfeeding May Reduce Malocclusions

Could the field of orthodontia be over? A new study has uncovered a defined link between breastfeeding, pacifier use and the probability of misaligned teeth in children.

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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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