Blogs

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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What's the protocol for a patient with sleep apnea and taking a mix of CNS depressants?

A doctor who uses incremental sedation has a patient with sleep apnea and taking multiple medications. Is the protocol he's considering correct? What's the risk of CO₂ retention for patients with sleep apnea?

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3 Simple Reasons Your Patients Aren't Accepting Sedation

You don't need to bend over backwards to increase the number of accepted sedation cases in your practice. Find out three simple reasons patients don't accept sedation and how to turn them around.

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Does a patient taking medications to treat bipolar disorder need to halt dosage before sedation?

Should a patient with bipolar disorder stop taking ziprasidone and bupropion before a sedation appointment? A DOCS Education member asks faculty Drs. Wellbrock and Feck what's the right protocol for this patient.

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Every Breath You Take: Study Links Environmental Tobacco Smoke and Periodontal Disease

The U.S. Environmental Protection Agency and U.S. Surgeon General have both classified secondhand smoke as a known human cancer-causing agent, but what about its effects on oral health? A recent study links environmental tobacco smoke exposure and periodontal disease.

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What You Need to Know About IV Sedation

Are you considering getting an IV sedation permit but aren't sure if it's the right move for you and your practice? Join us for a free webinar with DOCS Education Dean of Faculty, Dr. Anthony S. Feck—get free CE credits and your IV sedation questions answered.

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Veganism: Good for Body, Bad for Teeth?

Does a vegan diet lead to a higher risk of cavities? A recent study published by Public Library of Science (PLOS) ONE explores how a vegan diet might do more harm than good for one's teeth.

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Healthy male patient agitated during sedation appointment

A DOCS Education member writes in about a healthy, ASA I patient taking no medications who comes in for a sedation appointment. It's all pretty routine, but the patient becomes agitated once sedated. What's the cause?

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DOCS Education Presents: IV Sedation Certification

If you've been considering expanding your sedation armamentarium, look no further: DOCS Education has partnered with Oregon Health & Science University to offer IV Sedation Certification this summer and fall. Get a sneak preview of the course at a free webinar with a DOCS Education faculty member!

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Does hydroxyzine block dopamine receptors and aggravate restless legs syndrome?

A patient experiences restless legs syndrome while in the chair after being sedated; the clinician thinks it may be from hydroxyzine. Dr. Jerome Wellbrock weighs in with his thoughts on drug interactions and suggested medications.

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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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