Blogs

Epileptic patient taking clonazepam

An epileptic male who takes clonazepam was advised by his doctor not to use triazolam for sedation. How should this case be handled?

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Is Vitamin D Effective in Reducing Caries in Children?

It is accepted in the healthcare profession that vitamin D supports bone health, but vitamin D’s impact on caries has led to much debate. A recent systematic review and meta-analysis finds that vitamin D may reduce the risk of caries in children.

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Best oral sedation protocol for patient taking triazolam

A 58-year-old male patient is slated for full upper arch restorations. He currently takes seven prescription medications for fibromyalgia and migraines, including triazolam. Would a protocol using lorazepam be a better option for this patient than one that includes triazolam?

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Periodontist claims coveted tickets at OSD course

At DOCS Education’s continuing education seminar in Atlanta last weekend, Dr. Jean-Claude Kharmouche won the giveaway all the Oral Sedation Dentistry attendees were gunning for.

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Drawing the line in your sedation practice

A 72-year-old male with a history of arthritis, high blood pressure and sleep apnea, as well as recurrent back and neck pain from an injury, seeks sedation. Although the primary care physician "sees no reason" to avoid conscious sedation, should the treating dentist still take on this case?

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Is zolpidem effective in place of zaleplon?

The doctor practices in a state where Medicaid does not cover zaleplon. Would zolpidem be an effective replacement?

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Today marks the 37th Great American Smokeout

Each year on the 3rd Thursday of November, the American Cancer Society encouraging smokers to use the date to make a plan to quit, or to plan in advance and quit smoking that day.

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Help dentists affected by Superstorm Sandy and last night’s nor'easter

Dr. Michael Silverman, president of DOCS Education, requests the assistance of members to help those suffering from the storms’ catastrophic results—as well as offers help to those members affected and are in need of practice space to treat emergency patients.

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Being for the Benefit of Mr. Tooth

Perhaps not the most obvious choice to promote dental health, John Lennon is chipping in for the fight against oral cancer. One of Lennon’s teeth, given to former housekeeper Dot Jarlett, has been turned into a necklace and is making the rounds of UK dental practices. Used to highlight National Mouth Cancer Month, the necklace will be available for photo ops coinciding with mouth screenings and other promotional events at 16 different dental practices.

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Spotlight on Member Daniel S. Cook, DDS

A DOCS Education member for the past 12 years, Dr. Cook explains why he chose to practice dentistry, his biggest challenges, and why he considers Dr. Omar Reed as his mentor in the dental profession.

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Any contraindications with the normal triazolam protocol for a dentophobic patient using a SynchroMed® pump to deliver Dilaudid® 10 mg/ml (2.5 mg/day) and clonidine 100 mcg/ml (25 mcg/day) to the lumbar area of the spine for kidney pain?
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I have a patient with extremely high dental anxiety, severe Fibromyalgia, and thick, ropey saliva. What would you recommend regarding this case?
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I have a fearful patient who states that she previously hallucinated when given IV Valium® at a different office. I was planning on anxiolysis with triazolam. Should I be concerned about a similar reaction?
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I recently had two sedation patients who were very restless during their procedures. Should I have administered more sedation medication to the patients?
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We recently had a patient whose medical history revealed serum disease as part of a sensitivity to narcotic agents. Is this a concern if we choose to use conscious sedation medications with her?
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I have a 24-year-old moderately anxious female patient with sarcoidosis in remission and diagnosed with Graves' disease at age 14. Are there any thoughts, suggestions or warnings?


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