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12-year-old proves oral sedation ineffective due to extreme fear and unmanageability

A 12-year-old girl with a history of high dental fear is unresponsive to the normal course of medication and refuses treatment. What should be done differently on her return visit?

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It was a Raspberry Purée – The kind you get at a grocery store

Getting kids to eat healthy food is always a challenge, one that food companies have been trying to address with a slew of new health-centric products. Do these pre-packaged snacks beat out the produce aisle? The answer may surprise you.

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Simple solution permits nursing mother to receive sedation safely

The 32-year-old nursing mother already takes a number of medications to treat ulcerative colitis and migraines. She’d like to receive oral conscious sedation, but how can this be accomplished without subjecting her infant to inappropriate drugs?

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New all-in-one toothbrush seeks crowdsource funding

Have you ever forgotten part of your oral hygiene kit when you went on a trip? Do you hate having to dig through your luggage to pull out eight different items to be checked by TSA when all you want is a clean, healthy mouth while you travel? A new toothbrush prototype is set to save you from future hassle, but they need your help.

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Lord of the Sedation: Fellowship of the DOCS

After completing your training with DOCS Education you’re craving the next challenge. In this article we explain the process for the next evolution in your Sedation Dentistry practice: becoming a Fellow or Diplomat with DOCS Education. Elevate your learning and your practice – start your application process today.

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Woman’s congenital heart disease demands consult with cardiologist to ensure safe delivery of OCS

With a history of high dental anxiety the woman makes a natural candidate for oral conscious sedation. Complicating her treatment, however, is an ASA III status because of congenital heart disease. What further information does the dentist require to care for this patient confidently, using a safe OCS protocol?

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Does this patient’s large neck circumference rule out oral sedation?

The BMI and neck circumference of a male patient desiring sedation both strongly hint at the possibility of obstructive sleep apnea. Does the presence of this breathing complication absolutely rule out the use of oral conscious sedation?

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Man’s cardiac problems require further definition before safe sedation can be assured

The 34-year-old patient takes no medications but does possess a history hypertension, leaking mitral and tricuspid valves and left ventricular hypertrophy. The treating dentist has a copy of a recent echocardiogram with many normal findings. Does the doctor know enough about the man’s medical condition to provide sedation safely and confidently?

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Mice, the toothaverse, and everything

Researchers at the University of Pennsylvania have made significant progress in isolating prevention methods for periodontitis. Their new research, published in the Journal of Immunology could be the next step in treatment therapy for a disease affecting millions of adults.

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The New Medical Device Tax Will Affect Dentists – But By How Much?

Starting January 1st, 2013 a new tax will be imposed on medical devices. What qualifies as a medical device and how will this new tax affect you and your patients? Find out in this week’s featured article.

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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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