Blogs

Customized brushing: 3D printing gives the time-pressed something to chew on

As a dentist, you know three minutes is the recommended amount of brushing time. But what if you could brush just as effectively in…six seconds?

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Does a failed IV sedation attempt negate an OCS try?

A DOCS Education member asks:

I have a patient that I plan on doing a RCT under sedation. Health hx normal. Allergic to Morphine and NSAID. Meds taking: estrogen, metroprolol tartrate. BP: 146/74, Pulse: 66, SPO2: 99. She said Valium didn't do much for her before, and one dentist had tried to do IV sedation on her and she was awake the whole time and "felt everything he did".
My initial plan is do single Dose Protocol #3 with diazepam 5 mg night before, triazolam 0.25 mg and hydroxyzine 25 mg one hr before procedure.
Is it worth the try or would another protocol be better served for this patient?

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Miley Cyrus Takes a “Wrecking Ball” To Her Oral Health

Miley Cyrus, America’s favorite child-actor-turned-twerking-demon has been extremely productive lately: swinging naked from a wrecking ball in her new music video, wearing a bodysuit made out of a teddy bear, and reminding the world, “why yes, I was absolutely born with a tongue.” The pop star has been photographed numerous times with her trademark wide-eyed, tongue-cocked pose and people are talking. “She’s out of control! Where are her parents! Where can I get that teddy bear unitard?”

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Will nanodiamonds shape the future of dental implants? How these tiny, shiny gems could improve the stability of implants.

If you’re a rapper (I’m looking at you, Flavor Flav), then you’re already well aware of the aesthetic benefits that diamonds can have for your million-watt smile. If you’re a dentist, you might be interested in the relationship between diamonds and teeth for reasons other than what style of grillz to buy this year.

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A first time for everything

A DOCS Education member asks:
My first teen sedation patient will be coming into the office in a few days and I have a couple of questions I hope you can answer for me. The patient is a 14 year-old female weighing 106 lbs, taking no medications and has an unremarkable medical history. Her main complaint is anxiety of shots from a previous dental experience. Her treatment will consist of #18-0, #19-O and #31-O composites. I plan on using Teen Protocol 2.

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Scientists create tooth-sensor to monitor oral activity

The eyes may be the windows to the soul, but your mouth tells a story—and paying attention to that story may be the key to understanding more about human health.

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A hero’s journey: become a DOCS Education Fellow or Diplomate

Have you considered becoming a DOCS Education Fellow or Diplomate? You haven't? Well, I'm here, at great personal risk, to share top secret, insider information that will hopefully change your mind. If it came to the attention of the powers that be at DOCS Education that I've leaked these secrets, they surely would put me in the stocks. So please, gentle reader, listen carefully. The benefits of becoming a DOCS Education Fellow or Diplomate are many, and the glory it will bring to your kingdom…uh, practice will be enduring and splendiferous.

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Vital Information

A member of DOCS Education poses a simple question to the forums:
What are your thoughts on capnography for moderate oral conscious sedation cases? Is anybody on the forums doing this currently?

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Brush for baby: periodontal disease and pregnancy complications

No alcohol, avoid sushi, limit your caffeine intake…brush and floss? The importance of keeping your body healthy during pregnancy is common knowledge, but new studies suggest maintaining good oral health may be especially important during pregnancy, and poor oral hygiene can have some serious consequences. In the absence of adequate oral hygiene, periodontal bacteria accumulate in the gingival crevice. This bacteria may enter the bloodstream, disseminating throughout the body and triggering the induction of systemic inflammation responses and/or ectopic infections.

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Off the clock but not off the hook

On Monday, July 1, 2013, the University of Pennsylvania Health System joined dozens of hospitals across the country by implementing a ban on hiring smokers. Proponents say such policies lower health care costs and improve employee and community health. Others believe these restrictions may be the beginning of a slippery ethical slope.

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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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