Blogs

The right time, the wrong situation

A DOCS Education Member asks:
We have a fearful 50 year-old female who is requesting sedation in our office. She claims a history of chest pains, shortness of breath and ulcers. Additionally she has had gallbladder and ovarian cyst surgery and a past skin disease, she has been diagnosed bipolar, has a thyroid condition and COPD per her pulmonologist. The patient also smokes, snores, has frequent headaches, chronic dry mouth and exhibits psychogenic polydipsia.

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Mind the gap: gap teeth and unconventional beauty

What do Lauren Hutton, Brigitte Bardot and Madonna all have in common? They’re all part-time quantum physicists! Just kidding. These three blonde beauties all have something in common, and it’s smack dab in the middle of their faces: gap teeth. Gap teeth, or diastema if you’re a fancy-pants, has been getting a lot of attention recently in the fashion world as more and more models with a chasm in their chompers strut down runways and are featured in cosmetic campaigns.

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Cuddly Canine Takes Bite out of Pediatric Dental Fear

Dr. Paul Weiss's pediatric dental office in Williamville, NY, has a very special helper on their team. Like many other dental office assistants, Weiss’s new partner is friendly, caring and tries her hardest to make all patients feel comfortable and safe. However, she does differ in some respects: her idea of a perfect day involves sticking her head out of a car window, she has a taste for kibble and frequently has spats with cats. Yep, the newest addition to Weiss’s practice is a dog.

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A dentist and a lawyer walk into the forum...

Medication interactions are no joke, and neither are government regulations. A member of DOCS Education concerned with the amount of medications that his upcoming sedation patient is taking offers to fax the patient’s records to DOCS Education faculty for a more thorough analysis and recommendation. What happens next is an important lesson in keeping both your patients and your practice safe.

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Don't let your practice byte the big one

IT solutions for dental offices have always been a specialty of Dr. Lorne Lavine, which is why he settled on the moniker The Digital Dentist. Backed by a complete site re-design, Dr. Lavine has rolled out Practice Byte Guard—a new suite of services designed to manage all of your practice’s IT needs. After working with dental practices across the US and Canada for the last 20 years, Dr. Lavine has assembled this software package to cater to the most-wanted and requested needs of dental professionals. HIPAA compliance assistance, multi-leveled data management and network security make up the separate components of Practice Byte Guard. Dr. Lavine announced the release in an email late last week:

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The wait is over! DOCS Digest Summer 2013 is here.

Despite dentists' mutual interest in all things teeth, we understand you may be divided in your digital versus paper preferences. No need to quarrel, though – because DOCS Digest is meeting the needs of everyone! Check out our informative, exciting and educational publication right now!

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A little more conversation, a little less action

A DOCS Education member writes:
I have a 48 year-old female patient with an allergy to penicillin who is scheduled for a crown preparation which should take approximately 60 minutes. The patient takes no OTC or prescription medications, but has experienced rash and itching symptoms while using most pain medications. I spoke with the pharmacist who recommended using Hydroxyzine in tandem with Diazepam to reduce these itching symptoms. I understand that both drugs have CNS effects, so is it advisable that I prescribe both in tandem? My other concern is my state’s regulations; under the Minnesota anxiolysis guidelines and protocols can I prescribe both Diazepam and Hydroxyzine without issue?

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Teeth more abundant than food for many dinosaurs

When it comes to teeth, we’re all on our last chance. Our first practice set was plucked, tooth by tooth, from beneath pillows quite a while ago.

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Sometimes good intentions are just not enough

The second largest health insurer in America, WellPoint Insurance, has agreed to pay a fine of $1.7 million to settle potential violations of healthcare privacy laws. Between October 2009 and March 2010, WellPoint breached the health and personal information protection of 612,402 individuals. The breach was due to a security flaw in an online application database.

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Central Adrenal Insufficiency may raise a patient to ASA 3/4

A member of DOCS Education writes:
I have a 55 year old female being treated for central adrenal insufficiency, multiple sclerosis, hypertension, hypercholesterolemia, ADD, hypothyroidism and hormone replacement therapy. All are well controlled at this time. Her physician has recommended tripling her dose of Cortef® the day of surgery. She has been a patient for years and is very relaxed in the chair, even for long appointments.

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I know that pregnancy is a contraindication for oral conscious sedation (OCS). But I have a patient that is trying to get pregnant and wants OCS. How accurate is a hospital administered pregnancy blood test (false positives)?


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A DOCS Education member asks: Have you had any personal experiences with sedating an autistic patient? Have you heard of any concerns with this issue?


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My patient is a female, age 31, married, taking birth control pills, and has multiple sclerosis. Are there any special precautions I should take for this patient for oral sedation?


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It has been said the city of Minneapolis has two seasons, snow removal and road repair. The DOCS Education team was quickly introduced to the cool temperatures in April as snow fell Thursday night...
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New regulations adopted in March by the New Jersey Board of Dentistry could limit dentists’ administration of injectable pharmacologics.
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