Blogs

Reconsider performing ANY procedure for patient with terminal cancer

The woman is 65 and in need of complete dentures following full-mouth extraction. However, she has recently received chemotherapy and radiation treatment following the diagnosis of lung cancer. What do these facts portend in regard to sedation dentistry?

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Lupus diagnosis carries long list of health consequences; sedate with care, and seek help of oral surgeon

The woman has lived for many years with the diagnosis of lupus, and avascular necrosis is among the many likely consequences of this autoimmune disorder. Her daunting list of daily medications most likely predicts a hyporesponse with oral conscious sedation. She’s indicated she wants this option for treatment that includes multiple teeth extraction and an immediate denture. With these stipulations, what’s the appropriate course for this patient?

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ADA shows support for DEA’s prescription drug abuse initiative

The American Dental Association (ADA) announced its support Tuesday for the U.S. Drug Enforcement Administration’s (DEA) fifth National Prescription Drug Take-Back Day, scheduled for September 29, 2012. The ADA urges dentists to inform their patients on the safe disposal of unused, unwanted or expired prescription medications.

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Good Call vs. Bad Call September 2012

The person who answers the phone makes the first impression for your dental practice. What impression is your practice making?

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Large neck suggests precautions, but doesn’t preclude safe use of OCS

A severe gag reflex renders treatment difficult if not impossible for this 46-year-old man. However, the patient’s BMI and neck circumference 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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New DOCS Education online course explores field of addiction

Unlike diabetes or heart disease, addiction can’t be definitively detected through diagnostic tests. In many other ways, however, issues related to substance abuse mimic those of typical medical diseases. For example, the rates of depression and cardiovascular disease in the population are roughly equivalent to the incidence of addiction. By any measure, though, addiction presents a major public health problem.

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Hypoglycemia could explain patient’s lingering physical effects following sedation

The 44-year-old patient was ASA I and possessed a relatively uncomplicated health profile. However, near the conclusion of a dental appointment that included sedation she was not only quite alert but acutely uncomfortable due to muscle spasms. Nor did the unusual effects dissipate in the hours following her return home. According to the woman’s husband, “she just wasn’t herself.” What, if anything, went wrong?

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Dental phobia research receives 50k grant

Is there a new miracle drug on the horizon to treat patients suffering from dental phobia? Researchers at the Indiana Clinical and Translational Sciences Institute (ICTSI) and West Virginia Clinical and Translational Science Institute have been rewarded $50,000 to help find out.

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Sink your teeth into coconut oil

An exciting new study from Irish scientists has discovered that coconut oil has the potential to inhibit bacterial growth, preventing tooth decay. We’re not saying you should drop the floss and pick up the deep-fried Oreo, but this is an exciting new development in terms of dental health.

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Coalition calls dental perspective ‘invaluable’ for sedation product information

In response to the Food and Drug Administration’s request for information regarding the clinical development and use of sedation products in adult and pediatric age groups, the American Dental Association and four dental specialty organizations responded that dental procedures can provide meaningful data on the safety and capability of sedation products.

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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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