Blogs

Possibility of sleep apnea makes woman a questionable in-office sedation candidate

At 68 the patient already poses a number of health issues. She has osteoarthritis and takes a variety of medications. Especially concerning for the possibility of sedation are symptoms of sleep apnea. Can the dentist carry out the treatment as planned or is it prudent to first receive results of a sleep test as well as the approval of her primary physician?

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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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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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