Blogs

Why Anesthetics Aren't Effective for Long Cases

A member has been on a losing streak when it comes to keeping his patients numb and comfortable for restorations. Why isn't the anesthetic as effective?

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The Single Most Important Reason Why Every Dentist Needs Advanced Life Support Training

It's inarguable, infallible and undisputable. Just ask veteran dentist and longtime DOCS Education Member Dr. Steve E. Chamish.

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Millennials Prefer Dentists to the Banking Industry

A study shows that Millennials are primed to wreak havoc on the banking industry, which has nothing to do with dentistry. Or does it?

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Is it Safe to Sedate a Bipolar, Diabetic Smoker with Active Hep. C?

A patient presents with multiple medical conditions, including bipolar disorder, diabetes and an active HCV infection. To top it all off, she's a smoker. Should the clinician proceed with oral conscious sedation?

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Why Google and the Movie Industry are Fighting over Dental Aligners

A lawsuit between two dental alignment device-makers is pitting Google and Apple against the movie and recording industries. Who knew dentistry could be so divisive?

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Should I Take on this Case or Punt to OR?

Sometimes even the most experienced sedation dentists need a little help from their friends. A DOCS Education Fellow seeks advice from faculty about whether he should take on a sedation case or refer it out.

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What Does 400,000-Year-Old Tartar Tell Us?

Anthropologists are gaining insight into the lives of prehistoric humans using data gathered from ancient teeth. What researchers are discovering is amazing.

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Can I get Alzheimer's from that Root Canal?

Does that seem like a ridiculous question to you? Unfortunately, it's not so preposterous according to a new study published in the Journal Nature.

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The Role of the Dentist in Controlling Blood Pressure for a Sedation Appointment

Should you be trying to control a patient's blood pressure with medication before, during or after a sedation appointment? A DOCS Education member wonders why DOCS Education courses don't cover this topic. Drs. Wellbrock and Goyal advise.

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Big Potential in the Oral Microbiome

700-plus. That's the current estimate for the number of different bacteria types that live in the human oral cavity. Major advances in DNA sequencing technologies are opening up new areas of research into the human microbiome. Study results already look promising.

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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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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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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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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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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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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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