Blogs

Is Your Patient-Acquisition Technique Inclusive to Everyone?

A new dental consumer survey highlights disparities on how patients look for dentists, choose dental insurance, and receive care.
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Topical Anesthesia Weak? Add Electricity!

A new method of local anesthesia administration has emerged using electricity to increase tissue penetration. Could high-fear patients stand to benefit?

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Patient-Limited Efficacy in Oral Conscious Protocols

What are the limitations of oral conscious sedation when treating very large and/or obese patients? DOCS Education faculty weigh in.

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Meet the Father of Dentistry

Nearly all of modern dentistry began with one man living in the early 1700s. Incisor takes a look at how the inventions and observations of Pierre Fauchard revolutionized dentistry.

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Optical Illusions in Dentistry

Can optical illusions interfere with treatment? A new study examines how the Delbouef illusion might influence the amount of material endodontists remove during a root resection.

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Hydroxyzine Reaction in Smoker?

A patient who is a pack-a-day smoker initially is sedated well, but arises agitated after several hours. Reaction to hydroxyzine or nicotine withdrawal? DOCS Education faculty weigh in.

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Paging Dr. Snake: Researchers Create Therapeutic Venom Database

Could venom from dangerous animals be used for medicine? Data scientists say it already has, and finding studies should be easier.

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Are Your Patients Damaging their Teeth with Whitening Products?

Are Your Patients Damaging their Teeth with Whitening Products?

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Is My Patient a Hyporesponder?

The importance of learning and disclosing all medications of a current patient is important, and may be a clue to why a patient doesn't respond to sedation as expected.

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Is Your Prescription Bankrupting your Patients?

What's behind the extreme variability in drug prices these days? Incisor takes a look at how fluctuations affect clinicians and patients alike.
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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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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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