Blogs

New Delayed-Release Toothpaste Ingredient Helps Overnight Remineralization

Fluoride is undoubtedly one of the biggest advances in preventative dentistry, but could the application method make it more effective?

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The Top Three Most Bizarre Animal Teeth

Teeth have been modified for many purposes across the animal kingdom. These are our top picks for the strangest adaptations and structures.

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Unexpected Antibacterial Effect Observed in Bio-Ceramic Compound

Could the newly-discovered antibacterial effect of a bio-ceramic be used to curb the periodontitis epidemic in America?

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Sedation Interactions with Multiple Anti-Retroviral Drugs

Genvoya® contains four medications in one dose for the treatment of HIV.

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Understanding the Role of Social Media Marketing

Social media is an enormous marketing platform ignored by the majority of dentists. Read these tips from SolutionReach on how to use social media to your practice's advantage!

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Ace Chat – Working to Make a Difference for Your Patients on Your Website

Find out how using a chat service can increase your website retention, attract new patients and give your practice an unparalleled level of service.

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Gum Disease Tied to Glaucoma - Implications for Sedation Dentists

Gum disease presents a surprising risk for glaucoma, reports a new study from Harvard Medical School. What does this mean for sedation patients?

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Minimal Sedation Options for Heavy Gagger

How should a clinician approach helping a patient who needs sedation primarily for its effect in reducing the gag reflex? DOCS Education faculty weigh in.

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Dispensing Sedation Meds: In-Office or Pharmacy?

DEA compliance is a serious topic, and not all dentists want to deal with the hassle of dispensing drugs from their office. What's the best option?
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Fascinating Imagery of Cavitation Bubbles Reveals Ultrasonic Potential

Through high-speed photography and microscopy, researchers have identified a key property of ultrasonic hand scalers, and how new tip designs might make SRP more comfortable and effective.
Tags: ultrasonic, dentistry, cavitation

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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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