Blogs

Sedation of Asthma Patient

What is the protocol for a patient who carries a prophylactic asthma inhaler? Can they receive treatment under sedation?

issue_no: 
2

Seven Great Candy Alternatives for Halloween

No one wants to be the "disappointing house" during Halloween, so check out these fun alternatives to candy that will still delight trick-or-treaters.

issue_no: 
2

Tumors with Teeth: The Terrifying Teratoma

What looks like an homage to John Carpenter's The Thing, and in rare cases can grow up to five pounds in weight? An unusual form of tumor known as the teratoma!

issue_no: 
2

Why Use a Slurry?

The mechanics of medication absorption are an important factor in dosing to effect. A DOCS Education member inquires as to the delivery method of the different medications.

issue_no: 
1

Looking to Ward off the Flu? Start by Brushing Your Teeth

Oral health has major implications for the rest of the body, including risk of infection. Maintaining good oral health may increase resilience against seasonal illness, including the flu.

issue_no: 
1

Should Hygienists Practice Independently in Underserved Areas?

Access to care remains a significant problem in poor and rural communities. Many hygienists argue that preventative care could be made more accessible by practicing without direct oversight.

issue_no: 
1

Sedation of Athlete with Repeated Head Trauma

An athlete with recurrent migraines presents for treatment, and the clinician recognizes gabapentin as a possible interaction. Are there more considerations to be made?

issue_no: 
2

Need a New Tooth? Just Pee.

Could human teeth be grown from cells harvested in our urine? Researchers have reverse-engineered stem cells that could be used as a natural tooth-replacement therapy.

issue_no: 
2

"It's all in your mouth!" Occlusion and Balance Found to be Related.

Could a bad bite throw more than just your oral health out of balance? Researchers have found an link between the mouth and one's balance and posture.

issue_no: 
2

Forum: Why No Triazolam and Lorazepam Protocol?

Many of the DOCS protocols combine two different drugs of the same class to achieve a more consistent, smoother or longer-lasting result. A DOCS member asks about a new combination.

issue_no: 
1

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?
Continue Reading Story ...


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.
Continue Reading Story ...


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?
Continue Reading Story ...


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.
Continue Reading Story ...


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.
Continue Reading Story ...


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?
Continue Reading Story ...


Syndicate content