Blogs

How to Create a Healthy, Happy Waiting Room

As a sedation dentist, you're in the business of stress-free dentistry. You help patients relax in the chair and get the care they need. But are you extending that stress-free vibe all the way to your waiting room?

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First Case Using Single-Dose Protocol and Patient is Under-Sedated: What Next?

A DOCS Education member takes on his first sedation patient using a single-dose protocol. The patient is at her top dose, but complains that the sedation medication isn't working throughout the appointment. What should be done differently next time?

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The 4 Factors that Change the Economics of Pediatric Dentistry

True or false: There is no economic benefit in treating pediatric patients.It's true that this is a commonly held belief amongst dentists. But nowadays that statement is false. Dr. Roger Sanger explains why.

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The Wild Side of Dentistry: The Contributions of Dr. Peter P. Emily

Ever come across a 3-inch canine that needed a root canal? Welcome to the world of Dr. Peter Emily.

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The Wacky History of Nitrous Oxide: It's No Laughing Matter

You may use it every day at your practice, but do you know the story behind how nitrous oxide became one of the most commonly used anesthetics? Every dentist should…

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How Does a 15-year-old Patient's Lamictal® Medication Affect Sedation Protocol?

A 15-year-old patient taking multiple medications for ADHD is coming in for a sedation consultation. What does a clinician need to be aware of beforehand? Three DOCS Education faculty members advise.

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Is Your State Desperate for Sedation Dentistry?

What state has the most need for sedation dentistry? Check out our list of the top five states!

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What are the risks with sedation for a patient who won't stop vaping?

Will vaping cause complications during a sedation appointment if a patient refuses to cease? A DOCS Education member requests advice for his first solo sedation appointment.

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Ultrasound May Help Patients Keep their Teeth Longer

A futuristic-sounding non-invasive ultrasound therapy has the potential to invigorate dental tissue effectively strengthening teeth concludes a recent study. Learn more about how this discovery could change preventative care.

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You've Got a Target on Your Back

The ADA's Council on Dental Education and Licensure (CDEL) is pushing a major revision to the guidelines for the use of sedation dentistry. These new recommendations place an unmistakable bull's-eye on you and your patients. Take action!

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A member of DOCS Education writes: I have been sedating patients for over ten years but I wanted your help. I have an 85 year old insulin-dependent diabetic patient that has requested sedation. Her BP reads 146/74, pulse 69. She takes 20 units of Lantus® insulin at 100 unit/ML once a day and 15 units of Humalog® insulin at 100 unit/Ml once a day. If I were to sedate her, should she eat a small dinner and her normal small breakfast and not take any insulin on the day of sedation? Other medications the patient is taking are: amlodipine 5mg, lovastatin 40 mg, quinapril GCL 10 mg, HCTZ 12.5 mg, aspirin 325 mg, 2 x 220 mg Aleve®, CalCarb 600/D 600-400 MG-unit. The patient does not have asthma or any breathing issues but I don't feel comfortable with sedation.
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A member of DOCS Education asks: I have a patient interested in sedation but I have several concerns with her health. The patient has lupus, sarcoidoisis and rheumatoid arthritis. My practice is located in VA and, therefore, I am only able to use single dose protocols. With the fact that she takes Azathrioprine, Ventolin® and Hydroxycholorquine for her systemic issues, would you recommend IV sedation instead of oral? Patient is coming in tomorrow for a consultation and I have been waiting to get the medical consults back. Her primary care physician took no issue with the use of normal protocols, but I am not comfortable doing that. I have yet to hear from her pulmonary physician or the rheumatoid doctor. What would your advice be for this case? Thank you.
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A member of DOCS Education writes: Our office has been doing oral conscious sedation for several years now and, thankfully, we have never faced an emergency situation with a patient. There are two questions that arise from my patients and my staff that we would appreciate input on.
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A member of DOCS Education writes: I have an upcoming patient who is a 21-year-old male with Landau-Kleffner syndrome that is to be sedated for a two-surface filling. The patient was seen by another dentist four years ago, and at that time was given two .25mg tabs of Triazolam prior to dental work. The patient has Autism-type movements and struggles to sit still, making monitoring difficult.
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Dr. Mark Chunn, Fellow with DOCS Education, writes: I have a 71-year-old female whom I have seen several times over two years ago when we removed a couple of teeth. Recently she presented with a minor problem that was addressed on an emergency basis (limited exam). I have recommended that she return for a complete exam and radiographs in order to formulate a treatment plan. In reviewing her medical history, I learned that she was placed on Alendronate one month ago by a nurse practitioner. She also takes Metformin and Pravastatin.
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A DOCS Education member from Washington state questions whether they should treat a patient who they suspect of being under the influence of alcohol. Find out what DOCS Education faculty and regulatory council have to say about the situation.
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