Blogs

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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Caught Between Sucrose and Sucralose: A Dentist’s Dilemma

Americans are addicted to sweet, but both sugar and artificial sweeteners have serious health risks. How can dentists help patients understand the consequences of their sugary addictions? Get the facts, sweetheart.

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Previous Allergic Reaction to IV Sedation a Reason for Concern?

A patient needs sedation for a root canal and extraction. However, the patient reports that years ago she was intubated after IV sedation; she has since been IV sedated without any incidence. Should the doctor proceed with oral conscious sedation?

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Why Pediatric Dentistry Makes Sense in 2015

Once upon a time, dentists believed that treating pediatric patients was a fast track to a dead-end career. Wake up, sleeping beauties! Times have changed—pediatric dentistry ain't what it used to be.
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How Are You Giving Back to Your Community?

Volunteer time? Dental service trips? Mentoring or teaching? There are a lot of ways to use your skills and knowledge to help people beyond your daily routine of appointments and consultations. We've got a few extraordinary examples for you in the Summer issue of DOCS Digest - the digital edition is here!

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Can amoxicillin cause light-headedness in a patient who is allergic to penicillin?

A 91-year-old patient is taking 500 mg of amoxicillin leading up to a sedation appointment and is experiencing dizziness. The patient is allergic to penicillin. A DOCS Education Member seeks the advice of DOCS Education faculty for next steps.

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Cognitive Behavioral Therapy + Sedation Dentistry: The Silver Bullet for Anxious Patients?

New research from Sweden finds that people with dental anxiety respond well to a specific kind of mental health counseling called cognitive behavioral therapy. When combined with sedation dentistry it could be the silver bullet patients with dental fear have been looking for.

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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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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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A Member of DOCS Education asks: I have a 61 year old, 175 lbs female patient requiring a long sedation appointment. She is currently taking Advair®, Cartia XT®, losartan HCT and fenofibrate. Due to the medication interactions we cannot use diazepam or triazolam. Would it be possible for me to use lorazepam the night before, and if so, at what dosage should it be administered? Then at what incremental and loading dose should the lorazepam be given an hour prior to the appointment? After assessing the patient on arrival, what dose of hydroxyzine should be given? Finally, what incremental doses of lorazepam should be given at what intervals?
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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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