Blogs

What's the protocol for a patient with sleep apnea and taking a mix of CNS depressants?

A doctor who uses incremental sedation has a patient with sleep apnea and taking multiple medications. Is the protocol he's considering correct? What's the risk of CO₂ retention for patients with sleep apnea?

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3 Simple Reasons Your Patients Aren't Accepting Sedation

You don't need to bend over backwards to increase the number of accepted sedation cases in your practice. Find out three simple reasons patients don't accept sedation and how to turn them around.

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Does a patient taking medications to treat bipolar disorder need to halt dosage before sedation?

Should a patient with bipolar disorder stop taking ziprasidone and bupropion before a sedation appointment? A DOCS Education member asks faculty Drs. Wellbrock and Feck what's the right protocol for this patient.

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Every Breath You Take: Study Links Environmental Tobacco Smoke and Periodontal Disease

The U.S. Environmental Protection Agency and U.S. Surgeon General have both classified secondhand smoke as a known human cancer-causing agent, but what about its effects on oral health? A recent study links environmental tobacco smoke exposure and periodontal disease.

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What You Need to Know About IV Sedation

Are you considering getting an IV sedation permit but aren't sure if it's the right move for you and your practice? Join us for a free webinar with DOCS Education Dean of Faculty, Dr. Anthony S. Feck—get free CE credits and your IV sedation questions answered.

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Veganism: Good for Body, Bad for Teeth?

Does a vegan diet lead to a higher risk of cavities? A recent study published by Public Library of Science (PLOS) ONE explores how a vegan diet might do more harm than good for one's teeth.

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Healthy male patient agitated during sedation appointment

A DOCS Education member writes in about a healthy, ASA I patient taking no medications who comes in for a sedation appointment. It's all pretty routine, but the patient becomes agitated once sedated. What's the cause?

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DOCS Education Presents: IV Sedation Certification

If you've been considering expanding your sedation armamentarium, look no further: DOCS Education has partnered with Oregon Health & Science University to offer IV Sedation Certification this summer and fall. Get a sneak preview of the course at a free webinar with a DOCS Education faculty member!

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Does hydroxyzine block dopamine receptors and aggravate restless legs syndrome?

A patient experiences restless legs syndrome while in the chair after being sedated; the clinician thinks it may be from hydroxyzine. Dr. Jerome Wellbrock weighs in with his thoughts on drug interactions and suggested medications.

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Do Teeth Have a Gender?

Feminine teeth, masculine teeth—is there really a difference? Some studies say there are size differences between the teeth of men and women, but others refute the claim. Incisor looks at the role teeth can play in gender identity, including gender reassignment surgery.

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The 32-year-old nursing mother already takes a number of medications to treat ulcerative colitis and migraines. She’d like to receive oral conscious sedation, but how can this be accomplished without subjecting her infant to inappropriate drugs?
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With a history of high dental anxiety the woman makes a natural candidate for oral conscious sedation. Complicating her treatment, however, is an ASA III status because of congenital heart disease. What further information does the dentist require to care for this patient confidently, using a safe OCS protocol?
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The BMI and neck circumference of a male patient desiring sedation both strongly hint at the possibility of obstructive sleep apnea. Does the presence of this breathing complication absolutely rule out the use of oral conscious sedation?
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The 34-year-old patient takes no medications but does possess a history hypertension, leaking mitral and tricuspid valves and left ventricular hypertrophy. The treating dentist has a copy of a recent echocardiogram with many normal findings. Does the doctor know enough about the man’s medical condition to provide sedation safely and confidently?
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At 68 the patient already poses a number of health issues. She has osteoarthritis and takes a variety of medications. Especially concerning for the possibility of sedation are symptoms of sleep apnea. Can the dentist carry out the treatment as planned or is it prudent to first receive results of a sleep test as well as the approval of her primary physician?
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An epileptic male who takes clonazepam was advised by his doctor not to use triazolam for sedation. How should this case be handled?
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