Blogs

Why Anesthetics Aren't Effective for Long Cases

A member has been on a losing streak when it comes to keeping his patients numb and comfortable for restorations. Why isn't the anesthetic as effective?

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The Single Most Important Reason Why Every Dentist Needs Advanced Life Support Training

It's inarguable, infallible and undisputable. Just ask veteran dentist and longtime DOCS Education Member Dr. Steve E. Chamish.

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Millennials Prefer Dentists to the Banking Industry

A study shows that Millennials are primed to wreak havoc on the banking industry, which has nothing to do with dentistry. Or does it?

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Is it Safe to Sedate a Bipolar, Diabetic Smoker with Active Hep. C?

A patient presents with multiple medical conditions, including bipolar disorder, diabetes and an active HCV infection. To top it all off, she's a smoker. Should the clinician proceed with oral conscious sedation?

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Why Google and the Movie Industry are Fighting over Dental Aligners

A lawsuit between two dental alignment device-makers is pitting Google and Apple against the movie and recording industries. Who knew dentistry could be so divisive?

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Should I Take on this Case or Punt to OR?

Sometimes even the most experienced sedation dentists need a little help from their friends. A DOCS Education Fellow seeks advice from faculty about whether he should take on a sedation case or refer it out.

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What Does 400,000-Year-Old Tartar Tell Us?

Anthropologists are gaining insight into the lives of prehistoric humans using data gathered from ancient teeth. What researchers are discovering is amazing.

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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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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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