Blogs

Free Webinar: How to Get Seminar & Travel Pay Right and Avoid a WHD Audit

We’re proud to announce an upcoming webinar on Wednesday, February 19 from 2-3:30 pm PST. In just 90 minutes, you’ll learn all you need to know about how to keep your policies in compliance when it comes to:

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Clarification on [D] Interactions

A member of DOCS Education asks:

I am showing some [D] interactions on Lexicomp for triazolam, diazepam, hydroxyzine and Ambien® as well as Norco®. We could skip the Ambien®, but I still have concerns about the Norco®. Any suggestions? This is a chronic pain patient.

Thanks

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A Tooth-saving App? Now that’s Smart.

These days more children than ever are glued to devices: whether tablets or smartphones, there’s no denying that the quickest way into the brains of little kids is via screen time.

Whether you’re enthralled with technology or think more kids should be running wild on the playground, we can all agree oral health is paramount.

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Integrating Sedation with Implants

One thing you may not know? The combination of sedation and implant placement is greater than the sum of its parts.

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Membership Minute: Clinical Resources

Did you know there are member benefits hiding in plain sight?

That’s right. Even if you’re already a member there’s plenty of pure, untapped awesomeness awaiting you. Read on to see which one we’ve highlighted!

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Nurses and Cops, Oh My

A member of DOCS Education asks:

It seems I have an abundance of cops and nurses in the practice, and all seem to be taking some form of anti-anxiety meds or BP meds. Well, someone has to treat them and I have had great success with the DOCS protocol, but could use some suggestions here on an upcoming patient:

Patient is 5 9" / 220 lbs. He is a half-pack a day smoker. No snoring, or so he says.
BP today was 148/89, HR 86'. I have seen diastolic pressure at 95 on a previous visit.
Meds are as follows:

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Convict Breaks out of Prison to Seek Dental Treatment

We know all too well how important dentistry is.

But one convict took this belief to a new level when he broke out of a Swedish prison solely for the sake of receiving dental treatment…then turned himself back in after the treatment was completed.

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New "bio patch" shows promise in regenerating missing or damaged bone

Well, we did it—we're living 5 bazillion years in the future. Pretty soon we're all going to be wearing sequined space suits and travelling to work on personal hovercrafts.

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We didn't need another reason to love chocolate. But now we have one.

Ah, chocolate. Delicious modifier of moods, the king of comfort foods. But what if there were a more – shall we say – dentally beneficial quality to chocolate? Turns out, there is.

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A prospective sedation patient with bipolar disorder prompts a confusing note from the psychiatrist

A member of DOCS Education asks:

My patient is a 21 year old female who presents for IV sedation and operative dentistry. She smokes 0.5 packs/day, reports she has bronchitis but has no medication for such. She also states she takes Depakote® for bipolar disorder and Propranolol for tachycardia. Lexicomp shows no interactions with the Depakote® and only a C rating for Fentanyl (a non-benzodiazepine) and Propranolol. No other interactions are listed.

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I have a female patient scheduled for two crowns and several fillings who is apprehensive about treatment. The patient’s cardiologist gave a release with precaution to avoid epinephrine. What would you advise for treatment?
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A 30-year-old man came to me today for a consultation for oral conscious sedation. His treating physician says the patient is suffering from bipolar disorder, ADHD, and panic attacks. The MD says the patient is under "good control," is not schizophrenic and is not suffering from any other psychosis. Do you recommend treating him?
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Any contraindications with the normal triazolam protocol for a dentophobic patient using a SynchroMed® pump to deliver Dilaudid® 10 mg/ml (2.5 mg/day) and clonidine 100 mcg/ml (25 mcg/day) to the lumbar area of the spine for kidney pain?
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I have a patient with extremely high dental anxiety, severe Fibromyalgia, and thick, ropey saliva. What would you recommend regarding this case?
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I have a fearful patient who states that she previously hallucinated when given IV Valium® at a different office. I was planning on anxiolysis with triazolam. Should I be concerned about a similar reaction?
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I recently had two sedation patients who were very restless during their procedures. Should I have administered more sedation medication to the patients?
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