Blogs

Purple Graze: Ancient skeletons reveal humans once snacked on purple nutsedge to keep teeth clean.

Does the purple nutsedge look appetizing?

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A DOCS Education member seeks Dr. Wellbrock’s advice on patient with extreme narcotic sensitivity.

A DOCS Education member seeks the faculty’s assistance:

A 47-year-old healthy female whose appearance is consistent with her stated age is currently taking:

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DOCS Digest Tackles the Tough Stuff

DOCS Education makes a point to pull back the proverbial curtain and address all sides of dentistry: the triumphs, the complexities and perhaps most important—the challenges.

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8 Animals with the Strangest Teeth You’ve Ever Seen

Teeth. We spend a vast portion of our time thinking about them, treating them and studying them. But how much do we know about the teeth of other creatures?

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Dr. Wellbrock cautions against sedating a potential ASA III patient.

A DOCS Education member seeks the faculty’s assistance:

I am considering sedating a patient of mine that is taking 120 mg per day of diltiazem. He has a history of cardiac ablation but is otherwise healthy. This will be my fourth sedation and the first with a "D" drug interaction. Would this patient be an ASA II? Also, should the initial doses of diazepam and triazolam be reduced? Should I use a different protocol? And finally, should I even be sedating this patient?

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Membership Minute: EliteDOCS Forum

The EliteDOCS forum is one of the most widely-used membership benefits and provides 24/7 access to faculty who can answer difficult ques

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Teeth Built for Fighting: How a History of Bare-knuckle Punches Helped Shape the Modern Human Face

A recently published theory links the current human teeth and facial structure with a history of physical fighting.

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A DOCS Education Member Seeks Advice Over Highly Determined and Uncooperative Patient

A DOCS Education member seeks the faculty’s advice:

I had a partly successful appointment yesterday. My patient was a 54-year-old male heavy smoker with controlled bp, Mallampati class 3, had premed with 10mg diazepam the night before and 0.25mg triazolam in the AM before the appointment.

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Extreme Odontophobia: The True Story of One Boy’s Elaborate Lie

A 12-year-old French boy was recently found walking the streets of St. Gervais, a village nearly 100 miles from his home.

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This Infant has Teeth on the Brain

In February 2014 a four-month-old boy in Maryland had surgery to remove a brain tumor.

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My patient is 31 years old and taking birth control pills. She has been diagnosed with multiple sclerosis but was approved for treatment by her medical doctor. Are there any special precautions I should take for this patient for oral sedation?
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My 38-year-old patient presented in a state of high anxiety, among the most fearful people my office has seen. She’s a smoker with normal vitals.


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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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