Blogs

Extremely fearful patient prompts doctor to seek faculty’s advice

Like all emotions, fear encompasses a large spectrum. One DOCS Education member seeks Dr. Feck’s advice on a patient who displays an unusually high level of anxiety.

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Ebola: Questions, answers, and precautions to take as a dentist

The largest ebola outbreak in history began in late 2013 in West Africa, and recently, several cases have occurred in other countries, including the U.S., Spain and Nigeria. Incisor answers member questions about precautions for dentists to take, and covers the recently released ADA statement on the ebola virus.

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The Fall 2014 DOCS Digest is Here

Autumn is upon us and, fittingly, so is the Fall edition of the DOCS Digest. In the past our themes have included the Patient Issue, the Team Issue and the Pediatric Issue.

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A member seeks Dr. Wellbrock’s advice on patient’s allergic reaction

A DOCS Education member seeks the faculty’s advice:

Dear DOCS,

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The Three Most Outrageous Dental Products

#3 The Bluetooth Tooth

No, we didn’t stutter. The Bluetooth tooth is actually a sensor designed to fit into an artificial tooth.

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Study Suggests Otherwise Healthy Habit Could Ruin Teeth

We’ve always taken for granted that exercise is wholly beneficial. But one study suggests this may not be the case – at least, for our teeth.

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DOCS Education member seeks advice on sedating a patient with extensive medical history, including a traumatic brain injury

When a patient presents with an extensive medical history, a DOCS Education member reaches out to faculty and colleagues to confirm that he has made the correct call with his treatment plan.

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Membership Minute: Diplomate and Fellowship Statuses

Maintaining a practice is one thing—but selectively grabbing opportunities for the purpose of thriving? It’s another story. Diplomate and Fellowship statuses are not for everyone. Rather, they’re avenues through which particularly ambitious dentists can exercise their minds while achieving a formal status that truly reflects their exceptional level of commitment and drive.

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More Than a Shot in the Dark: The Health Link Between Teeth and Coffee

We’ve reported in the past on the oral health benefits of wine and cheese. But until today, we had never come across an (apparently) teeth-improving beverage as universally lauded as coffee.

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A DOCS Education Member Inquires About Sedating a Patient With Vertigo

A DOCS Education Member seeks the faculty’s advice:
I have a long-standing patient that now has severe positional vertigo. She will not let me lower the back of the chair from the 90 degree seated position. She has no dental fear, and has always tolerated her dental work without local anesthetics.

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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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