Blogs

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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Avoid your next sedation brain-buster with this one tool

Welcome to the Incisor Hub; we're glad to have you here. Whether you've been a DOCS Education member for many years, are a new member, or have yet to become a member (for shame!), you all have the pleasure of reading the informative blog posts written by our charming, smart, and dare I say it—ravishing editors. We make the Incisor available to all who are interested in reading, because at DOCS Education we believe information should be accessible to those that are thirsty for it. However, we’re not dummies—we reserve the best perks for our members. And one of the hands-down most important benefits we offer with a DOCS Education Membership is access to the Elite DOCS Forum. Monitored by esteemed dental professionals Drs. Jerome Wellbrock, Lesie Fang and Anthony Feck, the Elite DOCS Forum offers dentists the opportunity to read up on pertinent case studies and connect with other members. Have a question about pharmacology, patient management, IV sedation or protocols and regulations? No problem. Our faculty will respond to your questions within 24-48 hours—giving you the answers you need in a timeframe that truly benefits your practice.

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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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We recently had a patient whose medical history revealed serum disease as part of a sensitivity to narcotic agents. Is this a concern if we choose to use conscious sedation medications with her?
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I have a 24-year-old moderately anxious female patient with sarcoidosis in remission and diagnosed with Graves' disease at age 14. Are there any thoughts, suggestions or warnings?


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I know that pregnancy is a contraindication for oral conscious sedation (OCS). But I have a patient that is trying to get pregnant and wants OCS. How accurate is a hospital administered pregnancy blood test (false positives)?


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A DOCS Education member asks: Have you had any personal experiences with sedating an autistic patient? Have you heard of any concerns with this issue?


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