Blogs

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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A DOCS Education member seeks advice on sedating a teen taking multiple allergy medications.

A DOCS Education member seeks the faculty’s assistance:

Faculty member Dr. Jerome Wellbrock provides a DOCS Education member with advice on a 15-year-old patient taking multiple allergy medications.

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Membership Minute: Never Miss a Beat with Sedation Regulations

Let’s pretend there’s a group of lawyers sitting in a room. What are the chances any of them know how to properly fill a tooth with the same finesse as a dentist? Practically zero!

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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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