Blogs

Sedation of Athlete with Repeated Head Trauma

An athlete with recurrent migraines presents for treatment, and the clinician recognizes gabapentin as a possible interaction. Are there more considerations to be made?

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Need a New Tooth? Just Pee.

Could human teeth be grown from cells harvested in our urine? Researchers have reverse-engineered stem cells that could be used as a natural tooth-replacement therapy.

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"It's all in your mouth!" Occlusion and Balance Found to be Related.

Could a bad bite throw more than just your oral health out of balance? Researchers have found an link between the mouth and one's balance and posture.

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Forum: Why No Triazolam and Lorazepam Protocol?

Many of the DOCS protocols combine two different drugs of the same class to achieve a more consistent, smoother or longer-lasting result. A DOCS member asks about a new combination.

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Are We Taking the Wrong Approach to Preventing Cavities?

The current state of dental healthcare in America has been described as an "epidemic" by numerous boards and committees. Are dentists providing a "band-aid solution" to a deeper problem?

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A Surprising New Look at Anxiety Treatment

Could a new treatment make dental fear a thing of the past? Researchers make a breakthrough in our understanding of anxiety and its etiology in the brain.

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Considerations for Patient Taking Cimzia

What's the best protocol when a patient is on medications with multiple uses? DOCS Faculty share advice for taking a medical history and evaluating drug interactions.

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Rectal Cancer Worsened by Oral Microbes, Research Indicates.

One of the deadliest cancers may be exacerbated by travelling bacteria from the oral cavity. A new study finds that fusobacteria localize to tumors in the lower intestine.

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Treating Elderly Patient with Colitis

Sedation can help to make older patients more comfortable during dental treatment, but accommodating medically-complex patients can be challenging depending on their condition.

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Root Tip Infections May Contribute to Heart Disease

A new study finds that hidden infections, such as those at the root tip, may predispose one to cardiovascular disease.

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Will vaping cause complications during a sedation appointment if a patient refuses to cease? A DOCS Education member requests advice for his first solo sedation appointment.
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A doctor who uses incremental sedation has a patient with sleep apnea and taking multiple medications. Is the protocol he's considering correct? What's the risk of CO₂ retention for patients with sleep apnea?
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Should a patient with bipolar disorder stop taking ziprasidone and bupropion before a sedation appointment? A DOCS Education member asks faculty Drs. Wellbrock and Feck what's the right protocol for this patient.
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A DOCS Education member writes in about a healthy, ASA I patient taking no medications who comes in for a sedation appointment. It's all pretty routine, but the patient becomes agitated once sedated. What's the cause?
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A patient experiences restless legs syndrome while in the chair after being sedated; the clinician thinks it may be from hydroxyzine. Dr. Jerome Wellbrock weighs in with his thoughts on drug interactions and suggested medications.
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What do you do when your patient with a history of opioid addiction is being treated with methadone? A DOCS Education member consults faculty members, Drs. Jerome Wellbrock and PJ Goyal, to get advice on the proper sedation protocol.
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