Blogs

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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Past Meth User Claims Intolerance to Triazolam

What are the options when a patient with a history of methamphetamine usage appears to be so resistant to benzodiazepines that they produce no effect? DOCS Education faculty weigh in.

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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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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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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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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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A DOCS Education member seeks the faculty’s assistance:

I have a 41-year-old female patient who takes 10 mg of doxepin twice daily.

I checked Lexicomp™ for any interactions with diazepam, but it did not list any. Before I proceed with treatment, I would like to confirm it is ok to give diazepam to a patient taking 10 mg of doxepin twice daily. Thank you!


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A DOCS Education member seeks the faculty’s assistance:

I’m seeking advice on a 47-year-old male patient. I believe he is an ASA II individual. His blood pressure and pulse are WNL (131/83 & 68). He has a history of arthritis, kidney disease (renal insufficiency which patient says is categorized as stage II chronic kidney problems related to the meds he's taking), and lastly HIV.


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