Blogs

Fascinating Imagery of Cavitation Bubbles Reveals Ultrasonic Potential

Through high-speed photography and microscopy, researchers have identified a key property of ultrasonic hand scalers, and how new tip designs might make SRP more comfortable and effective.
Tags: ultrasonic, dentistry, cavitation

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Why are forensic scientists pulling bite mark analysis?

An influential commission of forensic science experts has called for the end of using bite mark analysis as evidence.

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Harnessing the power of positivity in pediatric dentistry

Do pediatric cases make you tense up? Are you unsure how to best set a child at ease? Dr. Barbara Sheller discusses ICCPD's course on pediatric patient managment.

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Methadone and Oral Sedation

Methadone is a powerful opioid used for maintenance treatment as part of the process of treating opioid dependency.

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Seizures Induced by Dental Fear

When a patient seizes during a routine hygiene appointment, their companion mentions that it may be due to acute dental fear. Can the clinician safely provide this patient a comfortable experience?

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Why You Should Ask Your Patients About Their Sleeping Habits

Could sleeping tendencies and oral health be connected? A new study implicates sleeping habits as a potential source of enamel erosion.

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New Study Links Higher Amelogenin Levels To Healthier Enamel

Genetic predisposition to weaker or stronger enamel might influence caries formation more than previously thought.

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Pre-Sedation Baseline Vitals

A DOCS Education Gold member inquires:

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Is Your Patient-Acquisition Technique Inclusive to Everyone?

A new dental consumer survey highlights disparities on how patients look for dentists, choose dental insurance, and receive care.
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Topical Anesthesia Weak? Add Electricity!

A new method of local anesthesia administration has emerged using electricity to increase tissue penetration. Could high-fear patients stand to benefit?

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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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A DOCS Education member seeks the faculty’s assistance:

I am an endodontist who has received a referral for a 31-year-old caucasian male with a history of methemoglobinemia in response to esophageal benzocaine spray. The patient needs two root canals on vital teeth #4 and #19 and seven fillings.

After reviewing the literature with my local anesthesiologist's help, bupivacaine seems to be the medication with the least amount of risk. The recommendation from the anesthesiologist is not to perform sedation in the office, other than possibly nitrous as well as having an IV ready for up to 50 mgs TOP DOSE of methylene blue 1.0 -2.0 mg/kg IV every 60 minutes and very small amounts of bupivacaine per session. The other option would be general anesthesia.

What are your thoughts?


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