Blogs

New Space Technology Modeled after Sea Urchin Teeth

Sea urchins can scrape, cut and chew nearly everything thanks to their unique dentition. Scientists are attempting to adapt this morphology to accomplish diverse tasks on space exploration missions.

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Next Step in Preventing HIV Transmission? Free Testing at the Dentist.

Experts estimate nearly 22,000 in New York are unaware they are infected with HIV. A new testing program at the Buffalo School of Dental Medicine aims to inform patients about their HIV status.

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Sedating Patients who have Undergone Bariatric Surgery

The pharmacodynamics of sedation are determined by factors including metabolism and gastrointestinal function. How do medical procedures that modify these attributes affect sedation appointments?

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New Delayed-Release Toothpaste Ingredient Helps Overnight Remineralization

Fluoride is undoubtedly one of the biggest advances in preventative dentistry, but could the application method make it more effective?

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The Top Three Most Bizarre Animal Teeth

Teeth have been modified for many purposes across the animal kingdom. These are our top picks for the strangest adaptations and structures.

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Unexpected Antibacterial Effect Observed in Bio-Ceramic Compound

Could the newly-discovered antibacterial effect of a bio-ceramic be used to curb the periodontitis epidemic in America?

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Sedation Interactions with Multiple Anti-Retroviral Drugs

Genvoya® contains four medications in one dose for the treatment of HIV.

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Understanding the Role of Social Media Marketing

Social media is an enormous marketing platform ignored by the majority of dentists. Read these tips from SolutionReach on how to use social media to your practice's advantage!

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Ace Chat – Working to Make a Difference for Your Patients on Your Website

Find out how using a chat service can increase your website retention, attract new patients and give your practice an unparalleled level of service.

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Gum Disease Tied to Glaucoma - Implications for Sedation Dentists

Gum disease presents a surprising risk for glaucoma, reports a new study from Harvard Medical School. What does this mean for sedation patients?

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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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A DOCS Education Member seeks the faculty’s assistance:

I had a 24-year-old, recovering drug addicted female weighing 142 lb presents with multiple caries. She will require extractions, implants and dentures. Her rehab therapy medications are Suboxone® 8 mg two times daily along with 12.5 mg of Klonopin® daily. The patient is anxious about her dental treatment. She states she can come off these meds two days before her appointment. Is this ok and is there an OCS protocol for her?


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A DOCS Education member seeks the faculty’s assistance:

I have a patient who has a GFR of 31. I understand that the normal GFR is 131 to 140 and that the minimum acceptable level is 60.

The patient's nephrologist said he considers the patient stable and that she could under-go anesthesia. However, he acknowledged he did not understand which type of anesthesia we would be using.

He also said that any medications utilized should be dose adjusted for her GFR. Should I stay away from treating her totally? Or, with him considering her stable is there a way that I can treat her with local anesthesia and sedation safely?


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A DOCS Education member seeks the faculty’s assistance:

I would like to get all suggestions for sedating a 79-year-old female with a pacemaker and a history of heart problems. The patient is on clonazepam, 81 mg aspirin, verapamil, digoxin, hydroxychlorine, levothyroxine, meloxicam, metropolol, saccurate(?), Nitrostat® and potassium. Her MD has instructed us not to use any epinephrine. The patient is allergic to penicillin and MD suggested clindamycin, which is what I will prescribe.


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A DOCS Education member seeks the faculty’s assistance:

I have a patient who is ASA III, Mallampati 2, base line BP 135/86 Spo2 98%. The patient has depression, stable angina, high blood pressure, hyperlipidemia and arthritis. Last exam was 3 weeks ago.


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A DOCS Education member has an upcoming diabetic patient who takes their medication, but does not monitor their blood sugar. How will this affect a planned, upcoming sedation dentistry procedure?


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