Blogs

Is My Patient a Hyporesponder?

The importance of learning and disclosing all medications of a current patient is important, and may be a clue to why a patient doesn't respond to sedation as expected.

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Is Your Prescription Bankrupting your Patients?

What's behind the extreme variability in drug prices these days? Incisor takes a look at how fluctuations affect clinicians and patients alike.
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The Rise of No-Drill Dentistry

Is dentistry moving away from the handpiece? New atraumatic techniques may preserve oral health without the need for fillings in early cases.
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Tooth Extraction After Heart Surgery

A patient needs an abscessed tooth extracted, but his blood-thinning medication could complicate the procedure. DOCS Education faculty weigh in.
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Mind Your Manners with Sedated Patients

How much can sedated patients really remember? More than you think, says new study.
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A Clinical Imperative: Educate Your Patients About Antibiotics

Are you ready to join the fight against antibiotic resistance? An easy way to do your part as a community medical professional.
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ADA Resolution 77 Update: It's Not Over Yet!

You may know the final outcome of the ADA House of Delegates vote on Resolution 77. But understanding the who, how and what's next is just as crucial.

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Discharge Protocols after Sedation Appointments

Is there cause for concern if a patient's sedation level seems to increase after leaving the office, even if they are "perked up" by the administration of sugar post-operatively?

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How Stem Cell Therapy Will Give Your Patients Wolverine Powers

Think regeneration is just a "superpower" from comic books and sci-fi? Advances in stem cell therapies are turning what was once fiction into reality.

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Patient Receives Successful Implant-Supported Denture with Sedation Dentistry

A partially endentulous patient receives better denture support through sedation dentistry.
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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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A member of DOCS Education needs clarification on what constitutes a sedation protocol, as well as the proper procedure for their patient.
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A member of DOCS Education asks:

I am showing some [D] interactions on Lexicomp for triazolam, diazepam, hydroxyzine and Ambien® as well as Norco®. We could skip the Ambien®, but I still have concerns about the Norco®. Any suggestions? This is a chronic pain patient.

Thanks


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