Blogs

Patient-Limited Efficacy in Oral Conscious Protocols

What are the limitations of oral conscious sedation when treating very large and/or obese patients? DOCS Education faculty weigh in.

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Meet the Father of Dentistry

Nearly all of modern dentistry began with one man living in the early 1700s. Incisor takes a look at how the inventions and observations of Pierre Fauchard revolutionized dentistry.

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Optical Illusions in Dentistry

Can optical illusions interfere with treatment? A new study examines how the Delbouef illusion might influence the amount of material endodontists remove during a root resection.

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Hydroxyzine Reaction in Smoker?

A patient who is a pack-a-day smoker initially is sedated well, but arises agitated after several hours. Reaction to hydroxyzine or nicotine withdrawal? DOCS Education faculty weigh in.

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Paging Dr. Snake: Researchers Create Therapeutic Venom Database

Could venom from dangerous animals be used for medicine? Data scientists say it already has, and finding studies should be easier.

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Are Your Patients Damaging their Teeth with Whitening Products?

Are Your Patients Damaging their Teeth with Whitening Products?

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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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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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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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