Blogs

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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Too Early to Recommend EDTA Dental Gel as Toothpaste Replacement, Say Experts

Recently recommended by famed inventor Sir James Dyson, a new dental gel claims to be more effective than toothpaste with no abrasives, foam or antibiotics.

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Breaking the Biofilm: New Nanoparticle Shows Promise

Iron nanoparticles may disrupt the ability of cariogenic bacteria to form biofilms, paving the way for next-generation anticavity treatments.

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Sedating Patient on Morphine for Back Pain

A patient requests treatment under sedation, and discloses she has had two back surgeries with morphine as the principal painkiller. Can she safely be sedated per DOCS protocols?

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Beware the "Mount Everest Toothache."

We all have patients who complain that a sore tooth feels like it's going to explode, but did you know this is actually possible in certain circumstances? Incisor takes a look at barodontalgia.

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Mouth-To-Body Infections: What's the Actual Risk?

Experts are conflicted on whether antibiotic prophylaxis is necessary to treat patients with heart stents, knee replacements or other implanted surgical appliances. Get the facts here.

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Sedation of Patients with Benzodiazepine Allergy

What are the options when you cannot relieve a patient's anxiety with benzodiazepine medication? DOCS Education faculty weigh in.

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You'll Never Guess Which Famous People Used to Be Dentists

A career in dentistry can lead many places, from the Old West to the Silver Screen. Check out these historical and contemporary figures who got their start on the humble handpiece.

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"My Patient Eats Bricks!" – Problematic Patterns in Patients with Pica

Lots of activities can cause dental damage, but what do you do about patients who are compelled to eat non-food items?

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Moving Forward After a Break-In

When a DOCS member experiences a break-in damaging her DEA Cabinet, what should she do to continue serving the patients scheduled for the next day?

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University of Adelaide researcher Dr. Kylie Ellis has made an unusual discovery: stem cells from teeth can grow into brain-like cells. The research was conducted by Dr.
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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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No matter their age, everyone wants straight teeth. They look better, feel better and improve quality of life.


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Pretend you’re a fine arts professor. You know everything about oil painting down to the finest details: the techniques, the process, the history. You’ve written books on impressionism.
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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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Renowned endodontists Drs. Lisa Germain and Lou Berman will host “Top Time Traps,” a comprehensive webinar for the general dentist looking to increase their knowledge, increase their patient base and get a foot in the door to the world of basic endo.
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