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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A DOCS Education member seeks the faculty’s assistance:

A 47-year-old healthy female whose appearance is consistent with her stated age is currently taking:


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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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