Blogs

Could You Be Getting More Out of Your Dental Laser?

New research highlights expanded functionality for dental lasers, which could make them a more attractive investment for the forward-thinking dentist.

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Sedation of Asthma Patient

What is the protocol for a patient who carries a prophylactic asthma inhaler? Can they receive treatment under sedation?

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Seven Great Candy Alternatives for Halloween

No one wants to be the "disappointing house" during Halloween, so check out these fun alternatives to candy that will still delight trick-or-treaters.

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Tumors with Teeth: The Terrifying Teratoma

What looks like an homage to John Carpenter's The Thing, and in rare cases can grow up to five pounds in weight? An unusual form of tumor known as the teratoma!

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Why Use a Slurry?

The mechanics of medication absorption are an important factor in dosing to effect. A DOCS Education member inquires as to the delivery method of the different medications.

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Looking to Ward off the Flu? Start by Brushing Your Teeth

Oral health has major implications for the rest of the body, including risk of infection. Maintaining good oral health may increase resilience against seasonal illness, including the flu.

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Should Hygienists Practice Independently in Underserved Areas?

Access to care remains a significant problem in poor and rural communities. Many hygienists argue that preventative care could be made more accessible by practicing without direct oversight.

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Sedation of Athlete with Repeated Head Trauma

An athlete with recurrent migraines presents for treatment, and the clinician recognizes gabapentin as a possible interaction. Are there more considerations to be made?

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Need a New Tooth? Just Pee.

Could human teeth be grown from cells harvested in our urine? Researchers have reverse-engineered stem cells that could be used as a natural tooth-replacement therapy.

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"It's all in your mouth!" Occlusion and Balance Found to be Related.

Could a bad bite throw more than just your oral health out of balance? Researchers have found an link between the mouth and one's balance and posture.

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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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