Blogs

Gum Disease Tied to Glaucoma - Implications for Sedation Dentists

Gum disease presents a surprising risk for glaucoma, reports a new study from Harvard Medical School. What does this mean for sedation patients?

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Minimal Sedation Options for Heavy Gagger

How should a clinician approach helping a patient who needs sedation primarily for its effect in reducing the gag reflex? DOCS Education faculty weigh in.

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Dispensing Sedation Meds: In-Office or Pharmacy?

DEA compliance is a serious topic, and not all dentists want to deal with the hassle of dispensing drugs from their office. What's the best option?
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Fascinating Imagery of Cavitation Bubbles Reveals Ultrasonic Potential

Through high-speed photography and microscopy, researchers have identified a key property of ultrasonic hand scalers, and how new tip designs might make SRP more comfortable and effective.
Tags: ultrasonic, dentistry, cavitation

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Why are forensic scientists pulling bite mark analysis?

An influential commission of forensic science experts has called for the end of using bite mark analysis as evidence.

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Harnessing the power of positivity in pediatric dentistry

Do pediatric cases make you tense up? Are you unsure how to best set a child at ease? Dr. Barbara Sheller discusses ICCPD's course on pediatric patient managment.

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Methadone and Oral Sedation

Methadone is a powerful opioid used for maintenance treatment as part of the process of treating opioid dependency.

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Seizures Induced by Dental Fear

When a patient seizes during a routine hygiene appointment, their companion mentions that it may be due to acute dental fear. Can the clinician safely provide this patient a comfortable experience?

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Why You Should Ask Your Patients About Their Sleeping Habits

Could sleeping tendencies and oral health be connected? A new study implicates sleeping habits as a potential source of enamel erosion.

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New Study Links Higher Amelogenin Levels To Healthier Enamel

Genetic predisposition to weaker or stronger enamel might influence caries formation more than previously thought.

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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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