A DOCS Education Member asks:
I have a 62-year-old male diabetic patient who is coming to the office for the pre-sedation workup.

He is taking the following medications:

  • Amlodipine benzilate 20mg /day,
  • Atorvastatin 10mg/day,
  • Bisoprolol fumarate 1.25 mg 2 tabs/day,
  • Omeprazole 40mg/day,
  • Bupropion HCL 150mg.
  • Metformin 500mg ,
  • Claritin 2 / day.

I intend to use incremental protocol 2, with the time of treatment being three hours. The needed treatment is four quadrants of scaling and root planing, two extractions (tooth #31 and #15) with bone graft and a crown for #19.

Because of his schedule he cannot arrive at 7:00 am, so he made the treatment appointment for 10:00 am.

Question #1: Can he still take diazepam the night before?
Question #2: Can he have a light breakfast at 7:00 am?
Question #3: I am planning to use 4 carpules of Lidocaine 2% with 1:100,000 epinephrine. In the extraction side, I will probably use 4 carpules of septocaine 4% locally.
Please give me your thoughts or any suggestions!

Thanks in advance for your advice.

DOCS Education faculty member, Dr. Jerome Wellbrock, responds:

Yes, diazepam the night before is ok. He should take a light non-fatty breakfast since he is diabetic.

Sounds like you have thought through this case and planned it out well!

The information contained in this, or any case study post in Incisor should never be considered a proper replacement for necessary training and/or education regarding adult oral conscious sedation. Regulations regarding sedation vary by state. This is an educational and informational piece. DOCS Education accepts no liability whatsoever for any damages resulting from any direct or indirect recipient's use of or failure to use any of the information contained herein. DOCS Education would be happy to answer any questions or concerns mailed to us at 106 Lenora Street, Seattle, WA 98121. Please print a copy of this posting and include it with your question or request.
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