Credentials
What sits behind the writing.
Degrees & fellowship
DDS. MBA, healthcare concentration. Fellow, Academy of General Dentistry — working toward Mastership.
Licensure
Active dental licenses in five states. Verification is available through each state dental board.
Sedation & anesthesia
State permits for parenteral moderate sedation and for nitrous oxide / minimal sedation, held behind a completed formal sedation-and-anesthesia training program.
Hospital & surgical privileges
Hospital staff appointment and ambulatory-surgery-center privileges for general-anesthesia dental cases.
Resuscitation
ACLS and PALS current.
Membership
American Dental Association, Utah Dental Association, Academy of General Dentistry.
Full verification detail, including an expert-witness line, is on About.
How the writing is held
Evidence first. My own rules are tested, not just asserted.
Every piece opens with a plain "In short" summary and cites the literature that bears on the question. Where a rule here is my own practice rather than a published guideline, the piece says so plainly and checks it against the accepted standard rather than presenting it as the standard. Where the literature disagrees with me, the piece says that too, in a "Where I could be wrong" section.
These are scenarios, not patients. Details are changed so the clinical concept holds without describing anyone's real case, and none of this replaces clinical judgment made at the chair by the treating provider.
For dentists, by a dentist
Cases & conditions
The difficult patient, worked throughWhat a condition changes in the chair, the drugs and their mechanisms, and how ordinary cases go bad. Written at the level of the decision.Registered dentists
Read the full piecesAbstracts are open to everyone. The scenarios, mechanisms, precautions and sources are for registered dentists, verified by NPI. Free.Meetings & study clubs
Bring it to your roomThe same material as CE-style sessions, from someone still in the operatory and the OR.Latest writing
Conditions, precautions, and why cases go wrong.
A name for finishing definitive, whole-mouth treatment in one safely managed anesthetic event — for patients who cannot come back six times.
Five reasons, organized by mechanism, not diagnosis — and four intake questions most sedation histories don't ask.
Closed gas spaces, a vitamin, a blocked nose, and pregnancy — organized by mechanism, not memorized as a list.
Two different ceilings, and why the one that binds first changes with the drug, the standard, and the patient's weight.
Antibiotics, atraumatic technique, primary closure — and the case I'd rather not do at all.
Before radiotherapy, chemotherapy, antiresorptives, transplant and joint replacement — the same request means five different things.
The local toolkit, the bleed that local measures were never going to fix, and a case told twice: as it went, and as it should have.
Bleeding you can see and control versus a stroke at home. What the record shows, the DOAC timing nuance, and what to do instead of holding the drug.
Stunted roots, immature pulps, a dry mouth and irradiated bone — and why full coverage on this dentition is the iatrogenic choice.
Half-lives, resedation, the wrong antagonist, and the kit. Two scenarios, one pharmacology lesson.
Airway, cervical spine, cardiac history, and the consent conversation. A working checklist for general dentists.
A composite of patterns from public disciplinary actions. None of them started with a bad drug choice.