CE Dojo

02/09/2026

North Carolina Dental Society Sedation is becoming more difficult in practice - why and what can be done.

Sedation is getting harder — and dentistry is feeling it.
Patients increasingly require higher doses and respond less predictably to moderate sedation. That’s not a training failure or a professionalism issue — it reflects a changed patient population.

As tolerance rises, moderate sedation drifts from a boundary-based model (“some patients don’t belong here”) to a push-through model (“add more, keep going”). Rules, simulation, and additional agents may look like safety, but they can’t replace the judgment that comes from residency-level anesthesia training. Sedation safety has always depended on knowing when to stop.

Check out our blog post 👉 https://ce-dojo.com/why-dental-sedation-is-getting-harder-and-why-pushing-through-is-the-wrong-response/

02/09/2026

Sedation is getting harder — and dentistry is feeling it.
Patients increasingly require higher doses and respond less predictably to moderate sedation. That’s not a training failure or a professionalism issue — it reflects a changed patient population.

As tolerance rises, moderate sedation drifts from a boundary-based model (“some patients don’t belong here”) to a push-through model (“add more, keep going”). Rules, simulation, and additional agents may look like safety, but they can’t replace the judgment that comes from residency-level anesthesia training. Sedation safety has always depended on knowing when to stop.

Check out our blog post 👉 https://ce-dojo.com/why-dental-sedation-is-getting-harder-and-why-pushing-through-is-the-wrong-response/

02/02/2026

“There is no ‘I’ in team.”

But there is in license.

Teams don’t testify.

You do.

A short visual essay on corporate groupthink in dentistry & OMFS.

🔗 https://ce-dojo.com/dontdrinkthekoolaid/

The Mantra: Don't drink the koolaid. Don't eat yellow snow.

01/15/2026

We are not in favor of more mandated continuing education in North Carolina.



https://ce-dojo.com/rdh_csrs/

01/11/2026

The state professional society is sponsoring a week's end social event at a Bier garden.

Should you attend? Maybe but better rethink the libations.

“No meetings. No presentations. Just good vibes.”

That sounds appealing — but it also raises an important professional question.

When a dental society, a licensing board, and a Practitioner Health Program operate in a closely linked ecosystem, alcohol-centered social events are not neutral spaces. PHP referrals do not require impairment or patient harm — only “credible concern.” In a system that has openly stated goals to increase admissions, even informal observation matters.

This isn’t about whether dentists should enjoy a beer.

It’s about whether professional organizations should be hosting alcohol-based events in environments where casual behavior can be reframed into regulatory consequences.

If societies want to build trust, the safest choice is simple: keep professional spaces neutral, not chemically lubricated.



Pamela Wible MD

01/08/2026

It's an inconvenient truth unfortunately.

But it's a thing you know.

The question is...how to handle it?

It's not such a simple question. But it has to be addressed.

What do YOU do?

If you take yourself seriously, you must have a plan.

But most of you won't say a thing.

So once again...do you take yourself seriously? Because if you do - and YOU don't have a plan - well... you're fooling yourself.

North Carolina Dental Society

01/07/2026

Join us for our new Ebytes course on managing difficult 3rd molar surgery with coronectomy.



https://ce-dojo.com/webstore/coronectomy/

01/01/2026

Happy New Year to all the Dojo erudites unselfishly burning the midnight oil this evening.

We know you're out there

12/12/2025

Did you miss out on the webinar? No worries - you can stream the session PRN and get 1 complimentary hr CE on the 'Doj.

See https://ce-dojo.com/webstore/the-state-of-ce-in-north-carolina-1-0-ce/

Promocode at checkout

Just a quick note before the holiday.

On Thursday, December 4 at 7:00 PM EST, I’ll be hosting a session with Sean Kurdys, a former investigator with the NC State Board of Dental Examiners.

We’ll walk through the current CE landscape in North Carolina — what’s required for dentists and hygienists, how timing tends to play out across the year, and what clinicians should keep in mind going into 2026.

If you’d like to join us:

➡️ Register here: https://us06web.zoom.us/webinar/register/9317636782089/WN_PS2s6TxERCKYcikRWeqGpw

12/01/2025

Check out brand new course content on CE Dojo - did you know there is a new non-opiate analgesic on the market?

Find out more: https://ce-dojo.com/webstore/suzetrigine/

11/27/2025

🚨 GAME-CHANGER IN PAIN MEDICINE? 🚨

The FDA just approved the first-ever NON-opioid painkiller strong enough to rival opioids — without the addiction risk.

After decades of walking a tightrope between pain relief and addiction, we may finally have a breakthrough. It’s called Suzetrigine (Journavx - Vertex) — a whole new approach to pain management that targets pain at the source without lighting up the brain’s reward centers.

Could this be the turning point in the opioid crisis?

Like all new products, cautious optimism is warrented. But perhaps a safer way to treat serious pain may finally be here… but will patients be able to afford it?

That's the rub.

Check out our new course on CE Dojo: https://ce-dojo.com/webstore/suzetrigine/



🎥 Watch the full breakdown ⬇️

11/25/2025

Just a quick note before the holiday.

On Thursday, December 4 at 7:00 PM EST, I’ll be hosting a session with Sean Kurdys, a former investigator with the NC State Board of Dental Examiners.

We’ll walk through the current CE landscape in North Carolina — what’s required for dentists and hygienists, how timing tends to play out across the year, and what clinicians should keep in mind going into 2026.

If you’d like to join us:

➡️ Register here: https://us06web.zoom.us/webinar/register/9317636782089/WN_PS2s6TxERCKYcikRWeqGpw