Author name: David Lambert

Dr Lambert is a principal, managing partner and chief informatics officer of CE Dojo, and former affiliate consultant to Old Well Consulting responsible for their eLearning platform. Dr Lambert is a Diplomate of the American Board of Oral & Maxillofacial Surgery and former clinical pharmacist. Dr Lambert is former Assistant Professor of Oral & Maxillofacial Surgery at the Oregon Health & Sciences University in Portland, Oregon where he also studied Clinical Informatics within the Department of Medical Informatics and Clinical Epidemiology. Dr Lambert has lectured extensively on topics of surgery, pharmacology, the opiate crisis and is published within several peer-reviewed journals.

Why Dental Sedation Is Getting Harder — and Why Pushing Through Is the Wrong Response

The Problem Across American dentistry, particularly in office‑based moderate sedation, a quiet but consequential shift is underway. Dentists, assistants, and regulators alike are noticing that patients are harder to sedate, require higher drug doses, and behave less predictably during and after procedures. This is not a matter of technique, effort, or professionalism. It reflects a […]

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**There Is No “I” in Team.

Except in Licensure** Editor’s note: This essay was prompted by a recent malpractice verdict reported by The Epoch Times, in which a jury found individual clinicians liable alongside their employers—underscoring the non-delegable nature of professional licensure. “There is no ‘I’ in team.” It’s one of the earliest lessons taught in health care—usually framed as a

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Overdose Deaths Are Falling. So Why Didn’t We Change Course Sooner?

Federal data show that U.S. overdose deaths declined through most of 2025—marking the longest sustained drop in more than twenty years. Roughly a 20% year-over-year reduction is not statistical noise. It is real movement. And it raises an uncomfortable question: If progress is possible now, why was it politically impossible before? Policy Is Not Neutral.

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Why Our Practice Does Not Delegate CSRS (PDMP) Queries

Recent changes to North Carolina’s Controlled Substances Reporting System (CSRS) now permit licensed delegates, including registered dental hygienists, to run PDMP queries on behalf of a supervising prescriber. While this option may be appropriate in certain institutional or high-volume environments, our practice has made a deliberate decision not to delegate CSRS access. This decision reflects

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A Brief Treatise About Expired Emergency Drugs

I occasionally hear stories about dentists being being cited by licensing boards for having expired emergency drugs – mostly for office based anesthesia. While I understand that having all of the necessary emergency equipment available – including unexpired drugs – I often wonder about the extent of the problem. You rarely hear about it as

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AI Healthcare Practitioners In Dentistry? Don’t Blink – It’s Already Here – And You Didn’t Even Know It!

A little over 4 months ago I posted a blog article to the effect that Congress had authorized artificial intelligence (AI) and machine learning health practitioners who could even prescribe drugs! I have often wondered how AI might find applications in Dentistry and how regulatory agencies – given the federal authorization – might receive it.

AI Healthcare Practitioners In Dentistry? Don’t Blink – It’s Already Here – And You Didn’t Even Know It! Read More »

Dentistry Unplugged: The Drill Down 25:1 (05/08/2025)

In our debut podcast, Mysty Blagg Esq of Poyner Spruill, Sean Kurdys of Old Well Consulting, and Chris Roberts DDS of North Wilkesboro, NC join Dr David Lambert to discuss topics of current interest: We continue to monitor the progress of SB599. While it’s sponsors tout the objective of making the NC Dental Board less

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🚨 New Study Links Cannabis Use to Increased Risk of Heart Attack and Heart Failure, Especially in Younger Adults 💔🌿

A recent analysis by the American College of Cardiology reveals that regular cannabis use is linked to an increased risk of heart problems. A retrospective study found that cannabis users under 50 had a sixfold higher chance of heart attack, while a meta-analysis of 12 studies showed a 50% increased risk of heart failure among

🚨 New Study Links Cannabis Use to Increased Risk of Heart Attack and Heart Failure, Especially in Younger Adults 💔🌿 Read More »

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