drug abuse

North Carolina Oral Surgeon Loses License Forever After Death of Patient who Received Dental Implants

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An oral surgeon in North Carolina was forced to give up his license in August 2021. The reason was due to an order signed by the North Carolina State Board of Dental Examiners that was the result of an investigation of a patient the oral surgeon had treated for dental implants who died as a result of the treatment. The patient that died was a 53 year old cardiologist in North Carolina. The oral surgeon had had his license for roughly 20 years when he had to give it up. On July 30, 2020, the oral surgeon administered anesthesia and sedatives to the cardiolgist for dental implant placement. Close to the end of the surgery, the cardiologist’s oxygen saturation and heart rate dropped to life threatening levels. The oral surgeon attempted ventilation, by trying to intubate the patient with an … Read more

FDA warns about dental problems from buprenorphine

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The U.S. Food and Drug Administration (FDA) has issued a safety concern regarding the medication buprenorphine which is a medication used to treat opioid use disorder, acute pain, and chronic pain. Buprenorphine is often used to reduce opioid withdrawal symptoms and the desire to use opioids, without causing the cycle of highs and lows associated with abusing opioid. The FDA warning issued on January 12, 2022, states that dental problems have occured when patients take medicines containing buprenorphine that are dissolved in the mouth. In the warning, the FDA said that the dental problems can include those of tooth decay, cavities, loss of teeth, and oral infections, and can occur in those without prior dental issues. As a result of this warning, the risk of dental problems occuring will be added to the prescribing information and the patient Medication Guide … Read more

New Research Being Conducted at Rutgers for Opioid Alternatives Could Lead to Less Potential Drug Abuse for those Having Wisdom Teeth Surgery

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Recently this past year many posts appeared on this site discussing opioids being given after wisdom teeth surgery. Such posts include Oral and Maxillofacial Surgeons Current Perspectives on Opioid Prescribing, Do Oral Surgeons Give Too Many Opioids for Wisdom Teeth Removal?, Important Studies on Opioid Prescribing: Implications for Dentistry, and Studies and Opinions on Opioids After Wisdom Teeth Removal. It is clear that finding viable alternatives to opioids without the same addicting qualities is a worthwhile endeavor. A potential opioid alternative was discussed in the post Long-acting Local Anesthetic After Wisdom Teeth Removal. Recently in September, 2019, Rutgers School of Dental Medicine was awarded an $11.7 million grant from the National Institutes of Health to conduct research on the combination of ibuprofen and acetaminophen to be used as an alternative to opioids [1]. This study will involve 1,800 patients and will … Read more

Persistent Opioid Use After Wisdom Teeth Removal

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An interesting article titled “Persistent Opioid Use After Wisdom Tooth Extraction” appears in JAMA in August 7, 2018, written by Harbaugh et al. (vol. 320, no. 5 , pp. 504-506). The article sought out to see if opioid painkiller prescriptions that many young adults receive after having wisdom teeth removed could set them on a path to long-term opioid use. The authors explored data from patients 13 to 30 years old who underwent wisdom tooth extraction in the Truven Health MarketScan Commercial and Dental database (from July 1, 2009-December 31, 2015). The MarketScan database contains de-identified data from insurance claims and includes 43 million to 55 million beneficiaries annually from the 50 states in the U.S. Patients were excluded from the data the authors explored if there was a lapse in enrollment, if the patient had an opioid prescription filled within 6 months … Read more

Dentists Should be Prepared to Refer to a Counselor, Psychologist or Psychiatrist

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In recent years more and more dentists have had to deal with patients with substance use disorders. Wisdom teeth extractions are sometimes said to be a potential cause of a later substance use disorder, see for example http://blog.teethremoval.com/painkiller-overdose-in-michigan-are-wisdom-teeth-extractions-contributing/. Even though dentists and oral surgeons have taken steps in recent years to reduce the amount of drugs they prescribe to their patients that would possibly be used for non-medical purposes this may not entirely solve the problem. If through the course of a patient evaluation, a dentist becomes aware of a possible drug or alcohol problem, they should be prepared to refer their patient to a counselor, psychologist or psychiatrist. As such they should have several possibilities available for the referral. The American Dental Association (ADA) had a webinar series several years ago titled “Interviewing and Counseling of patients with substance use … Read more