Important Studies on Opioid Prescribing: Implications for Dentistry

Recently on this site several articles have appeared discussing opioid prescribing after wisdom teeth removal see for example the posts Do Oral Surgeons Give Too Many Opioids for Wisdom Teeth Removal? and Opioid Prescriptions From Dental Clinicians for Young Adults and Subsequent Opioid Use and Abuse. Very recently several interesting studies regarding opioid prescribing have published. The first study is titled “Trends in Opioid Prescribing for Adolescents and Young Adults in Ambulatory Care Settings” written by Hudgins et al. appearing in Pediatrics in June 2019 (vol.143, no. 6, e20181578). The article explored opioid prescribing for adolescents (ages 13 to 17) and young adults (ages 18 to 22) receiving care in emergency departments and outpatient clinics. Data from the National Hospital Ambulatory Medical Care Survey (NHAMCS) and National Ambulatory Medical Care Survey (NAMCS) over the time period from January 1, 2005, … Read more

Do Oral Surgeons Give Too Many Opioids for Wisdom Teeth Removal?

An interesting article titled “Do Oral and Maxillofacial Surgeons Over-Prescribe Opioids After Extraction of Asymptomatic Third Molars?” written by Resnick et al. appears in the 2019 edition of the Journal of Oral and Maxillofacial Surgery. The authors perform a study using patients at Boston Children’s Hospital in Boston, Massachusetts to determine how many opioids (taken as oxycodone) they take after having wisdom teeth extracted. This study was motivated by some recent studies that has shown that patients given opioids for dealing with pain after wisdom teeth surgery can go on to abuse opioids, see for example the posts Opioid Prescriptions From Dental Clinicians for Young Adults and Subsequent Opioid Use and Abuse and Persistent Opioid Use After Wisdom Teeth Removal. In the article the authors devised a study to determine how many narcotic and non-narcotic pain relief pills are taken … Read more

Opioids Overused For Migraine Headache Treatment

A new study that attempted to find racial disparities in the treatment of migraine headaches found no differences and instead found that opioids are often overused for migraine headache treatment. As has been discussed on this blog and site before, the prescribing habits of opioids are under scrutiny for wisdom teeth surgery. See for example the article http://blog.teethremoval.com/what-can-a-surgeon-do-to-prevent-opioid-abuse/ and the article http://blog.teethremoval.com/painkiller-overdose-in-michigan-are-wisdom-teeth-extractions-contributing/. Now it appears that the prescribing habits of opiods for migraines should also be under scrutiny. Existing research shows that African-Americans experience more frequent and severe migraine headaches than non-Hispanic whites. Researchers at the University of Michigan set out to explore if there was any evidence of racial disparities in treatment practices for migraines. However, instead of finding any disparities, they found opioids were being prescribed as frequently as medications that are more effective for migraine headaches. In the study, results from … Read more

How to Avoid Opioid Addiction When You’re Prescribed Pain Medication

Have you been prescribed pain medication, but worry that you might become addicted to it? This fear is common, and it’s also valid. Some pain medications can alter your brain in a way that doesn’t just keep the pain away, but can leave your body craving more than you once needed to have the same effect. Long-term use of pain medication, especially, can cause an addiction. Here’s what you need to know to avoid becoming addicted to your pain medication. What Pain Medications are Addictive? From drugs to help prevent migraines to prescriptions for menstrual pain, there is a medication for just about any type of pain you can have, from mild to severe. Some pose a rare chance of an addiction, whereas others can have more serious consequences. Unfortunately, virtually any medication carries a risk of causing an addiction … Read more

Wisdom Teeth Removal: Tweets from Twitter

As the name of this website is teethremoval.com, often discussion of removing teeth, specifically wisdom teeth, are mentioned. One way to find out what people are saying first hand from their wisdom teeth removal experience is from Twitter. Many tweet out some 140 character message with the hashtag #wisdomteeth. Below I have included many tweets with the hashtag #wisdomteeth over the past year in 2014. 1) alexis @kickrockspunk all these ppl at the movie theater eating popcorn and i’m just like slurpee w/ no straw #wisdomteeth 2) paige @paaigehattonn I feel the need to explain to everyone why my cheeks are huge when I’m out #wisdomteeth 3) David Solberg ‏@da_solberg16 Will sell soul to eat solid food #WisdomTeeth 4) weston huser ‏@westonhuser I get to be a chipmunk tomorrow #WisdomTeeth 5) Jenna Haverkamp ‏@JennaHaverkamp Dear Lord, Please don’t let me … Read more