opioid

Reducing Opioids in Oral and Maxillofacial Surgery

by

An interesting article titled “Opioid Prescribing Can Be Reduced in Oral and Maxillofacial Surgery Practice,” written by Tatch appears in the 2019 edition of the Journal of Oral and Maxillofacial Surgery. In the article the author discusses the results of implementing an office protocol for pain management to reduce opioid use in oral and maxillofacial surgery during a three year time period. Results from a similar study were presented previously in a post titled Oral and Maxillofacial Surgeons Current Perspectives on Opioid Prescribing. In the article the author discusses how a risk of opioids is dependence which can develop after just one week of using. The author came up with a 3-year retrospective study to measure changes in opioid use after the introduction of an office protocol which was designed to offer alternatives to pain relief. In the study a … Read more

Dentists Overprescribing Opioids to Adults in the U.S.

by

In the past on this site, some studies have discussed how dentists and oral surgeons may be prescribing too many opioids to their patients. For example see the posts Important Studies on Opioid Prescribing: Implications for Dentistry, 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. Now a new study has recently appeared in the American Journal of Preventative Medicine titled “Overprescribing of Opioids to Adults by Dentists in the U.S., 2011–2015”, written by Suda et al. (pp. 1−14, 2019 in press). The study found that between 25% and 50% of opioids prescribed to adults by dentists in the U.S. are overprescribed. This is important because dentists are responsible for prescribing 10% of all opioids to patients in the U.S. The authors feel that urgent … Read more

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

by

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

Important Studies on Opioid Prescribing: Implications for Dentistry

by

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?

by

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