pain relief

Reducing Opioids in Oral and Maxillofacial Surgery

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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

What is Kratom and Is It Legal in San Diego?

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Kratom is a tropical tree whose consumption is expected to leave mind-altering effects on its users. The media describes it as a natural, mild, pleasant, and a solution for opioid addiction. Opioid addiction after wisdom teeth removal has been discussed before, see for example the post Persistent Opioid Use After Wisdom Teeth Removal. Even though kratom has benefits, the Food and Drug Administration (FDA) has warned consumers about its harmful and deadly risks. The FDA believes it is as dangerous as heroin, LSD, marijuana, and ecstasy. Furthermore, the treatment for this substance should be taken as serious as other addictive opioids. Why is Kratom Growing in Popularity? Kratom, also known as Mitragyna Speciosa, is native to Southeast Asia. Farmers and rubber trappers used to consume Kratom to seek additional energy. Some people have suggested that it may improve the feeling of well-being, … Read more

Studies and Opinions on Opioids After Wisdom Teeth Removal

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Recently on this site there have been several posts regarding giving patients opioids after wisdom teeth removal. In the post Do Oral Surgeons Give Too Many Opioids for Wisdom Teeth Removal? a study by Resnick et al. appearing in the 2019 edition of the Journal of Oral and Maxillofacial Surgery was discussed (titled “Do Oral and Maxillofacial Surgeons Over-Prescribe Opioids After Extraction of Asymptomatic Third Molars?”). Recently some commentary in a letter to the editor appearing in the 2019 edition of the Journal of Oral and Maxillofacial Surgery has been provided titled “Opioid Prescription Following Third Molar Extractions,” written by Subramanian and Quek which questions the validity of the study by Resnick. In the article by Subramanian and Quek some very valid points are made. First, the article by Resnick only relied on voluntary reporting of opioid use and this … Read more

Important Studies on Opioid Prescribing: Implications for Dentistry

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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?

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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