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Opioid Prescribing in Dentistry: Keys for Safe and Proper Usage
Raymond Dionne1, Paul A Moore2
1Research Professor, Department of Pharmacology and Toxicology, Brody School of Medicine and Department of Foundational Sciences, School of Dental Medicine, East Carolina University, Greenville, North Carolina.
Dentists must carefully manage opioid prescriptions to prevent patient dependency and drug diversion. Exploring opioid alternatives and identifying at-risk patients are crucial for safe dental pain management.
Area of Science:
- Dental Pharmacology
- Public Health
- Pain Management
Background:
- Dentists commonly prescribe opioids for pain management.
- Opioid prescriptions in dentistry, though typically shorter-term and lower-dose, carry risks of patient dependency and diversion.
- Prescription drug misuse is a significant public health concern.
Purpose of the Study:
- To highlight the importance of dentist awareness regarding prescription drug misuse and abuse.
- To inform dentists on identifying and managing patients at risk for prescription drug abuse.
- To discuss alternative pain management strategies in dentistry.
Main Methods:
- Review of current literature on opioid prescribing practices in dentistry.
- Analysis of public health data concerning prescription drug abuse.
- Discussion of pharmacological and non-pharmacological pain management alternatives.
Main Results:
- Dentists need to be aware of commonly misused/abused prescription drugs.
- Identifying patients at risk for abuse and managing them in dental settings is essential.
- Alternative pain control methods include long-acting anesthetics, NSAIDs, and combined non-opioid analgesics.
Conclusions:
- Dentists play a vital role in mitigating the opioid crisis through responsible prescribing.
- Awareness of risks and alternatives is key to safe and effective dental pain management.
- Implementing strategies to prevent dependency and diversion is crucial for patient and public safety.
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