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Opioid guidelines for common dental surgical procedures: a multidisciplinary panel consensus
O A Farooqi1, W E Bruhn2, M K Lecholop3
1Department of Veteran Affairs, Johns Hopkins Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA; Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA.
International Journal of Oral and Maxillofacial Surgery
|October 16, 2019
Summary
To combat opioid overprescribing, this study developed guidelines for dental procedures. Consensus recommendations for opioid prescribing after common dental procedures were established, aiming to reduce long-term opioid use.
Area of Science:
- Dentistry
- Pain Management
- Public Health
Background:
- Opioid overprescribing is a significant public health issue, with 1 in 16 patients becoming long-term users after surgery.
- A lack of procedure-specific guidelines for dental procedures contributes to this problem.
Purpose of the Study:
- To develop consensus recommendations for opioid prescribing after common dental procedures.
- To provide clinicians with evidence-based guidance to mitigate opioid overprescribing.
Main Methods:
- A three-step modified Delphi method was employed.
- A multidisciplinary panel of seven stakeholder groups developed consensus recommendations for 14 common dental procedures.
Main Results:
- Ibuprofen was recommended as initial therapy for all procedures.
- Maximum opioid tablet recommendations varied by procedure, with a median of 5 tablets (range: 0-15).
- Zero opioid tablets were recommended as the maximum for 43% of procedures.
Conclusions:
- Procedure-specific prescribing recommendations can guide clinicians and help address the opioid overprescribing crisis.
- Developing targeted guidelines for dental procedures is crucial for responsible opioid stewardship.
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