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Prescribing patterns in a US dental school from 2010 to 2017
Shenam Ticku1, Jacqueline R Starr1,2, John D Da Silva3
1Oral Health Policy and Epidemiology, Harvard School of Dental Medicine, Boston, Massachusetts, USA.
Journal of Dental Education
|February 28, 2020
Summary
Dental providers show encouraging trends in reducing opioid prescriptions and increasing fluoride use. However, high antibiotic prescribing rates highlight the need for enhanced antibiotic stewardship in dental education.
Area of Science:
- Dental education
- Pharmacology
- Public Health
Background:
- Dental education is crucial for addressing the opioid and antibiotic resistance crises.
- Evaluating prescribing practices in academic dental settings is essential for improving patient care and public health outcomes.
Purpose of the Study:
- To assess the prescribing patterns of clinical instructors, advanced graduate residents, and predoctoral students.
- To analyze trends in opioid, antibiotic, and fluoride-based medication prescriptions over an eight-year period.
Main Methods:
- Retrospective review of electronic dental records from 2010-2017.
- Calculation of prescription proportions by prescriber training level and specialty.
- Analysis of daily opioid Morphine Milligram Equivalent (MME) doses.
Main Results:
- Over 65,000 prescriptions were analyzed, with fluoride (30%) and antibiotics (24%) being most common.
- Opioid analgesic prescriptions decreased from 18% to 7%, with stable median daily MME doses.
- Oral maxillofacial surgeons (OMFS) had the highest proportion of opioid prescriptions (49%), while endodontists most commonly prescribed antibiotics (46%).
Conclusions:
- Prescribing trends for opioids and fluoride-based drugs are positive.
- High rates of antibiotic prescriptions necessitate a focus on antibiotic stewardship in dental education.
- Continued monitoring and education are vital for responsible prescribing in dentistry.
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