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Using Evidence-Based Dentistry in the Clinical Management of Methadone Maintenance Therapy Patients
S Maripuri1, H Sadi2, A Nevius3
1DMD Class of 2019, Tufts University School of Dental Medicine, Boston, MA, USA.
The Journal of Evidence-Based Dental Practice
|May 9, 2020
Summary
Integrating evidence-based dentistry (EBD) and interprofessional care effectively treats patients undergoing methadone maintenance therapy (MMT). This approach enhances dental education and patient outcomes, addressing complex oral health needs.
Area of Science:
- Dental Medicine
- Public Health
- Interprofessional Education
Background:
- Growing interest in interprofessional educational models within academic dental institutions.
- Need to integrate evidence-based dentistry (EBD) with interprofessional approaches for methadone maintenance therapy (MMT) patients.
- MMT patients present unique oral health challenges requiring specialized care.
Observation:
- A case study of a 26-year-old MMT patient with severe dental issues and a history of drug abuse.
- Utilized a 5-step EBD framework (ask, acquire, appraise, apply, assess) and PICO question.
- Literature search on methadone's oral health effects and dental treatment implications conducted via PubMed.
Findings:
- Sparse existing evidence found, with 34 articles acquired.
- Four treatment plan options developed using EBD, interprofessional expertise, and patient-centered approach.
- Selected treatment plan demonstrated successful progress and outcomes.
Implications:
- Successful treatment of MMT patients is achievable through integrated EBD and interprofessional care.
- Highlights the need for future research due to the opioid epidemic.
- Emphasizes the importance of educating dental students on treating vulnerable patient populations.
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