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Dental recommendation and prescribing patterns for systemic analgesics - a cross-sectional study
Diana Heimes1, Nina Viktoria Holz2, Andreas Pabst3
1Department of Oral and Maxillofacial Surgery, University Medical Center Mainz, Augustusplatz 2, Mainz, 55131, Germany. diana.heimes@unimedizin-mainz.de.
Clinical Oral Investigations
|July 14, 2025
Summary
Dentists commonly prescribe ibuprofen for pain but often fail to use preemptive analgesia or avoid contraindicated drugs for at-risk patients, indicating a need for better education.
Area of Science:
- Dental pharmacology
- Pain management in dentistry
Background:
- Pain management is a significant challenge in dental care, with analgesics being the most prescribed drugs.
- Over-the-counter availability of analgesics leads to imprecise data on their dental use.
Purpose of the Study:
- To investigate prescription and recommendation patterns for systemic analgesics among dental practitioners.
- To assess the use of preemptive analgesia and the management of at-risk patients.
Main Methods:
- An online survey was distributed to 1,746 dentists.
- The survey included sections on personal data, pain management strategies, and patient risk factors.
Main Results:
- 232 dentists participated; ibuprofen (600 mg) was the most common analgesic for acute and chronic pain.
- Two-thirds of dentists did not use preemptive analgesia; 22.16% recommended contraindicated analgesics for at-risk patients.
Conclusions:
- Dental analgesic recommendations are limited and not always clinically indicated.
- There is a significant need for improved education on analgesic use and preemptive analgesia to enhance patient safety.
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