BACKGROUND: Dentists wrote 6.4% of all opioid prescriptions in the United States in 2012. The purpose of this study was to examine opioid prescription rates, dosage of opioids prescribed, type of opioid drug prescribed, and type of dental visit at which dentists prescribe opioids. METHODS: The authors used the 2010 through 2015 Truven Health Marketscan Research databases and the Prescription Drug Monitoring Program (PDMP) Training and Technical Assistance Center conversion data set. The authors conducted descriptive analyses for days' supply, quantity prescribed, and daily morphine milligram equivalent dose. RESULTS: The opioid prescription rate per 1,000 dental patients increased from 130.58 in 2010 to 147.44 in 2015. Approximately 68.41% of all opioids prescribed were during surgical dental visits and approximately 31.10% during nonsurgical dental visits. During nonsurgical dental visits at which dentists prescribed an opioid, most of the procedures were restorative. CONCLUSIONS: Among a population of dental patients with private insurance, opioid prescribing rates in the United States increased slightly from 2010 to 2015. The largest increase was among 11- through 18-year-olds. Almost one-third of opioid prescriptions written by dentists were associated with nonsurgical dental visits. PRACTICAL IMPLICATIONS: Use of PDMP resources and use of nonopioid analgesics could help reduce the number of opioid prescriptions in dentistry.
BACKGROUND: Dentists wrote 6.4% of all opioid prescriptions in the United States in 2012. The purpose of this study was to examine opioid prescription rates, dosage of opioids prescribed, type of opioid drug prescribed, and type of dental visit at which dentists prescribe opioids. METHODS: The authors used the 2010 through 2015 Truven Health Marketscan Research databases and the Prescription Drug Monitoring Program (PDMP) Training and Technical Assistance Center conversion data set. The authors conducted descriptive analyses for days' supply, quantity prescribed, and daily morphine milligram equivalent dose. RESULTS: The opioid prescription rate per 1,000 dental patients increased from 130.58 in 2010 to 147.44 in 2015. Approximately 68.41% of all opioids prescribed were during surgical dental visits and approximately 31.10% during nonsurgical dental visits. During nonsurgical dental visits at which dentists prescribed an opioid, most of the procedures were restorative. CONCLUSIONS: Among a population of dental patients with private insurance, opioid prescribing rates in the United States increased slightly from 2010 to 2015. The largest increase was among 11- through 18-year-olds. Almost one-third of opioid prescriptions written by dentists were associated with nonsurgical dental visits. PRACTICAL IMPLICATIONS: Use of PDMP resources and use of nonopioid analgesics could help reduce the number of opioid prescriptions in dentistry.
Authors: Enihomo Obadan-Udoh; Nicoleta Lupulescu-Mann; Christina J Charlesworth; Ulrike Muench; Matthew Jura; Hyunjee Kim; Eli Schwarz; Elizabeth Mertz; Benjamin C Sun Journal: J Am Dent Assoc Date: 2019-04 Impact factor: 3.634
Authors: Jenna L McCauley; Stephanie Reyes; Cyril Meyerowitz; Valeria V Gordan; D Brad Rindal; Gregg H Gilbert; Renata S Leite; Roger B Fillingim; Kathleen T Brady Journal: Subst Abus Date: 2019-03-04 Impact factor: 3.716
Authors: E V Hersh; P A Moore; T Grosser; R C Polomano; J T Farrar; M Saraghi; S A Juska; C H Mitchell; K N Theken Journal: J Dent Res Date: 2020-04-14 Impact factor: 6.116
Authors: Debora C Matthews; Martha G S Brillant; Kudirat O Jimoh; Winston Singleton; Pamela McLean-Veysey; Ingrid Sketris Journal: CMAJ Open Date: 2019-08-06
Authors: Jenna L McCauley; Joni D Nelson; Gregg H Gilbert; Valeria Gordan; Scott H Durand; Rahma Mungia; Cyril Meyerowitz; Renata S Leite; Roger B Fillingim; Kathleen T Brady Journal: J Rural Health Date: 2019-08-06 Impact factor: 4.333
Authors: Kelby W Brown; Kayla Carlisle; Sudha R Raman; Peter Shrader; Megan Jiao; Michael J Smith; Lisa M Einhorn; Charlene A Wong Journal: Health Aff (Millwood) Date: 2020-10 Impact factor: 6.301