Dental pain as a risk factor for accidental acetaminophen overdose: a case-control study

Vogel, Jody A.; Heard, Kennon; Carlson, Catherine; Lange, C.M.; Mitchell, Garrett

doi:10.1016/j.ajem.2010.08.006

Cited by 26 publications

(17 citation statements)

References 9 publications

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“…Acetaminophen misuse is a public health problem reported by many health authorities worldwide, particularly in France where acetaminophen has been freely accessible since 2008. The risk of unintentional acetaminophen overdose in patients having dental disease has already been highlighted . In a prospective study, Daly et al reported that dental pain was the first cause of repeated supratherapeutic acetaminophen ingestion, followed by headaches, flu/colds/fever, and back pain.…”

Section: Discussionmentioning

confidence: 99%

“…The risk of unintentional acetaminophen overdose in patients having dental disease has already been highlighted. 5,6,9 In a prospective study, Daly et al 10 reported that dental pain was the first cause of repeated supratherapeutic acetaminophen ingestion, followed by headaches, flu/ colds/fever, and back pain. We found that acetaminophen misuse and overdose concerned young adults (20-40 years old) in accordance with the results in the studies of Daly et al 10 (mean age, 35.6-40.5 years old) and Myers et al 11 (mean age, 10-40 years old).…”

Section: Discussionmentioning

confidence: 99%

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Misuse of acetaminophen in the management of dental pain

Clément

Scala‐Bertola

Javot³

et al. 2011

Pharmacoepidemiology and Drug

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We propose that even patients with mild clinical symptoms with a supposed ingested dose of acetaminophen greater than 150 mg/kg/24 h should be referred to an emergency department and that liver enzyme activity should be analyzed. No case of liver failure was observed during our short survey. However, hepatotoxicity of repeated supratherapeutic ingestion of acetaminophen was suspected in four patients. Patients and practitioners should thus be better informed about the risk of unintentional acetaminophen overdose following supratherapeutic acetaminophen ingestion.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Misuse of acetaminophen in the management of dental pain

Clément

Scala‐Bertola

Javot³

et al. 2011

Pharmacoepidemiology and Drug

View full text Add to dashboard Cite

show abstract

“…As a result, patients are offered pharmacotherapeutic prescriptions that augment the growing public health concern of over-prescription of pain relief and antibiotic therapy given their potential for overdose and systemic complications, drug dependency, and antimicrobial resistance. 13,14 Moreover, by only taking into consideration the two-hour time frame at ER, in 2013-2014 almost 24 318 hours were lost at 29 emergency rooms so that 12 159 patients could be seen, yet not treated for their oral conditions. Consequently, an average of 838.5 hours were lost at each ER in BC, or one year's worth of an ER physician's working hours that could have been used to address more serious and life-threatening conditions of other patients.…”

Section: Costs To Bc Taxpayers and The Health Care Systemmentioning

confidence: 99%

The 1% of emergency room visits for non-traumatic dental conditions in British Columbia: Misconceptions about the numbers

Brondani

Ahmad

2017

Can J Public Health

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In Canada, about 1% of all emergency room (ER) visits in a given year are made by patients with a primary diagnosis of a non-traumatic, non-urgent and yet preventable condition, such as tooth decay. This percentage is typically dismissed as irrelevant. Using 2013-2014 British Columbia data on ER use from the Canadian Institute for Health Information, however, we argue that the 1% figure (and its associated cost) has to be considered beyond its percentage value. In 2013-2014 alone, 12 357 non-traumatic dental visits were made to ERs in BC representing 1% of the total number of ER visits at a cost of $154.8 million to the taxpayers (across Canada, all visits to ER cost $1.8 billion/year). But the vast majority of these dental visits are discharged while the oral problem likely persists, hence taxpayer dollars are wasted. The belief that these dental-related ER visits are insignificant within the total cost for the health care system is misleading: treatment is not given, the problem is not resolved, and yet there is a high cost to taxpayers and to the society at large. Public health resources should be reallocated.KEY WORDS: Emergency room; dental emergencies; cost; public health; policy La traduction du résumé se trouve à la fin de l'article.

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“…Analgesics (particularly OTC drugs and non-opioids) are among the most frequently used medications globally (22,23). Despite the relatively low risk associated with most OTC over-the-counter analgesics, potential deleterious side effects can still be observed (26,37,38).…”

Section: Discussionmentioning

confidence: 99%

Prevalence of Self-Medication with Analgesics Among People Referring to Outpatient Dental Clinics in an Iranian Population

Mohammadi

Dehghani

Emad

et al. 2019

Int J High Risk Behav Addict

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Background: Self-medication is a behavior in which a person, without the use of professional advice, resolves his health problem. Self-medication is common in the world and considered as a growing public health problem. Objectives:The aim of the present study was to determine the prevalence of self-medication with analgesics for dental problems over a two-year period among a population in Shiraz, Iran. Patients and Methods: This cross-sectional study recruited 1,203 people. They were randomly selected from among men and women older than 12 with a mean age of 36.2 years, attending outpatient health clinics in 10 districts of Shiraz. A researcher-made questionnaire was used to collect data on demographic variables, dental pain, and self-care remedies utilized to combat dental pain. SPSS version 22 software was used for statistical analysis by the chi-square test and one-way ANOVA. The values of P < 0.05 were considered significant. Results: The prevalence of self-medication was 56.1% and the most common reasons for self-medication were having severe pain (35.3%), having prior experience (15.9%), and the high cost of dental visits (13.5%). The most common self-used drugs were Ibuprofen (29.42%) and Acetaminophen (21.61%). Self-medication was not significantly related to variables such as educational level, gender, and marital status and was related to age and salary. Conclusions: As found in our study, the high prevalence of self-medication is a major concern. There is a need for health education on indications and risks of self-medication.

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Dental pain as a risk factor for accidental acetaminophen overdose: a case-control study

Cited by 26 publications

References 9 publications

Misuse of acetaminophen in the management of dental pain

Misuse of acetaminophen in the management of dental pain

The 1% of emergency room visits for non-traumatic dental conditions in British Columbia: Misconceptions about the numbers

Prevalence of Self-Medication with Analgesics Among People Referring to Outpatient Dental Clinics in an Iranian Population

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