Opioid prescribing practices from 2010 through 2015 among dentists in the United States

Gupta, Niodita; Vujicic, Marko; Blatz, Andrew

doi:10.1016/j.adaj.2018.01.005

Cited by 73 publications

(69 citation statements)

References 14 publications

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“…Across specialties, OMFS prescribed the most opioids as a proportion of their prescriptions, followed by endodontists and periodontists. It stands to reason that opioid prescription rates among dentists are highest for surgical procedures, consistent with prior reports 17,18 . Compared with faculty and advanced graduate residents, students prescribed fewer opioids as a proportion of their total prescriptions.…”

Section: Discussionsupporting

confidence: 76%

Prescribing patterns in a US dental school from 2010 to 2017

Ticku

Starr

Silva

et al. 2020

Journal of Dental Education

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Objective: Dental education has an essential role in helping combat the opioid and antibiotic resistance crises. This study evaluates the prescribing practices of clinical instructors, advanced graduate residents, and predoctoral students in an academic dental setting. Methods: A retrospective chart review was conducted of electronic dental records from the years 2010 to 2017. The proportions of prescriptions for each drug group was calculated by prescribers' training level and specialty. Descriptive statistics were calculated for the daily opioid Morphine Milligram Equivalent (MME) dose prescribed across years and provider characteristics. Results: Over the 8 years, 65,160 prescriptions were written for 10,374 patients by 625 prescribers. The most commonly prescribed drugs were for fluoride-based medications (30%) and antibiotics (24%). Periodontists had the greatest absolute number of opioid analgesics prescriptions (n = 2712); oral maxillofacial surgeons (OMFS) prescribed more opioids than other classes of drug (49%) as a proportion of within-specialty prescriptions. Antibiotics were the most common drugs prescribed by endodontists (46%) and second most common drugs prescribed by periodontists (25%), OMFS (28%), and prosthodontists (21%). From 2010 to 2017, the proportion of prescriptions for antibiotics remained unchanged, while that of fluoride-based drugs increased from 2010 to 2014 and plateaued thereafter. The proportion of prescriptions for opioid analgesics decreased from 18% to 7%. The median daily MME dose across year and provider characteristics stayed constant (<50 MME). Conclusion: These results demonstrate encouraging prescription trends for opioid and fluoride-based drugs. Due to the high prevalence of antibiotic prescriptions in academic dental settings, stewardship approaches should be emphasized. K E Y W O R D Sanalgesics, dental health services research, opioid, pharmacology 660

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Section: Discussionsupporting

confidence: 76%

Prescribing patterns in a US dental school from 2010 to 2017

Ticku

Starr

Silva

et al. 2020

Journal of Dental Education

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“…Early in 2018, the American Dental Association's Health Policy Institute published a comprehensive overview of opioid-prescribing practices looking at trends and patterns among dentists from 2010 through 2015. 218 While dentists made up a small percentage of overall opioid prescriptions, the trend over this period showed an increase in prescriptions per 1000 patients going from 130.58 in 2010 to 147.44 in 2015. More importantly, the data showed that for the age cohort 11 to 18 years, the rate over this same period increased from 99.71 to 165.94.…”

Section: Opioidsmentioning

confidence: 98%

Annual review of selected scientific literature: A report of the Committee on Scientific Investigation of the American Academy of Restorative Dentistry

Cagna

Donovan

McKee³

et al. 2019

The Journal of Prosthetic Dentistry

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“…By 2010 opioid prescribing by dentists had leveled and began to taper off 17 . Dentists are still the leading source of opioid prescriptions in the younger age group 18,19 and index opioid prescriptions for opioid‐naïve adolescents and young adults have been associated with increased risk of subsequent opioid use and abuse 20 . Furthermore, in a 2016 study, more than half of opioid analgesics prescribed following surgical teeth extractions were left unused, 21 and there is evidence that majority of people who abuse opioid prescriptions source their supplies from leftovers 22 .…”

Section: Introductionmentioning

confidence: 99%

Innovations in pre‐doctoral dental education: Influencing attitudes and opinions about patients with substance use disorder

Odusola

Smith

Bisaga

et al. 2020

Journal of Dental Education

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Screening, Brief Intervention, and Referral to Treatment (SBIRT) is an evidence‐based model for managing patients with substance use disorders (SUD). Historically, SUD were seen as a criminal issue and access to treatment was limited, but that paradigm is shifting and substance abuse is now being recognized as a disease state and the management of patients with SUD is increasingly within the healthcare system starting with primary healthcare settings including dental facilities. In a new training initiative, first‐year dental students (DDS1) attended a 90‐minute SBIRT training. An Attitudes and Opinion Survey (AOS) consisting of 8 questions that separately assesses DDS1 attitudes toward alcohol and drug use disorders was utilized to evaluate the training. Assenting DDS1 anonymously completed the AOS before and following the training. Over 3 years, we analyzed changes in the AOS of 230 DDS1 using Chi‐squared test for bivariate comparison. We then applied a Bonferroni correction to the P‐values. Response rate was 95.5%. The SBIRT training improved DDS1 attitudes and opinions toward patients with SUD with respect to all AOS questions. There was a statistically significant improvement (P < 0.003) in DDS1 attitudes and opinions with respect to whether other patients care suffers because of time and resources spent on patients with SUD and whether the SBIRT training provided adequate education to prepare DDS1 to manage patients with SUD. SBIRT training is relevant to dental education. It fills an important educational gap and is a suitable model for other dental schools.

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Opioid prescribing practices from 2010 through 2015 among dentists in the United States

Abstract: Use of PDMP resources and use of nonopioid analgesics could help reduce the number of opioid prescriptions in dentistry.

Cited by 73 publications

References 14 publications

Prescribing patterns in a US dental school from 2010 to 2017

Prescribing patterns in a US dental school from 2010 to 2017

Annual review of selected scientific literature: A report of the Committee on Scientific Investigation of the American Academy of Restorative Dentistry

Innovations in pre‐doctoral dental education: Influencing attitudes and opinions about patients with substance use disorder

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