The feasibility of academic detailing for acute oral pain management in outpatient dentistry: A pilot study

Hughes, Ashley M.; Lin, Erica H.; Hussain, Raza A.; Gibson, Gretchen; Jurasic, M. Marianne; Sharp, Lisa K.; Hubbard, Colin; Poggensee, Linda; Evans, Charlesnika T.; McGregor, Jessina C.; Gellad, Walid F.; Suda, Katie J.

doi:10.1016/j.japh.2022.08.001

Cited by 2 publications

(3 citation statements)

References 29 publications

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“…This information is important due to the high rates of opioid-related overdose in the Veteran population [3,26,27]. While the Opioid Safety Initiative has been implemented since 2013 in VHA, few strategies have been customized to the treatment of oral pain or dental providers [6,28]. Thus, future studies should focus on developing opioid stewardship initiatives customized to dental practice to ultimately prevent opioid-related adverse outcomes.…”

Section: Discussionmentioning

confidence: 99%

Adverse outcomes associated with opioid prescription by dentists in the Veterans Health Administration: A national cross‐sectional study from 2015 to 2018

Solanki

Hubbard

Poggensee

et al. 2023

J Public Health Dent

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Objectives Opioids prescribed by dentists have been associated with serious adverse events, including opioid‐related overdose and mortality. However, the downstream outcomes of opioids prescribed by dentists to Veterans who are at high risk for opioid misuse and overdose have yet to be determined. Methods This was a national cross‐sectional analysis of opioids associated with dental visits within the Veterans Health Administration from 2015 to 2018. Overprescribing was defined per guidelines as >120 morphine milligram equivalents (MME) or >3 days supply. The association of dental visit and patient characteristics was modeled separately for opioid‐related poisoning and all‐cause mortality using logistic regression. Results Of 137,273 Veterans prescribed an opioid by a dentist, 0.1% and 1.1% were associated with opioid‐related poisoning and mortality, respectively. There was no difference in opioid poisoning within 6 months for Veterans with opioid prescriptions >120 MME (aOR = 1.25 [CI: 0.89–1.78]), but poisoning decreased in Veterans prescribed opioids >3‐days supply (aOR = 0.68 [CI: 0.49–0.96]). However, Veterans with opioids >120 MME were associated with higher odds of mortality within 6 months (aOR = 1.17 [95% CI: 1.05–1.32]) while there was no difference in prescriptions >3‐days supply (aOR = 1.12 [CI: 0.99–1.25]). Conclusion Serious opioid‐related adverse events were rare in Veterans and lower than other reports in the literature. Since nonopioid analgesics have superior efficacy for the treatment of acute dental pain, prescribing opioid alternatives may decrease opioid‐related poisoning. Strategies for dentists to identify patients at high risk should be incorporated into the dental record.

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Section: Discussionmentioning

confidence: 99%

Adverse outcomes associated with opioid prescription by dentists in the Veterans Health Administration: A national cross‐sectional study from 2015 to 2018

Solanki

Hubbard

Poggensee

et al. 2023

J Public Health Dent

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“…[13][14][15][16] Dr. Suda described the various data sources and datasets available for medication prescribing. 17 She highlighted how medication data can be used to identify opportunities for improvement, inform future work, and determine the effectiveness of interventions.…”

Section: Session 1: Discoverymentioning

confidence: 99%

“…Dr. Suda described the various data sources and datasets available for medication prescribing. 17 She highlighted how medication data can be used to identify opportunities for improvement, inform future work, and determine the effectiveness of interventions. She illustrated her presentation with examples of barriers and facilitators to antibiotic prescribing in the VA dental settings.…”

Section: Meeting Speakers and Contentmentioning

confidence: 99%

Learning from data in dentistry: Summary of the third annual OpenWide conference

Kalenderian,

Zouaidi,

Yeager

et al. 2023

Learning Health Systems

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The overarching goal of the third scientific oral health symposium was to introduce the concept of a learning health system to the dental community and to identify and discuss cutting‐edge research and strategies using data for improving the quality of dental care and patient safety. Conference participants included clinically active dentists, dental researchers, quality improvement experts, informaticians, insurers, EHR vendors/developers, and members of dental professional organizations and dental service organizations. This report summarizes the main outputs of the third annual OpenWide conference held in Houston, Texas, on October 12, 2022, as an affiliated meeting of the American Dental Association (ADA) 2022 annual conference.

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The feasibility of academic detailing for acute oral pain management in outpatient dentistry: A pilot study

Cited by 2 publications

References 29 publications

Adverse outcomes associated with opioid prescription by dentists in the Veterans Health Administration: A national cross‐sectional study from 2015 to 2018

Adverse outcomes associated with opioid prescription by dentists in the Veterans Health Administration: A national cross‐sectional study from 2015 to 2018

Learning from data in dentistry: Summary of the third annual OpenWide conference

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