ArticleJournal of the American Dental Association (1939)2020
Antibiotic and opioid prescribing for dental-related conditions in emergency departments: United States, 2012 through 2014.
Article in Journal of the American Dental Association (1939), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.
- Evidence-based clinical practice guideline for the pharmacologic management of acute dental pain in adolescents, adults, and older adults: A report from the American Dental Association Science and Research Institute, the University of Pittsburgh, and the University of Pennsylvania.Journal of the American Dental Association (1939) · 2024Guideline
- Cannabidiol as an Alternative Analgesic for Acute Dental Pain.Journal of dental research · 2024Trial
- Medicaid Dental Cuts and Emergency Department Utilization: Implications of the 2025 Budget Reconciliation Act.Journal of the California Dental Association · 2026Article
- Pharmacologic Management of Non-Traumatic Dental Conditions in US Emergency Departments, 2018-2022.Journal of public health dentistry · 2025Article
- Emergency department use for nontraumatic dental conditions for children with special health care needs enrolled in Oregon Medicaid.Journal of the American Dental Association (1939) · 2024Article
- Synthesizing 30-years of adult medicaid dental policy research: A scoping review to identify gaps and opportunities.Heliyon · 2023Article
- Article
- Dental Emergencies in an Italian Pediatric Hospital during the COVID-19 Pandemic.Healthcare (Basel, Switzerland) · 2022Article
- Changes in outpatient antibiotic prescribing for acute respiratory illnesses, 2011 to 2018.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2021Article
- Opioid prescribing patterns by dental procedure among US publicly and privately insured patients, 2013 through 2018.Journal of the American Dental Association (1939) · 2021Article
- Emergency and urgent dental visits among Medicaid enrollees from 2013 to 2017.BMC oral health · 2020Article
- The effect of prescribing antibiotics with opioids on the development of opioid use disorder: a national database study.Journal of addictive diseasesArticle
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
backgroundPatients visiting the emergency department (ED) for nontraumatic dental conditions usually receive nondefinitive health care and are referred to treatment elsewhere. This may lead to potentially avoidable antibiotic and opioid use.
methodsA retrospective study was conducted in IBM MarketScan Research Databases in Treatment Pathways from 2012 through 2014. This study included patients with commercial insurance or enrolled in Medicaid. Patients receiving a diagnosis of a dental condition in the ED with no secondary diagnosis warranting an antibiotic prescription were included. Patients were stratified on the basis of the primary payer and available demographics, as well as on the basis of repeat visits to the ED.
resultsA higher proportion of Medicaid beneficiaries (280,410, 4.9%) had dental-related visits compared with the commercially insured (159,066, 1.3%). The most common diagnoses were similar for both groups and included caries. In both cohorts, the 18- through 34-year age group had the highest rate of dental-related ED visits. Within 7 days of a dental-related ED visit, 54.9% of Medicaid beneficiaries and 55.0% of commercially insured beneficiaries filled a prescription for an antibiotic and 39.6% of Medicaid patients and 42.0% of commercially insured patients filled an opioid prescription.
conclusionsAntibiotics and opioids are frequently prescribed during ED visits for dental conditions. Access to preventive and acute oral health care for routine dental symptoms, such as caries, may reduce unnecessary prescriptions in both the commercially insured and Medicaid beneficiary populations. PRACTICAL IMPLICATIONS: Treatment of dental conditions in the ED often indicates a lack of access to preventive or acute oral health care. Data-driven solutions, such as guideline implementation, could improve oral health access, reduce medication-related harms, and avert health care expenditures.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.