ArticleAmerican journal of preventive medicine2020
Overprescribing of Opioids to Adults by Dentists in the U.S., 2011-2015.
Article in American journal of preventive medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 2 of them syntheses 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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
32 citing papers in PubMed, 2 syntheses or guidelines pooled it, 53 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
- Acute Postoperative Pain Due to Dental Extraction in the Adult Population: A Systematic Review and Network Meta-analysis.Journal of dental research · 2023Pooled it
- The Opioid Analgesic Reduction Study (OARS) Pilot: A Double-Blind Randomized Multicenter Trial.JDR clinical and translational research · 2024Trial
- De-Implementing Opioids for Dental Extractions (DIODE): a multi-clinic, cluster-randomized trial of clinical decision support strategies in dentistry.Implementation science : IS · 2023Trial
- Postoperative pain after dental procedures: The National Dental Practice-Based Research Network observational study using a mobile health platform.Journal of the American Dental Association (1939) · 2026Observational
- Trends of Dispensed Opioids Prescribed by Australian Dentists: 2013-2022.Community dentistry and oral epidemiology · 2026Article
- High-risk medications in pediatric dentistry: Patterns, outcomes, and clinical implications.Journal of the American Dental Association (1939) · 2025Article
- Multi-institutional retrospective study on opioid prescribing patterns of oral and maxillofacial surgeons.Journal of the American Dental Association (1939) · 2025Article
- Trajectories of opioid prescribing by general dentists, specialists, and oral and maxillofacial surgeons in the United States, 2015-2019.Journal of the American Dental Association (1939) · 2024Article
- Article
- Barriers to and facilitators of opioid prescribing by dentists in the United States: A qualitative study.Journal of the American Dental Association (1939) · 2022Article
- Launching an innovative educational model addressing substance use disorders and dental pain management (Project ECHO® in dentistry).BMC oral health · 2022Article
- High prescribing of antibiotics is associated with high prescribing of opioids in medical and dental providers.Pharmacotherapy · 2022Article
- Opioid Prescribing by Dentists in the Veterans Health Administration.American journal of preventive medicine · 2022Article
- Opioid prescribing by oral and maxillofacial surgeons in the United States, 2016-2019.Journal of public health dentistry · 2022Article
- Trends in Opioid Prescribing by General Dentists and Dental Specialists in the U.S., 2012-2019.American journal of preventive medicine · 2022Article
- Changes in Prescribing by Provider Type Following a State Prescription Opioid Restriction Law.Journal of general internal medicine · 2022Article
- Distribution of Opioid Prescribing and High-Risk Prescribing Among U.S. Dentists in 2019.American journal of preventive medicine · 2022Article
- Responding to the opioid crisis in North America and beyond: recommendations of the Stanford-Lancet Commission.Lancet (London, England) · 2022Review
- Outpatient Prescribing of Antibiotics and Opioids by Veterans Health Administration Providers, 2015-2017.American journal of preventive medicine · 2021Article
Corrections and comments
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Authors and funding
8 authors at 4 institutions in 1 country.
Funding
Abstract
introductionDentists prescribe 1 in 10 opioid prescriptions in the U.S. When opioids are necessary, national guidelines recommend the prescription of low-dose opioids for a short duration. This study assesses the appropriate prescribing of opioids by dentists before guideline implementation.
methodsThe authors performed a cross-sectional analysis of a population-based sample of 542,958 U.S. commercial dental patient visits between 2011 and 2015 within the Truven Health MarketScan Research Databases (data analysis October 2018‒April 2019). Patients with recent hospitalization, active cancer treatment, or chronic pain conditions were excluded. Prescription opioids were ascertained using pharmacy claims data with standardized morphine equivalents and recorded days' supply. Appropriate prescribing was determined from the 2016 Centers for Disease Control and Prevention guidelines for pain management based on a recommended 3 days' supply of opioid medication and anticipated post-procedural pain.
resultsTwenty-nine percent of prescribed opioids exceeded the recommended morphine equivalents for appropriate management of acute pain. Approximately half (53%) exceeded the recommended days' supply. Patients aged 18-34 years, men, patients residing in the Southern U.S., and those receiving oxycodone were most likely to have opioids prescribed inappropriately. The proportion of opioids that exceed the recommended morphine equivalents increased over the study period, whereas opioids exceeding the recommended days' supply remained unchanged.
conclusionsBetween 1 in 4 and 1 in 2 opioids prescribed to adult dental patients are overprescribed. Judicious opioid-prescribing interventions should be tailored to oral health conditions and dentists.
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What OpenQuestion holds
Registered trials
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.