ArticleJournal of the American Dental Association (1939)2021
Opioid prescribing patterns by dental procedure among US publicly and privately insured patients, 2013 through 2018.
Article in Journal of the American Dental Association (1939), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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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
19 citing papers in PubMed, 34 citations in OpenAlex.
- The Opioid Analgesic Reduction Study (OARS) Pilot: A Double-Blind Randomized Multicenter Trial.JDR clinical and translational research · 2024Trial
- Evaluating the Impact of an mHealth Platform for Managing Acute Postoperative Dental Pain: Randomized Controlled Trial.JMIR mHealth and uHealth · 2023Trial
- International Trends in Dental Opioid Prescriptions.JAMA network open · 2026Article
- Article
- Effect of dexmedetomidine on stress and inflammatory responses in patients with nasotracheal intubation after oral and maxillofacial surgery.American journal of translational research · 2025Article
- Association Between Cost-Sharing and Buprenorphine Prescription Abandonment.Journal of general internal medicine · 2024Article
- Alternatives to dental opioid prescribing after tooth extraction (ADOPT): protocol for a stepped wedge cluster randomized trial.BMC oral health · 2024Article
- Rural-urban differences in dental opioid prescribing among adolescent/young adult and adult Medicaid beneficiaries.Frontiers in public health · 2024Article
- 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
- Safety and Distribution of Opioid Prescribing by U.S. Surgeons.Annals of surgery · 2023Article
- Association Between State Opioid Prescribing Limits and Duration of Opioid Prescriptions From Dentists.JAMA network open · 2023Article
- Article
- Launching an innovative educational model addressing substance use disorders and dental pain management (Project ECHO® in dentistry).BMC oral health · 2022Article
- Article
- Trends in Opioid Prescribing by General Dentists and Dental Specialists in the U.S., 2012-2019.American journal of preventive medicine · 2022Article
- Estimation of the Prevalence of Delayed Dispensing Among Opioid Prescriptions From US Surgeons and Dentists.JAMA network open · 2022Article
- Distribution of Opioid Prescribing and High-Risk Prescribing Among U.S. Dentists in 2019.American journal of preventive medicine · 2022Article
- Traditional Cigarette and Poly-Tobacco Use Are Associated with Medical Opioid Use in Rural Areas of the US.International journal of environmental research and public health · 2021Article
- Opioid Prescribing to US Children and Young Adults in 2019.Pediatrics · 2021Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
backgroundIt is unknown which procedures account for the most US dental opioid prescriptions. Moreover, few national studies have assessed opioid prescribing patterns for these procedures. These knowledge gaps impede the optimal targeting of dental opioid stewardship initiatives.
methodsThe authors analyzed claims data from the 2013 through 2018 IBM MarketScan Dental, Commercial, and Medicaid Multi-State Databases. Patients aged 13 through 64 years undergoing 1 of 120 procedures were identified. "Initial prescriptions" were opioid prescriptions dispensed on the date of procedures to 3 days afterward. For the procedures accounting for the 5 highest proportions of initial prescriptions, the authors fitted linear regression models assessing trends in the probability of 1 or more initial prescriptions and mean total morphine milligram equivalents prescribed-a standardized measure of opioid amount. Regressions were adjusted for demographic characteristics and comorbidities.
resultsThe 9,482,976 procedures in the sample were associated with 2,721,688 initial prescriptions. Of these prescriptions, 5 procedures accounted for 95.2%: tooth extraction (65.2%), problem-focused limited oral evaluation (17.2%), endodontic therapy (8.4%), alveoloplasty (2.9%), and surgical implant services (1.5%). Among the 5 procedures, the median adjusted annual change in the probability of 1 or more initial prescriptions was -1.3 percentage points. The median adjusted annual change in mean total morphine milligram equivalents was -4.5 (roughly 1 pill containing 5 mg of hydrocodone). In 2018, 45.3% of tooth extractions resulted in 1 or more initial prescriptions.
conclusionsFive procedures accounted for 95.2% of dental opioid prescriptions, and tooth extraction accounted for almost two-thirds of those. Opioid prescribing for tooth extractions is declining but remains common, despite the availability of equally effective nonopioid alternatives. PRACTICAL IMPLICATIONS: Eliminating routine opioid prescribing for tooth extraction could reduce dental opioid exposure substantially.
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