Evidence map›Paper›PMID 40658221›Full record

ArticleClinical oral investigations2025

Dental recommendation and prescribing patterns for systemic analgesics - a cross-sectional study.

Diana Heimes, Nina Viktoria Holz, Andreas Pabst, Philipp Becker, Anke Hollinderbäumer, Anita Kloss-Brandstätter, Daniel Müller-Winter, Daniel Stephan, Peer W Kämmerer

Abstract read
In one paragraph

Article in Clinical oral investigations, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Diana HeimesDepartment of Oral and Maxillofacial Surgery, University Medical Center Mainz, Augustusplatz 2, Mainz, 55131, Germany. diana.heimes@unimedizin-mainz.de.
Nina Viktoria HolzDepartment of Oral and Maxillofacial Surgery, University Medical Center Mainz, Augustusplatz 2, Mainz, 55131, Germany.
Andreas PabstDepartment of Oral and Maxillofacial Surgery, Federal Armed Forces Hospital, Rübenacherstraße 170, Koblenz, 56072, Germany.
Philipp BeckerDepartment of Oral and Maxillofacial Surgery, Federal Armed Forces Hospital, Rübenacherstraße 170, Koblenz, 56072, Germany.
Anke HollinderbäumerDepartment of Oral and Maxillofacial Surgery, University Medical Center Mainz, Augustusplatz 2, Mainz, 55131, Germany.
Anita Kloss-BrandstätterDepartment of Engineering & IT, Carinthia University of Applied Sciences, Europastraße 4, Villach, 9524, Austria.
Daniel Müller-WinterDepartment of Oral and Maxillofacial Surgery, University Medical Center Mainz, Augustusplatz 2, Mainz, 55131, Germany.
Daniel StephanDepartment of Oral and Maxillofacial Surgery, University Medical Center Mainz, Augustusplatz 2, Mainz, 55131, Germany.
Peer W KämmererDepartment of Oral and Maxillofacial Surgery, University Medical Center Mainz, Augustusplatz 2, Mainz, 55131, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivePain management is a significant challenge in dental care, making analgesics the most commonly prescribed drugs by dentists. Since many analgesics are available over the counter, data on their use in dental practice is imprecise. This study aimed to gather information on the prescription and recommendation patterns for systemic analgesics among dental practitioners. MATERIALS AND

methodsA total of 1,746 dentists were contacted via email and letter and invited to participate in an online survey. The survey covered four sections: personal data, acute and chronic pain management, preemptive analgesia, and managing at-risk patients.

results232 dentists participated in the survey. Ibuprofen, typically at 600 mg, was the most commonly recommended analgesic for both acute and chronic pain. For acute pain, analgesics were prescribed for 1-3 days on average. Two-thirds of respondents did not use preemptive analgesia, and of those who did, 96.56% recommended ibuprofen. Notably, in 22.16% of cases, contraindicated analgesics were recommended for patients with renal, liver, or cardiovascular conditions.

conclusionsThe analgesics recommended by dentists are limited in variety and often do not align with specific clinical indications. Nonsteroidal anti-inflammatory drugs, especially ibuprofen, are commonly used long-term, despite conflicting recommendations. A significant number of dentists prescribed contraindicated medications to at-risk patients. Only one-third utilized preemptive analgesia, underscoring the need for improved education and greater use of this approach in dental practice. CLINICAL RELEVANCE: There is a clear need for enhanced training on analgesic use and preemptive analgesia to improve patient safety, particularly for those with risk factors.

Indexed as

AnalgesicsDrug PrescriptionsPain ManagementPractice Patterns, Dentists'Cross-Sectional StudiesFemaleHumansIbuprofenMaleSurveys and QuestionnairesAnalgesicsIbuprofenAnalgesiaDental painDentistPain managementPreemptive analgesiaTooth extraction

Identifiers

PMID40658221
PMCPMC12259747

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Registered trials

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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.