A national study on the use of opioid analgesics in dentistry

Lino, Patrícia; Sohn, Woosung; Singhal, Astha; Martins, Maria Auxiliadora Parreiras; Silva, Maria Elisa de Souza e; Abreu, Mauro Henrique Nogueira Guimarães de

doi:10.1590/1807-3107bor-2019.vol33.0076

Cited by 8 publications

(10 citation statements)

References 30 publications

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“…These different findings may be explained by the characteristics and comprehensiveness of public health care systems in both countries, kinds of medicines subsidized by governments (either free of charge or under copayment) and the variety of chemical substances included in each country's list of essential medicines, and national prescribing guidelines and oral health conditions in Brazil. In a previous study, 11 DDD of opioids per 1,000 inhab. per year in the state of Minas Gerais was higher than our findings.…”

Section: Discussionmentioning

confidence: 86%

“…This discrepancy is related to methodological differences. While in this study we focused on medicines dispensed in BNHS facilities, Lino et al 11 assessed medicines dispensed in private drugstores. Opioids are strong analgesics but have significant side effects, thus they should be reserved to manage severe pain only.…”

Section: Discussionmentioning

confidence: 99%

“…9 Some studies reported that poverty, imbalanced income distribution, and health service' characteristics could be associated with health services access and the use of pain relievers. 10,11 The interest in pharmacoepidemiology studies is growing lately. 6 However, most of the studies in this field were conducted in developed countries.…”

Section: Introductionmentioning

confidence: 99%

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Prescriptions of analgesics and anti-inflammatory drugs in municipalities from a Brazilian Southeast state

et al. 2021

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The objective of this study was to describe dental prescriptions of non-steroidal anti-inflammatory drugs (NSAID), opioids, and analgesics dispensed by the Brazilian National Health System (BNHS, SUS in Portuguese) of a Southeastern state from January to December 2017, and to analyze their association with socioeconomic and oral health care services' characteristics at municipal level. Data were collected from the Brazilian Integrated Pharmaceutical Care Management System. Medicines were grouped according to the Anatomical Therapeutic Chemical Classification System. The total number of Defined Daily Doses (DDD) and DDD per 1,000 inhabitants (inhab.) per year were presented and compared between groups of municipalities. Data analysis used the Classification and Regression Tree model performed with IBM SPSS 25.0. The total number of NSAID, opioids, and analgesics prescriptions was 70,747 and accounted for 354,221.13 DDD. The most frequently prescribed medicine was ibuprofen (n = 24,676; 34.88%). The number of dental practitioners in the BNHS per 1,000 inhab. (p < 0.001), first dental appointment coverage (p = 0.010), oral health teams per 1,000 inhab. (p=0.022), and the proportion of rural population (p = 0.014) were variables positively associated with the number of DDD of NSAID per 1,000 inhab. per year. Bolsa Família program coverage per 1,000 inhab. (p = 0.022) was negatively associated with NSAID prescription. Regarding analgesics, first dental appointment coverage (p=0.002) and Bolsa Família program coverage per 1,000 inhab. (p = 0.012) were positively associated with DDD per 1,000 inhab. per year. In conclusion, dental prescriptions of analgesics and NSAID in the BNHS were associated with socioeconomic and oral health care services' characteristics.

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Section: Discussionmentioning

confidence: 86%

Section: Discussionmentioning

confidence: 99%

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Prescriptions of analgesics and anti-inflammatory drugs in municipalities from a Brazilian Southeast state

et al. 2021

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“…Chi square test; p value:0.045 <0.05; Statistically significant (Figure 16). A study conducted by lino et al shows that the most commonly used opioid was codeine in combination with paracetamol and one in 1000 patients were prescribed opioids which were positively associated with dentists and inversely associated with socio economic status of the patients (Lino et al, 2019). The prescription of opioid analgesics was 50.3% for NTDC and 14.8% for non-NTDC visits.…”

Section: Resultsmentioning

confidence: 99%

Knowledge, Awareness and Practice of Opioid Analgesics in Dental Management Among Undergraduates- A Questionnaire Based Study

2021

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Opioid analgesics are prescribed by dentists either as an adjunct or as a definitive treatment for pain management and also for some common dental diseases in which they can relieve pain when used appropriately. Nonsteroidal antiinflammatory drugs (NSAIDs) are the preferred analgesic agent by the majority of dentists when compared with opioid analgesics, because they inhibit inflammatory reactions in addition to providing analgesia. The appropriate and inappropriate use of opioid analgesics can lead to serious adverse drug events and these drugs have the potential to be misused and abused including overdose. The study was conducted among the dental undergraduates. Data collection was done by the use of online questionnaire forms that had 13 questions regarding the use of opioid analgesics in dental management. Google form was used for data collection from the surveyors.Statistical test was run using chisquare test with statistical analysis software SPSS version 23 by IBM. From the results of the study we can observe that 57% of the participants do not prescribe opioid analgesics to their patients. 62% of the participants have known that opioids can be used as a medication to relieve pain after a dental treatment. 65% of the participants consider tramadol hydrochloride to be the safest drug, 19% consider hydrocodone as the safest drug and 16% consider codeine as the safest drug among all the opioids and the results were statistically not significant. Higher interest was observed among the interns(34%) to prescribe opioids to their patients post dental treatment and the results were statistically significant. Thus it can be concluded that opioids when used in appropriate doses in the supervision of the dentist can reduce the side effects and produce excellent analgesic effect in dental management.

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“…Opioid use has risen in dental practice over the last few decades. Nonetheless, when drug treatment is required, opioid analgesics are not typically the irst option, but should be seen as an alternative in particular cases (Lino et al, 2019). Those involve cases where acetaminophen or a nonsteroidal anti-in lammatory drug (NSAID) is contraindicated.…”

Section: Opioid Analgesics In Dentistrymentioning

confidence: 99%

Knowledge among Dentists about the usage of Opioid analgesics in Dental Practice

Ahamed¹,

Subhashree²,

Ganapathy³

2020

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The treatment of pain is very common in dental practice. Analgesics is the safest way to relieve pain. Conventional analgesics are known as opioids and nonopioids, although the old words "narcotics" and "non-narcotics" continue to be used interchangeably. Dependence and resistance are well recognized characteristics of daily use of opioid analgesics, but this does not automatically hinder use in palliative care.The dentist should have a clear knowledge in prescribing opioid drugs to the patients. To assess dentists regarding knowledge, attitude and opinion on prescribing opioid analgesics in dental practice. A close ended questionnaire comprising of 10 questions regarding knowledge, precautionary measure, indication, guidelines in prescribing opioid analgesics in dental practice will be distributed to 100 dental practitioners. Data was tabulated and analysed by computing the percentage response for each question. Majority of the practitioners (83%) were aware and some of them (17%) were unaware regarding the usage of opioid analgesics in dental practice. Most of the respondents in this study knew the background of opioid drugs, indication, contraindication and their usage in dental practice. However, dentists should be cautious in prescribing any form of drugs to the patient.

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A national study on the use of opioid analgesics in dentistry

Cited by 8 publications

References 30 publications

Prescriptions of analgesics and anti-inflammatory drugs in municipalities from a Brazilian Southeast state

Prescriptions of analgesics and anti-inflammatory drugs in municipalities from a Brazilian Southeast state

Knowledge, Awareness and Practice of Opioid Analgesics in Dental Management Among Undergraduates- A Questionnaire Based Study

Knowledge among Dentists about the usage of Opioid analgesics in Dental Practice

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