Pain management after dental extractions – non-opioid combination analgesics minimize opioid use for acute dental pain

Huang, Qirong; Rasubala, Linda; Gracely, Richard H.; Khan, Junad; Eliav, Eli; Ren, Yan-Fang

doi:10.1101/2022.05.12.22274900

Cited by 2 publications

References 56 publications

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Evaluating the Impact of an mHealth Platform for Managing Acute Postoperative Dental Pain: Randomized Controlled Trial

Tokede,

Yansane,

Ibarra-Noriega

et al. 2023

JMIR Mhealth Uhealth

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Background Postoperative dental pain is pervasive and can affect a patient’s quality of life. Adopting a patient-centric approach to pain management involves having contemporaneous information about the patient’s experience of pain and using it to personalize care. Objective In this study, we evaluated the use of a mobile health (mHealth) platform to collect pain-related patient-reported outcomes over 7 days after the patients underwent pain-inducing dental procedures; we then relayed the information to the dentist and determined its impact on the patient’s pain experience. Methods The study used a cluster-randomized experimental study design with an intervention arm where patients were prompted to complete a series of questions relating to their pain experience after receiving automated text notifications on their smartphone on days 1, 3, 5, and 7, with the resulting information fed back to dentists, and a control arm where patients received usual care. Providers were randomized, and patients subsequently assumed the enrollment status of their providers. Providers or their staff identified eligible patients and invited them to participate in the study. Provider interviews and surveys were conducted to evaluate acceptance of the mHealth platform. Results A total of 42 providers and 1525 patients participated. For the primary outcome (pain intensity on a 1 to 10 scale, with 10 being the most painful), intervention group patients reported an average pain intensity of 4.8 (SD 2.6), while those in the control group reported an average pain intensity of 4.7 (SD 2.8). These differences were not significant. There were also no significant differences in secondary outcomes, including pain interference with activity or sleep, patient satisfaction with pain management, or opioid prescribing. Patient surveys revealed reluctance to use the app was mostly due to technological challenges, data privacy concerns, and a preference for phone calls over texting. Providers had high satisfaction with the app and suggested integrating additional features, such as an in-system camera for patients to upload pictures and videos of the procedural site, and integration with the electronic health record system. Conclusions While the mHealth platform did not have a significant impact on acute postoperative pain experience, patients and providers indicated improvement in patient-provider communication, patient-provider relationship, postoperative complication management, and ability to manage pain medication prescribing. Expanded collaboration between mHealth developers and frontline health care providers can facilitate the applicability of these platforms, further help improve its integration with the normal clinic workflow, and assist in moving toward a more patient-centric approach to pain management.

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Evaluating the Impact of an mHealth Platform for Managing Acute Postoperative Dental Pain: Randomized Controlled Trial

Tokede,

Yansane,

Ibarra-Noriega

et al. 2023

JMIR Mhealth Uhealth

View full text Add to dashboard Cite

show abstract

Evaluating the Impact of an mHealth Platform for Managing Acute Post-Operative Dental Pain: A Randomized Controlled Trial (Preprint)

Tokede,

Yansane,

Ibarra-Noriega

et al. 2023

Preprint

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UNSTRUCTURED Background Post-operative dental pain is pervasive and can significantly affect a patient's quality of life. Adopting a patient-centric approach to pain management involves having contemporaneous information about the patient's experience of pain, and using it to personalize care. In this study, we evaluated the use of an mHealth platform to collect pain-related patient reported outcomes (PROs) over 7-days after pain-inducing dental procedures, relayed the information to the dentist, and determined its impact on the patient pain experience. Methods The study employed a cluster-randomized experimental study design with: (1) an intervention arm where patients were prompted to complete a series of questions relating to their pain experience after text notifications on their smartphone on Days 1, 3, 5 and 7, with the resulting information fed back to dentists; and (2) a control arm where patients received usual care. Provider interviews and surveys were conducted to evaluate acceptance of the mHealth platform. Results A total of 42 providers and 1,525 patients participated. No significant difference was detected on the primary outcome of pain intensity experienced by patients in the control vs intervention arms. There were also no significant differences in secondary outcomes including pain interference, patient satisfaction, or opioid prescribing. Provider acceptance of use of the mHealth application was high. Conclusion While the mHealth platform did not have a significant impact on acute postoperative pain experience, patients and providers indicated improvement in patient-provider communication, patient-provider relationship, post-operative complication management, and ability to manage pain medication prescribing. Expanded collaboration between mHealth developers and frontline healthcare providers can facilitate the applicability of these platforms, further help improve its integration with normal clinic workflow, and assist in moving towards a more patient-centric approach to pain management.

show abstract

Pain management after dental extractions – non-opioid combination analgesics minimize opioid use for acute dental pain

Cited by 2 publications

References 56 publications

Evaluating the Impact of an mHealth Platform for Managing Acute Postoperative Dental Pain: Randomized Controlled Trial

Evaluating the Impact of an mHealth Platform for Managing Acute Postoperative Dental Pain: Randomized Controlled Trial

Evaluating the Impact of an mHealth Platform for Managing Acute Post-Operative Dental Pain: A Randomized Controlled Trial (Preprint)

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