Welcome to the Dental and Oral Surgery Opioid Education Hub

Surgical procedures, including third molar extractions are common procedures in which opioid-naïve patients, especially adolescents, are first exposed to opioids. While dentists and oral surgeons strive to compassionately manage patients’ pain, they must do so responsibly to curtail long-term use and misuse, as well as minimize potential diversion from large amounts of leftover prescription opioids. This is especially important among adolescents who are at heightened risk of future opioid misuse. Many oral and maxillofacial surgery training programs are revising their acute postoperative prescribing protocols to decrease the number of opioids prescribed and promote use of non-opioid alternatives for pain management. Education for providers is essential to changing pain management protocols and mitigating risk of opioid misuse. Education, coupled with open communication with patients to set appropriate expectations and treatment goals, presents an opportunity to optimize clinical outcomes and improve patient satisfaction.

Putting Pressure on Opioid Prescribing: Novel Approaches to Pain Management

Live Webcast: Wednesday, June 5, 2019 | 12:00 PM – 1:30 PM ET

Opioids continue to impact all corners of the United States and its communities, a burden that continues to grow at a rapid pace. The current opioid crisis is incredibly challenging for both patients and health care providers (HCPs). There has been a 30% increase in overdoses among men and a 24% increase among women, with all ages affected. While changing these current trends is important, it cannot be accomplished by policy changes alone. There is no one size fits all model for communities to address this crisis.

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Shifting Perspectives on Pain Management in Oral Surgery

In a survey of 1,015,116 opioid naïve patients undergoing surgery, total duration of opioid use was the strongest predictor of misuse and the greatest risk for individuals in the 15-24 age group. Young people aged 15-24 often get their first exposure to opioids with dental surgery. In a survey of randomly selected oral surgeons conducted by Dr. Abubaker and colleagues, the average number of opioid tablets prescribed was 20, with 22% prescribing more than 20 tablets, and 11% prescribing more than 30 tablets. These risk factors, combined with the current epidemic, has led many oral surgeons to believe that the old standards of depending on opioids as a first-line treatment should be a thing of the past. In this free CME Snack, Dr. Gold and Dr. Abubaker share insights on alternative pain management strategies for oral pain with a focus on finding a balance between compassion for patient care and patient safety.

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It Starts with a Signal: Understanding Pain, Addiction, and Treatment

The number of opioid related deaths in the US is on the rise and health care providers often struggle finding a balance between prescribing guidelines and the individual needs of patients with acute and/or chronic pain. Meeting the needs of patients begins with an understanding of the mechanisms of pain and addiction. In this 4-part activity certified for dental credit, faculty explain the connection between pain mechanisms and treatment decisions, and the importance of understanding the role of gender in pain and addiction.

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A Change of Plans: Adjusting Treatment and Prescribing Methods to Address the Opioid Epidemic

Shifts in approaches to acute and chronic pain management that integrate biopsychosocial strategies and non-opioid medications require education for all stakeholders—clinicians and patients—to achieve success. This 3-part series about responsible prescribing for pain management will arm you with best practice strategies to implement in practice today.

 

 

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Schroeder AR, Dehghan M, Newman TB, Bentley JP, Park KT. Association of opioid prescriptions from dental clinicians for US adolescents and adults with subsequent opioid use and abuse. JAMA Intern Med. 2019;179(2):145-152. Read it here

 

Tompach PC, Wagner CL, Sunstrum B, Nadeau RA, Tu HK. Investigation of an opioid prescriber protocol after third molar extraction procedures. J Oral Maxillofac Surg. 2019;77:705-714. Read it here

 

Mutlu I, Abubaker AO, Laskin DM. Narcotic prescribing habits and other methods of pain control by oral maxillofacial surgeons after impacted third molar removal. J Oral Maxillofac Surg 2013;71(():1500-1503. Read it here

 

Al-Khteeb TH, Alnahar A. Pain Experience After Simple Tooth Extraction. J Oral Maxillofac Surg. 2008;66(5):911-917. Read it here

 

Overton HN, Hanna MN, Bruhn WE, et al. Opioid-prescribing guidelines for common surgical procedures: an expert panel consensus. J Am Coll Surg. 2018;227(4):411-418. Read it here

From Analytics to Understanding: A Look Into Our 3D Pain Animation’s Debut at CME Outfitters’ Opioid Epidemic Premiere Symposium

Family medicine providers are uniquely qualified to lead the charge for precise and responsible prescribing for acute and chronic pain. Family medicine is at the forefront of managing chronic illness, handling comorbidities, and coordinating care for their patients. A recent live meeting held at the Pennsylvania Academy of Family Physicians (PAFP) used an animated 3-D model that learners were able to move, rotate, and zoom as they explored acute and chronic pain pathways.

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Brainstorming Opioid Addiction through Merged Perspectives: Learnings from Roundtable Discussions

According to the National Institute on Drug Abuse, 115 people die each day in the United States due to an opioid overdose. To better understand the nation’s current epidemic, CME Outfitters recently brought together the perspectives of those most impacted by opioids in hopes of creating more effective strategies to avoid addiction in the coming years. These roundtable discussions, hosted by CME Outfitters, first pulled the experiences of both patients and their loved ones who have been affected by opioid dependency. Read more about the the four key takeaways that we learned.

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