FRIDAY, March 13, 2020 (HealthDay News) — Opioids are not any higher than different meds at quelling the ache of a pulled tooth, a brand new examine finds, suggesting it could be potential to considerably scale back their use in dentistry.
University of Michigan researchers requested greater than 325 individuals who had enamel pulled to charge their ache and satisfaction inside six months of their extraction.
About half of those that had surgical extraction and 39% of those that had routine extraction had been prescribed opioids, in line with the examine.
“Patient satisfaction with ache administration was no totally different between the opioid group and non-opioid group, and it did not make a distinction whether or not it was surgical or routine extraction,” examine co-author Dr. Romesh Nalliah mentioned in a college information launch. He is affiliate dean for affected person companies at Michigan’s School of Dentistry.
In truth, his group was stunned to seek out that sufferers who received opioids reported worse ache than these given non-opioid painkillers for each sorts of extractions.
The examine additionally discovered that about half of the opioids prescribed went unused.
If leftovers aren’t disposed of correctly, sufferers or individuals round them might be liable to future opioid misuse, the researchers famous.
“The real-world information from this examine reinforces the beforehand printed randomized-controlled trials displaying opioids are not any higher than acetaminophen and nonsteroidal anti-inflammatory medication for ache after dental extraction,” mentioned examine co-author Dr. Chad Brummett. He’s director of the Division of Pain Research at Michigan Medicine.
The authors mentioned their findings counsel that main modifications are wanted in dental prescribing practices in gentle of the present opioid disaster within the United States.
The American Dental Association suggests limiting opioid prescriptions to seven days’ provide, however Nalliah thinks that is an excessive amount of.
“I feel we are able to nearly eradicate opioid prescribing from dental apply,” he mentioned. “Of course, there are going to be some exceptions, like sufferers who cannot tolerate nonsteroidal anti-inflammatories. I might estimate we are able to scale back opioid prescribing to about 10% of what we at present prescribe as a career.”
The examine was printed March 13 within the journal JAMA Network Open.
— Robert Preidt
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SOURCE: University of Michigan, information launch, March 13, 2020