Photo: rgerber (Pixabay) A common rite of passage – with your wisdom teeth drawn – can increase the risk of…
Photo: rgerber (Pixabay)
A common rite of passage – with your wisdom teeth drawn – can increase the risk of adolescents and adolescents becoming addicted to opioids, suggests a new study on Monday in JAMA Internal Medicine. Young people who are prescribed opioids by their dentist, often for wisdom, are more likely to abuse opioids within one year than those who do not get prescribed dentopioids, found the study.
Last year, over 60,000 people died of opioid overdoses in the United States, the largest registered fee than. The sharp rise in death, which has since been largely caused by illegal opioids such as fentanyl, non-prescribed analgesics. While only a small proportion of people who prescribe opioids develop a harmful addiction, the risk of abuse increases, the more we are exposed to, which has enabled doctors and researchers to explore ways to safely cut back on opioid deprivation.
In view of this, Stanford University, researchers behind this study, decided how often opioids are used in dental offices, and if this use helps increase the increase in opioid addiction in adolescents.
They appeared in medical records of nearly 15,000 insured persons between the ages of 16 and 25 who had been prescribed by dentists of dentists in 2015. Because they wanted to study a possible connection between new dental opioid receptors and later abuse risk, they excluded them from the study persons such as received prescribed opioids or have been diagnosed with opioid abuse within the previous year. Then they compared that group of 15,000 patients to approximately 30,000 patients with similar demographics who did not receive any opioid prescriptions by 2015.
Before a year had passed, 5.8 percent of the 15,000 had been diagnosed with opioid abuse a doctor . Also of the 15,000, 6.9 percent were prescribed another set of opioids three months to one year after the original recipe. In comparison, only 0.4% of the control group had an opioid abuse related diagnosis.
“The results indicate that a large proportion of adolescents and young adults are exposed to opioids via dentists,” the authors wrote. 19659003] Wisdom teeth are the last set of adult teeth to grow in, usually in the ages of 17 to 26. Due to the limited space in the mouth, wisdom teeth can collide into the teeth in front of them as they grow and prevent them from being completely filled, one states called teeth simulation. And while the study does not address why people received opioids for dental care, extracts of these affected wisdom teeth are a common dental surgery for people of the exact age group and patients usually get strong analgesics like opioid post-surgery.
However, although these extractions are often considered a necessary procedure, there is reason to be skeptical of that thought, at least if your teeth do not hurt you. In 2016, a Cochrane review of literature was not sufficiently good evidence that extractions of affected wisdom teeth that did not cause any symptoms (such as chewing gum or pain) are worth it or that the surgery lowered the risk of other dental problems down the line like cavities in surrounding teeth or chewing gum infections. It also demanded more high quality evidence, such as randomized attempts, to solve the issue.
Although drawing of wisdom teeth proves to be the best draw, the authors of the new study say that their results should make dentists start reassessing their dependence on opioids as a first treatment for pain for young patients. Other studies have shown that non-opioid drugs such as acetaminophen or non-steroidal anti-inflammatory drugs (NSAIDs) may be more effective in the treatment of post-operative pain than opioids.
“This work gives rise to two really related but separate questions: Do we need opioids, and do we need the procedure?” Leader author Alan Schroeder, Clinical Professor of Pediatric Medicine in Stanford, said in a statement.
[JAMA Internal Medicine]