For older teens and young adults, the recovery of wisdom teeth is a painful passage for passage. A new study…
For older teens and young adults, the recovery of wisdom teeth is a painful passage for passage. A new study suggests that it has probably become more dangerous with the narcotic analgesic pills that patients often carry home after the common surgical procedure.
The study provides new evidence of how easily and innocently a potentially fatal dependence of opioids can take. It also shows how important it is for dentists to rethink their way of treating patients’ postoperative discomfort.
In a group of approximately 15,000 people whose first prescription for opioid analgesics came from a dentist or dentist, researchers found that approximately 7 percent filled another opioid recipe 90 to 365 days later.
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And the year after their dentists, nearly 6 percent of patients who left the dentists’ contours, opioid recipes, had a “healthcare call” ̵
1; a hospital stay or a trip to the emergency room, a doctor’s office or a session with an addict – where a diagnosis of opioid abuse was documented.
It is more than 10 times the rate at which a comparison group of patients who did not receive prescription for opioid analgesics got that diagnosis. Patients in both groups were 16-25 years old and all were treated by dentists in 2015. Researchers could then track patients for at least one year.
Compared to study boys and young men, girls and young women, they were more likely to continue using narcotic analgesics after getting their wisdom teeth out and they were much more likely to abuse drugs.
The typical recipe that was capable of putting such disaster in motion was a pack of about 20 pills of an opioid drug such as OxyContin, Vicodin or Percocet.
Published this week in Journal JAMA Internal Medicine, research as opioid drugs will kill 115 Americans per day. Although deaths are also caused by street drugs such as heroin and increasingly synthetic opioids such as fentanyl, as many as 80 percent of those who depend on heroin say they began to abuse drugs prescribed for legitimate purposes.
It has, in turn, been aware of the medical practice of the medical profession and its role in the public health crisis. By 2016, as the epidemic of overdose deaths continued its steep rise, they prescribed adequate pain relievers in medical and dental care for every American daily for almost a month.
Although many of the pills are prescribed for dealing with anxiety of patients with uterine pain, doctors and dentists still prescribe opioids in patients whose pain could be treated more safely and equally effectively with non-narcotic drugs.
The new study also poses contradictory wisdom to routinely extract wisdom teeth, which tends to push most of the gums in late adulthood or early adulthood, often penetrating other teeth or affected.
Study writer Alan R. Schroeder, a pediatrician from Stanford University with an interest in “safely doing less,” said the benefits of visual tooth extraction have not been carefully studied or shown.
To study the risk of opioid addiction or abuse seemed at least a good place to start, he said.
The surgical removal of wisdom teeth has such potential disadvantages as dry socks, gum disease and nerve damage and risks associated with anesthesia used during these procedures.
And then there are the drugs. Dental surgeons have been among the most liberal prescribers of opioid analgesics, and they are also heavy prescribers of antibiotics. These medications may come with side effects, and prescription is believed to promote the occurrence of antibiotic-resistant infections.
Schroeder said that the lack of research on wisdom extraction makes its frequency difficult to assess. And, in turn, Schroeder and his co-author forced to take an assumption in his study.
Dental insurance databases are scarce and many wisdom extractions are paid for trades. However, given the age of most of the patients who left a dentist with an opioid recipe, Schroeder and his co-authors found that the most likely cause was wisdom-dental surgery (a third molar extraction in dentists). The authors’ conclusion that opiate abuse is a potential risk of misleading reliance on this assumption.
But when considering how many young people who have their wisdom teeth gone and how routinely dentists send their patients home with prescription for narcotic pain relief, the consequences are quite alarming.
An unpublished 1999 study by American Dental Assn. and quoted by the authors, it is estimated that there are about 5 million such extractions per year. By 2009, another study concluded that dentists were the leading source of opioid prescriptions for children and adolescents between the ages of 10-19, which accounted for almost one third of the opioid recipes in this age group.
The American Dentist Association promised that its members will reduce its opioid deprivation. Association President Joseph P. Crowley called on dentists to “double their efforts” to write fewer recipes for opioids to treat dental problems, to lower the doses prescribed and shorten the duration of prescriptions – all measures that are known to reduce drug abuse. The federation has also encountered state legislation to limit the dose and duration of opioid prescription and track the medical practices of medical staff.
“The dentist deserves credit to try to address this,” Schroeder said. “It’s easy to point your finger on dentists – over time they’ve contributed a lot of opioid exposure. But they’ve really made efforts to limit it in recent years.”
© 2018 Los Angeles Times