Excessive Opioid Use and Wisdom Teeth Removal

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Roughly 5 million Americans have their wisdom teeth removed annually. After these extractions most patients are prescribed opioids to help ease the pain. Studies have shown that young adults are more likely to refill these prescriptions after pain should have subsided from the extractions. If patients filled the first prescription they were more likely to get multiple refills later when compared to patients who did not fill the first prescription. Hydrocodone was the highest prescribed opioid with oxycodone as a close second.

Some dentists feel as though prescribing opioids after wisdom tooth extraction is excessive and unnecessary. Instead they think prescribing NSAIDs such as ibuprofen are just as effective if not better at relieving pain. Other ways to relieve extraction pain are using an ice pack in the affected area or rinsing with warm salt water for several minutes. The ice pack helps numb the area thus reducing pain, and warm salt water aids in reducing bacteria in the mouth which can cause pain.

 

http://www.clarecountyreview.com/columns/contributed/new-research-unveils-link-between-wisdom-teeth-removal-and-long-term-opioid-use/

https://www.safetyandhealthmagazine.com/articles/17563-opioid-prescriptions-for-wisdom-tooth-pain-puts-young-adults-at-risk-for-long-term-use-study-shows

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VA Adding Opioid Antidote To Defibrillator Cabinets For Quicker Overdose Response

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“Now the Veterans Administration, building on a project started in Boston, is moving to add naloxone kits to the AED cabinets in its buildings across the country, an initiative that could become a model for other healthcare organizations.”

“Vets have nearly twice the risk of overdose, compared with civilians, says Amy Bohnert, an investigator with the VA Ann Arbor Healthcare System, citing 2005 death data. She says it isn’t clear why veterans are more likely to OD, but many do have complex medical conditions.”

This would be a major step in intervention of an acute overdose in a high-risk community. This would save EMS to patient time and increase the positive outcomes in veterans who overdose.

https://www.npr.org/sections/health-shots/2018/09/27/650639122/va-adding-opioid-antidote-to-defibrillator-cabinets-for-quicker-overdose-respons