Evidence-based clinical practice guideline for the pharmacologic management of acute dental pain in adolescents, adults, and older adults: A report from the American Dental Association Science and Research Institute, the University of Pittsburgh, and the University of Pennsylvania – Alonso Carrasco-Labra DDS, MSc, PhD, Deborah E. Polk PhD, Olivia Urquhart MPH, more
When managing acute dental pain, there are several reasons to consider alternatives to opioids. First, evidence suggests that opioids may not be the best approach to managing what is often inflammation-related acute dental pain. Nonsteroidal anti-inflammatory drugs (NSAIDs) would target the source of the pain, whereas opioids would not. Relying on opioids to manage acute dental pain can have unintended negative consequences.
Conclusions
Nonopioid medications represent first-line therapy when managing acute dental pain consecutive to tooth extraction(s) (simple, surgical) and the temporary management of toothache. There is a beneficial net balance in favor of using nonopioid medications compared with prescribing opioid medications.
JADA: Dental Pain Management: Opioids, NSAIDs, and Other Options
Dr. Michael Glick, an editor of The Journal of the American Dental Association, talks with Dr. Paul A. Moore, professor of Pharmacology, Dental Anesthesiology, and Dental Public Health in the School of Dental Medicine at the University of Pittsburgh, about using opioids, NSAIDs and other pain management options in the dental office.
Local Anesthesia Part 2: Technical Considerations – Kenneth l Reed, Stanley F Malamed, Andrea M Fonner
In the present paper, we will discuss issues of importance to the safe and effective delivery of these drugs, including needle gauge, traditional and alternative injection techniques, and methods to make injections more comfortable for patients (eg, warming, buffering, novel delivery devices). In addition, we will look at the future of local anesthesia in dentistry.
Local Anesthesia Part 2: Technical Considerations – Kenneth l Reed, Stanley F Malamed, Andrea M Fonner
In the present paper, we will discuss issues of importance to the safe and effective delivery of these drugs, including needle gauge, traditional and alternative injection techniques, and methods to make injections more comfortable for patients (eg, warming, buffering, novel delivery devices). In addition, we will look at the future of local anesthesia in dentistry.