{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T00:50:42Z","timestamp":1747183842351,"version":"3.40.5"},"reference-count":13,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2023,2,8]],"date-time":"2023-02-08T00:00:00Z","timestamp":1675814400000},"content-version":"vor","delay-in-days":7,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000072","name":"National Institute of Dental and Craniofacial Research","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000072","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Comm Dent Oral Epid"],"published-print":{"date-parts":[[2023,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Drug overdose has become a leading cause of accidental death in the United States. Between 2000 and 2015, the rate of deaths from drug overdoses increased 137%, including a 200% increase in the rate of overdose deaths involving opioids (including opioid pain relievers and heroin). Unnecessary opioid prescribing is one of the factors driving this epidemic.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objectives<\/jats:title><jats:p>The primary objective of this paper is to share lessons learned while conducting a randomized trial to de\u2010implement opioids for post\u2010extraction pain management utilizing clinical decision support (CDS) with and without patient education. The lessons learned from conducting this trial in a real\u2010world setting can be applied to future dissemination and implementation oral health research.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The sources informing lessons learned were generated from qualitative interviews conducted with 20 of the forty\u2010nine dental providers involved in the study following the implementation phase of the trial. Ongoing policy, social and environmental factors were tracked throughout the study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Dental providers in the trial identified the impact of training that involved health professionals sharing information about the personal impact of pain and opioid use. Additionally, they found utility in being presented with a dashboard detailing their prescribing patterns related to other dentists. For the 30 general dentists with access to the CDS, use of its portal varied widely, with most using it 10%\u201349% of the time related to extractions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>In the context of a downward trend in opioid prescribing and considering the influence of the COVID pandemic during the trial, dental providers indicated benefit in training about negative personal impacts of prescribing opioids, and personally relevant feedback about their prescribing patterns. Only modest use of the CDS was realized. Implementation of this trial was impacted by governmental and health system policies and the COVID pandemic, prompt the consideration of implications regarding continuing ways to limit opioid prescribing among dental providers.<\/jats:p><\/jats:sec>","DOI":"10.1111\/cdoe.12820","type":"journal-article","created":{"date-parts":[[2023,2,8]],"date-time":"2023-02-08T17:25:12Z","timestamp":1675877112000},"page":"139-142","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["De\u2010implementing opioid prescribing in a dental group practice: Lessons learned"],"prefix":"10.1111","volume":"51","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7436-4638","authenticated-orcid":false,"given":"Donald Brad","family":"Rindal","sequence":"first","affiliation":[{"name":"HealthPartners Institute  Bloomington Minnesota USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jan","family":"Gryczynski","sequence":"additional","affiliation":[{"name":"Friends Research Institute  Baltimore Maryland USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephen E.","family":"Asche","sequence":"additional","affiliation":[{"name":"HealthPartners Institute  Bloomington Minnesota USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anjali R.","family":"Truitt","sequence":"additional","affiliation":[{"name":"HealthPartners Institute  Bloomington Minnesota USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sheryl M.","family":"Kane","sequence":"additional","affiliation":[{"name":"HealthPartners Institute  Bloomington Minnesota USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Donald C.","family":"Worley","sequence":"additional","affiliation":[{"name":"HealthPartners Institute  Bloomington Minnesota USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2841-1085","authenticated-orcid":false,"given":"Shannon G.","family":"Mitchell","sequence":"additional","affiliation":[{"name":"Friends Research Institute  Baltimore Maryland USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,2,8]]},"reference":[{"key":"e_1_2_6_2_1","unstructured":"United States Government Accountability Office (GAO).Prescription Pain Reliever Abuse.2011."},{"key":"e_1_2_6_3_1","unstructured":"Centers for Disease Control and Prevention (CDC).Unintentional Drug Poisoning in the United States.2010."},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm655051e1"},{"volume-title":"Addressing Prescription Drug Abuse in the United States Current Activities and Future Opportunities","year":"2014","author":"U.S. Department of Health and Human Services (DHHS), Behavioral Health Coordinating Committee, Prescription Drug Abuse Subcommittee","key":"e_1_2_6_5_1"},{"issue":"3","key":"e_1_2_6_6_1","first-page":"201","article-title":"Dental therapeutic practice patterns in the U.S. II. Analgesics, corticosteroids, and antibiotics","volume":"54","author":"Moore PA","year":"2006","journal-title":"Gen Dent"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2006.100271"},{"key":"e_1_2_6_8_1","unstructured":"PogrelMA DodsonTB SwiftJQ et al.White Paper on Third Molar Data. In: American Association of Oral and Maxillofacial Surgeons; 2007:1\u201325."},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13722-017-0074-0"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.14219\/jada.archive.2013.0207"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.2196\/24342"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13012-018-0772-3"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2019.00003"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.2147\/JPR.S330598"}],"container-title":["Community Dentistry and Oral Epidemiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/cdoe.12820","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/cdoe.12820","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/cdoe.12820","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,17]],"date-time":"2023-08-17T16:17:35Z","timestamp":1692289055000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/cdoe.12820"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,2]]},"references-count":13,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2023,2]]}},"alternative-id":["10.1111\/cdoe.12820"],"URL":"https:\/\/doi.org\/10.1111\/cdoe.12820","archive":["Portico"],"relation":{},"ISSN":["0301-5661","1600-0528"],"issn-type":[{"type":"print","value":"0301-5661"},{"type":"electronic","value":"1600-0528"}],"subject":[],"published":{"date-parts":[[2023,2]]},"assertion":[{"value":"2021-12-27","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-11-14","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-02-08","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}