{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T01:38:00Z","timestamp":1747186680298,"version":"3.40.5"},"reference-count":30,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2023,2,17]],"date-time":"2023-02-17T00:00:00Z","timestamp":1676592000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Public Health Dent"],"published-print":{"date-parts":[[2023,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>Opioids prescribed by dentists have been associated with serious adverse events, including opioid\u2010related overdose and mortality. However, the downstream outcomes of opioids prescribed by dentists to Veterans who are at high risk for opioid misuse and overdose have yet to be determined.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This was a national cross\u2010sectional analysis of opioids associated with dental visits within the Veterans Health Administration from 2015 to 2018. Overprescribing was defined per guidelines as &gt;120 morphine milligram equivalents (MME) or &gt;3\u2009days supply. The association of dental visit and patient characteristics was modeled separately for opioid\u2010related poisoning and all\u2010cause mortality using logistic regression.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 137,273 Veterans prescribed an opioid by a dentist, 0.1% and 1.1% were associated with opioid\u2010related poisoning and mortality, respectively. There was no difference in opioid poisoning within 6\u00a0months for Veterans with opioid prescriptions &gt;120\u2009MME (aOR\u00a0=\u00a01.25 [CI: 0.89\u20131.78]), but poisoning decreased in Veterans prescribed opioids &gt;3\u2010days supply (aOR\u00a0=\u00a00.68 [CI: 0.49\u20130.96]). However, Veterans with opioids &gt;120\u2009MME were associated with higher odds of mortality within 6\u00a0months (aOR\u00a0=\u00a01.17 [95% CI: 1.05\u20131.32]) while there was no difference in prescriptions &gt;3\u2010days supply (aOR\u00a0=\u00a01.12 [CI: 0.99\u20131.25]).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Serious opioid\u2010related adverse events were rare in Veterans and lower than other reports in the literature. Since nonopioid analgesics have superior efficacy for the treatment of acute dental pain, prescribing opioid alternatives may decrease opioid\u2010related poisoning. Strategies for dentists to identify patients at high risk should be incorporated into the dental record.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jphd.12560","type":"journal-article","created":{"date-parts":[[2023,2,17]],"date-time":"2023-02-17T15:23:37Z","timestamp":1676647417000},"page":"136-146","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Adverse outcomes associated with opioid prescription by dentists in the Veterans Health Administration: A national cross\u2010sectional study from 2015 to 2018"],"prefix":"10.1111","volume":"83","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5134-4896","authenticated-orcid":false,"given":"Pooja A.","family":"Solanki","sequence":"first","affiliation":[{"name":"Center of Innovation for Complex Chronic Healthcare Edward Hines, Jr VA Hospital  Hines Illinois USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Colin C.","family":"Hubbard","sequence":"additional","affiliation":[{"name":"Division of Hospital Medicine, Department of Medicine University of California San Francisco  San Francisco California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Linda","family":"Poggensee","sequence":"additional","affiliation":[{"name":"Center of Innovation for Complex Chronic Healthcare Edward Hines, Jr VA Hospital  Hines Illinois USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Charlesnika T.","family":"Evans","sequence":"additional","affiliation":[{"name":"Center of Innovation for Complex Chronic Healthcare Edward Hines, Jr VA Hospital  Hines Illinois USA"},{"name":"Department of Preventive Medicine; Center for Health Services and Outcomes Research Institute for Public Health and Medicine, Feinberg School of Medicine, Northwestern University  Chicago Illinois USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katie J.","family":"Suda","sequence":"additional","affiliation":[{"name":"Department of Veterans Affairs, Center for Health Equity Research and Promotion VA Pittsburgh Healthcare System  Pittsburgh Pennsylvania USA"},{"name":"Department of Medicine, Division of General Internal Medicine University of Pittsburgh School of Medicine  Pittsburgh Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,2,17]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.japh.2017.01.010"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.adaj.2018.02.012"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2019.11.006"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2022.01.023"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/j.pain.0000000000000837"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2017.0147"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2021.20353"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/j.pain.0000000000002545"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2021.02.008"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2018.5419"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.addbeh.2019.106036"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12873-016-0075-4"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.rr6501e1er"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2019.3909"},{"key":"e_1_2_6_16_1","unstructured":"Clinical Classifications Software Refined (CCSR).https:\/\/www.hcup-us.ahrq.gov\/toolssoftware\/ccsr\/ccs_refined.jsp. 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