{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,1]],"date-time":"2025-05-01T09:44:36Z","timestamp":1746092676371},"reference-count":14,"publisher":"American Dental Society of Anesthesiology (ADSA)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,12,1]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>In recent years, opioid misuse has resulted in much scrutiny on providers' prescribing habits. The purpose of this study was to analyze prescribing habits in the context of third molar extractions as a model for promoting better postsurgical pain management.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This was a cross-sectional survey of oral maxillofacial surgeons in Connecticut and New Jersey. A total of 291 practitioners were contacted to complete an online survey using Qualtrics Research Services to determine prescribing habits following third molar extractions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The most common approach for postoperative analgesia was nonsteroidal anti-inflammatory drugs (NSAIDs) and an opioid\/acetaminophen (APAP) combination as 2 separate prescriptions, reported by 36% of participants. The combination of hydrocodone\/APAP was the most common opioid formulation, and an average of 10.93 \u00b1 4.51 opioid pills were prescribed with a maximum of 20 pills reported. Most providers (79%) consistently provided patients with opioid information. Only 22% reported always checking opioid-monitoring programs; however, providers were more likely to check if prescribing more than \u223c11 opioid pills (P = .0228). Most reported using dexamethasone (82%) and bupivacaine (56%) intraoperatively, while ketorolac was less common (15%). No association was found between the quantity of opioids prescribed and the use of intraoperative ketorolac, steroids, or bupivacaine (P &amp;gt; .05).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>There remains to be a universal standard for using opioids for postoperative pain management in dentistry. Providers should be mindful when prescribing opioids and consider using NSAIDs and APAP for baseline pain plus a separate opioid prescription for breakthrough pain. Additional focus on minimizing the quantity of opioids prescribed and self-reflecting on prescribing and practice habits to further reduce opioid-related complications is warranted.<\/jats:p><\/jats:sec>","DOI":"10.2344\/anpr-69-02-12","type":"journal-article","created":{"date-parts":[[2022,12,19]],"date-time":"2022-12-19T18:38:54Z","timestamp":1671475134000},"page":"9-14","source":"Crossref","is-referenced-by-count":2,"title":["Opioid-Prescribing Patterns in Connecticut and New Jersey Following Third Molar Extractions"],"prefix":"10.2344","volume":"69","author":[{"given":"Steven","family":"Halepas","sequence":"first","affiliation":[{"name":"*Resident, Division of Oral and Maxillofacial Surgery, New York-Presbyterian\/Columbia University Irving Medical Center, New York, New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cameron","family":"Christiansen","sequence":"additional","affiliation":[{"name":"\u2020Dental Student, School of Dental Medicine, University of Connecticut, Farmington, Connecticut"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alia","family":"Koch","sequence":"additional","affiliation":[{"name":"\u2021Program Director, Division of Oral and Maxillofacial Surgery, NewYork-Presbyterian\/Columbia University Irving Medical Center, New York, New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shahid R.","family":"Aziz","sequence":"additional","affiliation":[{"name":"\u00a7Professor, Department of Oral and Maxillofacial Surgery, Rutgers School of Dental Medicine, Newark, New Jersey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David M.","family":"Shafer","sequence":"additional","affiliation":[{"name":"||Chair, Division of Oral and Maxillofacial Surgery, School of Dental Medicine, University of Connecticut, Farmington, Connecticut"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elie M.","family":"Ferneini","sequence":"additional","affiliation":[{"name":"\u00b6Director, Beau Visage Med Spa and Greater Waterbury OMS, Cheshire, Connecticut; Associate Clinical Professor, Department of Surgery, Frank H Netter MD School of Medicine, Quinnipiac University, Hamden, Connecticut; Associate Clinical Professor, Division of Oral and Maxillofacial Surgery, School of Dental Medicine, University of Connecticut, Farmington, Connecticut"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1191","published-online":{"date-parts":[[2022,12,19]]},"reference":[{"key":"2023021718361241100_","unstructured":"Hargan ED. Determination That a Public Health Emergency Exists . Washington, DC: US Department of Health and Human Services;2017."},{"key":"2023021718361241100_","doi-asserted-by":"crossref","unstructured":"Overton HN, Hanna MN, Bruhn WE, et al. Opioid-prescribing guidelines for common surgical procedures: an expert panel consensus. J Am Coll Surg. 2018; 227(4): 411\u2013 418.","DOI":"10.1016\/j.jamcollsurg.2018.07.659"},{"key":"2023021718361241100_","doi-asserted-by":"crossref","unstructured":"McCauley JL, Hyer JM, Ramakrishnan VR, et al. Dental opioid prescribing and multiple opioid prescriptions among dental patients: administrative data from the South Carolina prescription drug monitoring program. J Am Dent Assoc. 2016; 147(7): 537\u2013 544.","DOI":"10.1016\/j.adaj.2016.02.017"},{"key":"2023021718361241100_","unstructured":"Substance Abuse and Mental Health Services Administration. Key Substance Use and Mental Health Indicators in the United States: Results From the 2019 National Survey on Drug Use and Health . Washington, DC: US Department of Health and Human Services;2019."},{"key":"2023021718361241100_","doi-asserted-by":"crossref","unstructured":"Denisco RC, Kenna GA, O'Neil MG, et al. Prevention of prescription opioid abuse: the role of the dentist. J Am Dent Assoc. 2011; 142(7): 800\u2013 810.","DOI":"10.14219\/jada.archive.2011.0268"},{"key":"2023021718361241100_","doi-asserted-by":"crossref","unstructured":"Falk J, Friesen KJ, Magnusson C, Schroth RJ, Bugden S. Opioid prescribing by dentists in Manitoba, Canada: a longitudinal analysis. J Am Dent Assoc. 2019; 150(2): 122\u2013 129.","DOI":"10.1016\/j.adaj.2018.10.024"},{"key":"2023021718361241100_","doi-asserted-by":"crossref","unstructured":"Normando Dv. Third molars: to extract or not to extract?. Dental Press J Orthod . 2015; 20(4): 17\u2013 18.","DOI":"10.1590\/2176-9451.20.4.017-018.edt"},{"key":"2023021718361241100_","doi-asserted-by":"crossref","unstructured":"N\u00f8rholt SE, Aagaard E, Svensson P, Sindet-Pedersen S. Evaluation of trismus, bite force, and pressure algometry after third molar surgery: a placebo-controlled study of ibuprofen. J Oral Maxillofac Surg. 1998; 56(4): 420\u2013 427.","DOI":"10.1016\/S0278-2391(98)90705-4"},{"key":"2023021718361241100_","unstructured":"Modanloo H, Eftekharian H, Arabiun H. Postoperative pain management after impacted third molar surgery with preoperative oral lamotrigine, a randomized, double-blind, placebo-controlled trial. J Dent (Shiraz). 2018; 19(3): 189\u2013 196."},{"key":"2023021718361241100_","doi-asserted-by":"crossref","unstructured":"Cei S, D'Aiuto F, Duranti E, et al. Third molar surgical removal: a possible model of human systemic inflammation? A preliminary investigation. Eur J Inflamm. 2012; 10(1): 149\u2013 152.","DOI":"10.1177\/1721727X1201000120"},{"key":"2023021718361241100_","unstructured":"Weiland BM, Wach AG, Kanar BP, et al. Use of opioid pain relievers following extraction of third molars. Compend Contin Educ Dent. 2015; 36(2): 107\u2013 111."},{"key":"2023021718361241100_","doi-asserted-by":"crossref","unstructured":"Moore PA, Ziegler KM, Lipman RD, et al. Benefits and harms associated with analgesic medications used in the management of acute dental pain: an overview of systematic reviews. J Am Dent Assoc. 2018; 149(4): 256\u2013 265.e3.","DOI":"10.1016\/j.adaj.2018.02.012"},{"key":"2023021718361241100_","unstructured":"US Department of Health and Human Services. HHS response: 5-point strategy. Published 2019. Accessed June 1, 2020. https:\/\/www.hhs.gov\/opioids\/about-the-epidemic\/hhs-response\/index.html"},{"key":"2023021718361241100_","doi-asserted-by":"crossref","unstructured":"Neal JA, Welch TB, Halliday RW. 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