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Opioid Prescribing and Non-Opioid Prescribing for Dentists
Educational Objectives
Topics Covered:
- Discuss the “numbers with the opioid crisis”
- ADA Statement on Opioids
- Federal regulations: Controlled Substance Act, DEA, & Bureau of Narcotic Enforcement
- Describe the types of opioids and their pharmacokinetics
- Describe the effect of opioid pain medications on the body & brain
- Describe Pain Classifications
- Describe Opioid Classifications
- Practice safe and competent opioid prescribing for acute pain
- List commonly prescribed opioids and NSAIDs in dentistry and their side effects
- Recognize opioid tolerance and withdrawal symptoms
- Discuss pharmacologic agents used to treat opioid disorder (opioid antagonists)
- Discuss the risks of abuse and addiction associated with opioid medication
- Identify the sources of misused prescription opioids
- Understand the current evidence-based consensus recommendations and guidelines on the use of opioids in dental practice
- CDC Prescribing Guidelines.
- Discuss the Prescription Drug Monitoring Programs (PDMPs) and ePrescribing
- Describe the history of opioids and how the opioid crisis developed.
- Identify the types of opioid abuse that may be seen in patients presenting to their practice for dental treatment, “The Opioid Red Flags.”
- Dependence – Tolerance – Addiction
- Medical History/ Informed Consent
- Know the alternatives to opioid pain medications and be able to prescribe the procedure-appropriate doses to their patients, whether by written prescription or electronic prescribing portals.
- Non-Opioid Analgesics & Mechanism of action
- NSAID FDA Warning
- Around the Clock (ATC) Dosing
- NSAID List, Usual Dosing; Maximum Dose
- NSAID Drug Interactions
- Corticosteroids
- Topical Analgesics
- Examples of Post Procedural Pain Levels
- Recommendations of Treating Mild to Severe Acute Pain
- Non-Opioid Prescribing Strategies & Options
- Introduction to the 4 – 2 – 24 Non-Opioid Protocol with many prescribing strategies
- Recognize the signs and symptoms of opioid overdose and how to administer an opioid antagonist drug to an affected individual.
- Recognize the signs and symptoms of benzodiazepine overdose and how to administer a benzodiazepine antagonist drug to an affected individual.
Abstract
This continuing education program outlines opioid prescribing and non-opioid prescribing principles for general dentists and dental specialists.
This program will demonstrate safe and competent use of opioids and non-opioids for managing acute moderate to severe dental pain. The course provides a plethora of information on minimizing opioid abuse, careful patient assessment along with medical history/informed consent, screening patients for substance use disorders, prescription monitoring programs and federal regulations/guidelines.
Prescribing strategies using Non-Opioid medications will be presented so you can adapt them into your dental practice. Make the move to reduce or possibly eliminate the use of Opioids in your practice.
Finally, Narcotic Overdose and Benzodiazepine Overdose treatment will be presented for you and your team so you ARE ready for these emergencies.
Additional Information
Author Bio
John B. Roberson, DMD, FACD, FICD, FICOI, FIAOMS
Dr. John B. Roberson graduated from Hattiesburg High School, received his B.S. from the University of Southern Mississippi, his dental doctorate from the University of Mississippi and his Oral & Maxillofacial surgery training from the University of Cincinnati Medical Center. While in dental school, he was elected President of the American Student Dental Association (13,000 members) during his third year. Then in residency he helped co-found the Resident Organization of the American Association of Oral & Maxillofacial Surgeons (ROAAMOS).
Dr. Roberson writes and lectures extensively about Medical/Sedation Emergencies and Emergency Drugs in the Dental Office. He has been selected as a CE Leader for Dentistry Today for over 15 years consecutively. He has co-authored a book on Medical Emergencies, has written almost 100 articles on the subject, has over 50 Online CE courses, co-developed the Emergency Response System for dental offices He has multiple online courses on medical emergencies, sedation emergencies and pediatric emergencies on Dental Learning.
Roberson is currently Board certified by the National Dental Board of Anesthesiology. He has Fellowships in American College of Dentists, International Congress of Oral Implantologists, American Dental Society of Anesthesiology, International College of Dentists and Pierre Fauchard Academy.
He is a member of the American College of Oral & Maxillofacial Surgeons, American Dental Society of Anesthesiology, American Dental Association, Mississippi Dental Association, American College of Dentists, International College of Dentists, International Congress of Oral Implantologists, Pierre Fauchard Academy and South Mississippi Dental Society.
He is a Faculty member of OralSurgeryOnline and Vesper Institute IV Sedation Training Program, member of the Dental Learning CE Advisory Committee, KOL for Crest Oral B, Clinical Advisory Board for Balanced Pharma and Independent Medical Advisory Board for Healthfirst.
He is in private practice for over 27 years practicing full-scope oral & maxillofacial surgery. He is happily married and has two children. His interests include “anything outdoors”, and travel.
Disclosures
Commercial Disclosure
This free Dental Learning presentation is made possible through the continued support of . John B. Roberson, DMD, FACD, FICD, FICOI, FIAOMS is a consultant and/or speaker for the following companies and/or organizations: Dental Learning, . John B. Roberson, DMD, FACD, FICD, FICOI, FIAOMS may receive an honorarium as compensation from the CE Supporter of this presentation and/or from Dental Learning for the time involved in preparing and delivering this online presentation.
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