Archive for the ‘ Prescription Medication ’ Category
Does a Preoperative Dose of Ibuprofen Reduce the Pain Associated with Wisdom Tooth Removal?
Should I take a dose of ibuprofen prior to my wisdom tooth treatment? There have been many studies through the years showing that taking an NSAID, such as ibuprofen, prior to extraction of wisdom teeth reduces post-treatment pain and swelling. (J Oral Maxillofac Surg 77:1990-1997, 2019). I believe this is true for most dental procedures […]
SHOULD DOCTORS BE ABLE TO FREELY PRESCRIBE PAINPILLS?
If you are in pain from an injury or a surgical procedure, the answer is usually yes! In my patient population I rarely run into prescription abusers, and we are very responsible in our prescribing patterns. We perform procedures that typically require pain relief during recovery and we prescribe appropriate medications and amounts. When we […]
DO POSTOPERATIVE ANTIBIOTICS DECREASE THE FREQUENCY OF INFLAMMATORY COMPLICATIONS FOLLOWING THRID MOLAR REMOVAL
I was pleased to see this article in the JOMS looking at post-op antibiotic use for third molar treatment on a meaningful group of patients. (J Oral Maxillofac Surg 76:700-708, 2018) There is a big push by national and world medical authorities to try to get clinicians to prescribe less or no antibiotics for routine […]
IS IT SAFE TO REMOVE TEETH IN TRANSPLANT PATIENTS WITHOUT ANTIBIOTICS?
This question is posed in an article in JOMS August 2019. (J Oral Maxillofac Surg 77:1557-1565, 2019) As long as patients understand the concerns and risks associated with treatment with or without antibiotic coverage I am happy to provide care either way. We have a great deal of experience in providing care under both scenarios. […]
MEDICATION RELATED OSTEONECROSIS OF THE JAWS
Medication related osteonecrosis of the jaws (MRONJ) is a disorder with bone maturation that occurs as a result of taking certain medications (historically bisphosphonate drugs such as Fosamax; more recently with antiangiogenic drugs such as Denosumab; and mainly from injectable forms of these drugs used in chemotherapy such as Zometa) where dental related disease processes […]
Oral Surgeons Address the Opioid Crisis
Recently opioid abuse and addiction have been a hot story in the news. Dentists were made an early scape goat for prescribing problems with opioids. The truth is that Dentists were identified in questionnaires as being one of the earliest prescriptions for opioids that addicts were exposed to. This may be true. But Dentists write […]
BLEEDING FREQUENCY OF PATIENTS TAKING TICAGRELOR, ASPIRIN, CLOPIDOGREL, AND DUAL ANTIPLATELET THERAPY AFTER TOOTH EXTRACTION
For the most part, patients who are on anticoagulation regimens can modify their treatment prior to minor elective surgery to reduce the frequency of bleeding problems during the post-treatment healing period (JADA 149(2) February 2018, Pgs. 132-138). In cases where the patient cannot be off of their anticoagulant medications, there are techniques to help to […]
THE NEED FOR PAIN MEDICATION AFTER ORAL SURGERY
Many oral surgery conditions and procedures can cause discomfort. You would be surprised at the wide range of discomfort responses among people to the same procedure. Even the effectiveness of the type of medication provided varies widely among different individuals (J Oral Maxillofac Surg 75:2063-2069, 2017). In fact, it is nearly impossible as a doctor […]
PRESCRIPTION OPIOID ABUSE
We perform many procedures that have discomfort as a possible side effect so we prescribe pain medication regularly. I have always taken this responsibility seriously and we have genuine concern for the potential for individuals to abuse this. (J Oral Maxillofac Surg 74:1291-1293, 2016). Although it is a very real responsibility for surgeons to prescribe […]