Analgesics in Dentistry
Course #55044 - $45 -
- Participation Instructions
- Review the course material online or in print.
- Complete the course evaluation.
- Review your Transcript to view and print your Certificate of Completion. Your date of completion will be the date (Pacific Time) the course was electronically submitted for credit, with no exceptions. Partial credit is not available.
There are a myriad of analgesic products sold over-the-counter in drug stores and supermarkets as nonprescription pain relievers. People experiencing dental pain are likely to self-medicate with these nonprescription pain relievers before seeing the dentist. In order for a drug product to achieve nonprescription status, the U.S. Food and Drug Administration (FDA) requires it to be safe and effective. The nonsteroidal anti-inflammatory drugs (NSAIDs) that were originally approved only as prescription drugs and are now also sold over-the-counter include ibuprofen and naproxen sodium. These two have joined aspirin, which has always had a status of over-the-counter availability. Acetaminophen, ibuprofen and naproxen sodium have established a niche over the years as over-the-counter products for the relief of dental pain. The latest information on their use and effectiveness is included in this course.
- INTRODUCTION
- ACETAMINOPHEN
- NONPRESCRIPTION IBUPROFEN PRODUCTS
- NONPRESCRIPTION NAPROXEN SODIUM
- OTHER NONPRESCRIPTION PRODUCTS FOR DENTAL PAIN
- NSAIDS: NONSELECTIVE COX-1 AND COX-2 INHIBITORS
- IBUPROFEN/NARCOTIC COMBINATIONS
- DRUG INTERACTIONS WITH NSAIDs
- COX-2 INHIBITORS
- NARCOTIC ANALGESICS FOR DENTAL PAIN
- NONTRADITIONAL ANALGESICS
- CONCLUSION
- Works Cited
This course is designed for all dental professionals.
The purpose of this course is to describe new reports and new information on analgesics for the dental professional to use in determining the best pharmacotherapeutic approach in those situations requiring oral analgesics.
Upon completion of this course, you should be able to:
- Compare and contrast the analgesic effectiveness of the nonprescription pain relievers in treating dental pain.
- Compare and contrast the analgesic effectiveness of the nonselective NSAIDs in dental pain.
- Describe the cardiovascular effects of ibuprofen.
- Discuss the role of ibuprofen/narcotic combinations in the treatment of dental pain.
- Describe the dosage and efficacy of COX-2 inhibitors.
- List the hydrocodone and oxycodone products for dental pain.
- Describe the unique mechanisms of action and uses of nontraditional analgesics.
Richard L. Wynn, BSPharm, PhD, is the lead author of Lexi-Comp's Drug Information Handbook for Dentistry, now in its 25th edition, a recognized reference source in dentistry in North America. He is the recognized authority in the use of drugs in dental practice, and his credibility as an information resource to the dental health professional has been well established. Dr. Wynn has been teaching pharmacology to dental students and has been doing research in analgesia and pain control over the last 25 years.
Contributing faculty, Richard L. Wynn, BSPharm, PhD, has disclosed no relevant financial relationship with any product manufacturer or service provider mentioned.
Mark J. Szarejko, DDS, FAGD
The division planner has disclosed no relevant financial relationship with any product manufacturer or service provider mentioned.
Sarah Campbell
The Director of Development and Academic Affairs has disclosed no relevant financial relationship with any product manufacturer or service provider mentioned.
The purpose of NetCE is to provide challenging curricula to assist healthcare professionals to raise their levels of expertise while fulfilling their continuing education requirements, thereby improving the quality of healthcare.
Our contributing faculty members have taken care to ensure that the information and recommendations are accurate and compatible with the standards generally accepted at the time of publication. The publisher disclaims any liability, loss or damage incurred as a consequence, directly or indirectly, of the use and application of any of the contents. Participants are cautioned about the potential risk of using limited knowledge when integrating new techniques into practice.
It is the policy of NetCE not to accept commercial support. Furthermore, commercial interests are prohibited from distributing or providing access to this activity to learners.
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The role of implicit biases on healthcare outcomes has become a concern, as there is some evidence that implicit biases contribute to health disparities, professionals' attitudes toward and interactions with patients, quality of care, diagnoses, and treatment decisions. This may produce differences in help-seeking, diagnoses, and ultimately treatments and interventions. Implicit biases may also unwittingly produce professional behaviors, attitudes, and interactions that reduce patients' trust and comfort with their provider, leading to earlier termination of visits and/or reduced adherence and follow-up. Disadvantaged groups are marginalized in the healthcare system and vulnerable on multiple levels; health professionals' implicit biases can further exacerbate these existing disadvantages.
Interventions or strategies designed to reduce implicit bias may be categorized as change-based or control-based. Change-based interventions focus on reducing or changing cognitive associations underlying implicit biases. These interventions might include challenging stereotypes. Conversely, control-based interventions involve reducing the effects of the implicit bias on the individual's behaviors. These strategies include increasing awareness of biased thoughts and responses. The two types of interventions are not mutually exclusive and may be used synergistically.