{"id":18109,"date":"2016-03-15T00:00:00","date_gmt":"2016-03-15T00:00:00","guid":{"rendered":"https:\/\/cadca1stg.wpengine.com\/2016\/03\/15\/ruminating-on-dentistry-and-painkillers\/"},"modified":"2024-04-24T19:50:10","modified_gmt":"2024-04-24T19:50:10","slug":"ruminating-on-dentistry-and-painkillers","status":"publish","type":"post","link":"https:\/\/www.cadca.org\/es\/public-health\/ruminating-on-dentistry-and-painkillers\/","title":{"rendered":"Reflexiones sobre odontolog\u00eda y analg\u00e9sicos"},"content":{"rendered":"

Esta ma\u00f1ana pas\u00e9 un buen rato boca abajo en el sill\u00f3n de un dentista, haci\u00e9ndome dos empastes. Realmente no s\u00e9 por qu\u00e9 se ofreci\u00f3, pero mi dentista dijo: \u201cPuedo adormecerte o podemos intentarlo sin hacerlo. Es tu elecci\u00f3n." Respond\u00ed: "Prob\u00e9moslo sin y te avisar\u00e9 si te duele demasiado".\u00a0<\/p>\n

\u00bfPor qu\u00e9 renunciar\u00eda al consuelo de la novoca\u00edna? Bueno, sab\u00eda que ten\u00eda una reuni\u00f3n importante con mi jefe en una hora y no quer\u00eda que se me entumeciera la boca por esa conversaci\u00f3n. Adem\u00e1s, quer\u00eda ver si pod\u00eda hacerlo. Tengo que ser honesto. No fue genial. Pero no fue insoportable.\u00a0<\/p>\n

Despu\u00e9s charlamos un poco sobre mi trabajo y hablamos de la crisis de los opi\u00e1ceos. Me pidi\u00f3 que lo mantuviera informado y dijo que estar\u00eda dispuesto a recibir m\u00e1s informaci\u00f3n sobre el tema e incluso hablar con otros dentistas sobre este tema.<\/p>\n

Mi aventura en la odontolog\u00eda de hoy fue un gran recordatorio de que los dentistas representan un sector fundamental para la divulgaci\u00f3n sobre la prevenci\u00f3n de medicamentos recetados. Seg\u00fan el Journal of the American Dental Association, las recetas de los dentistas representan alrededor del 12 por ciento de los opioides de liberaci\u00f3n inmediata en los Estados Unidos.<\/p>\n

Bob Twillman, Ph.D., FAPM, Director Ejecutivo de la Academia Estadounidense de Manejo del Dolor se uni\u00f3 recientemente a una Seminario web de CADCA titulado "Prescripci\u00f3n de algunas soluciones al abuso de analg\u00e9sicos recetados".<\/a> El Dr. Twillman comparti\u00f3 que, si bien, de todas las especialidades, los dentistas prescriben la menor cantidad de dosis, escriben m\u00e1s recetas para j\u00f3venes de 12 a 19 a\u00f1os que cualquier otra especialidad. Tambi\u00e9n se\u00f1al\u00f3 que muchas personas consideran que los AINE (medicamentos antiinflamatorios no esteroides) proporcionan un control adecuado del dolor en cirug\u00edas dentales simples (por ejemplo, extracci\u00f3n del tercer molar).<\/p>\n

La experiencia tambi\u00e9n me hizo pensar en el dolor y en el t\u00e9rmino "analg\u00e9sico". \u00bfQuiz\u00e1s deber\u00edamos tener cuidado con el uso de este t\u00e9rmino? Nuestro pa\u00eds representa el 4,6 por ciento de la poblaci\u00f3n mundial y sin embargo consume el 80 por ciento de los opi\u00e1ceos del mundo. Seg\u00fan los Centros para el Control y la Prevenci\u00f3n de Enfermedades, Cada d\u00eda, 44 personas en EE. UU. mueren por sobredosis de analg\u00e9sicos recetados y muchas m\u00e1s se vuelven adictas.<\/a>. Claramente necesitamos alg\u00fan cambio importante de comportamiento aqu\u00ed.<\/p>\n

\u00bfEstamos buscando como sociedad \u201cmatar\u201d todo el dolor que sentimos \u2013emocional o f\u00edsico\u2013 mediante alguna fuente adormecedora? \u00bfCon demasiada frecuencia buscamos una soluci\u00f3n recetada para un problema o desaf\u00edo que podr\u00eda abordarse mediante una combinaci\u00f3n de terapias? Hay opciones, ya sean soluciones de venta libre (como paracetamol o AINE como ibuprofeno), ejercicio, terapia cognitivo-conductual, fisioterapia, asesoramiento, meditaci\u00f3n u oraci\u00f3n. No puedo evitar pensar si los estadounidenses cambiaran su mentalidad de "\u00bfCu\u00e1nta medicaci\u00f3n necesito para matar todo el dolor?<\/em>" a "\u00bfCu\u00e1l es la medicaci\u00f3n m\u00ednima que necesito para ayudarme a controlar mi dolor?<\/em>\u201cLas estad\u00edsticas de nuestro pa\u00eds sobre los opioides ser\u00edan muy diferentes.<\/p>\n

Tengo que volver pronto al dentista para que me hagan otro empaste. Dado que la aventura de hoy fue un poco inquietante, puede que la pr\u00f3xima vez solicite la opci\u00f3n de adormecer el dolor. Pero claro, puede que no.\u00a0<\/p>\n

Mary Elizabeth Elliott es la vicepresidenta de Comunicaciones, Membres\u00eda y TI de CADCA.<\/em><\/p>","protected":false},"excerpt":{"rendered":"

Esta ma\u00f1ana pas\u00e9 un buen rato boca abajo en el sill\u00f3n de un dentista, haci\u00e9ndome dos empastes. Realmente no lo s\u00e9<\/p>","protected":false},"author":23,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[360],"tags":[],"class_list":["post-18109","post","type-post","status-publish","format-standard","hentry","category-public-health"],"acf":[],"yoast_head":"\nRuminating on Dentistry and Painkillers | CADCA<\/title>\n<meta name=\"description\" content=\"CADCA represents over 5,000 community coalitions that involve individuals from key sectors including schools, law enforcement, youth, parents, healthcare, media, tribal communities and others\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.cadca.org\/es\/public-health\/ruminating-on-dentistry-and-painkillers\/\" \/>\n<meta property=\"og:locale\" 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