{"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\/pt\/public-health\/ruminating-on-dentistry-and-painkillers\/","title":{"rendered":"Ruminando sobre Odontologia e Analg\u00e9sicos"},"content":{"rendered":"<p>This morning I spent some quality time upside down in a dentist chair, getting two fillings. I really don\u2019t know why he offered, but my dentist said \u201cI could numb you or we could try it without. It\u2019s your choice.\u201d I replied, \u201cLet\u2019s try it without, and I\u2019ll let you know if it gets too painful.\u201d\u00a0<\/p>\n<p>Why would I forego the comfort of Novocain, you ask?\u00a0 Well, I knew I had an important meeting with my boss in an hour and didn\u2019t want my mouth numb for that conversation. Plus, I wanted to see if I could do it.\u00a0 I have to be honest. It wasn\u2019t great.\u00a0 But it wasn\u2019t unbearable.\u00a0<\/p>\n<p>Afterward, we chatted a bit about my job, and we talked about the opiate crisis. He asked that I keep him updated and said he\u2019d be willing to be more educated on the topic and even talk to other dentists about this issue.<\/p>\n<p>My adventure in dentistry today was a great reminder that dentists represent a critical sector for outreach about prescription drug prevention. According to the Journal of the American Dental Association, prescribing by dentists represent about 12 percent of immediate-release opioids in the United States.<\/p>\n<p>Bob Twillman, Ph.D., FAPM, Executive Director, American Academy of Pain Management recently joined a <a href=\"https:\/\/www.cadca.org\/pt\/resources\/listen-and-watch-cadcas-webinar-prescribing-some-solutions-prescription-pain-medicine\/\" target=\"_blank\" rel=\"noopener\">CADCA webinar entitled \u201cPrescribing Some Solutions to Prescription Pain Medicine Abuse.\u201d<\/a> Dr. Twillman shared that while, out of all the specialties, dentists prescribe the fewest doses, they write more prescriptions for 12-19 year-olds than any other specialty. He also noted that many people find that NSAIDs (nonsteroidal anti-inflammatory drugs) provide adequate pain control for simple dental surgeries (e.g., third molar extraction).<\/p>\n<p>The experience also had me thinking about pain and the term \u201cpainkiller.\u201d Maybe we should be careful with how we use this term? Our country represents 4.6 percent of the world\u2019s population yet consumes 80 percent of the world\u2019s opiates. According to the Centers for Disease Control and Prevention, <a href=\"https:\/\/www.cdc.gov\/drugoverdose\/\" target=\"_blank\" rel=\"noopener\">every day, 44 people in the U.S. die from overdose of prescription painkillers, and many more become addicted<\/a>. Clearly we need some major behavior change here.<\/p>\n<p>Are we seeking as a society to \u201ckill\u201d all the pain we feel \u2013 emotional or physical \u2013 by some numbing source? \u00a0Are we far too often seeking a prescription solution to a problem or challenge that might be addressed through a combination of therapies? There are options, be it over-the-counter solutions (like acetaminophen or NSAID\u2019s like ibuprofen), exercise, cognitive behavioral therapy, physical therapy, counseling, meditation, or prayer. I can\u2019t help but think if Americans shifted their mindset from \u201c<em>How much medication do I need to kill all the pain?<\/em>\u201d to \u201c<em>What is the minimum medication I need to help me manage my pain?,<\/em>\u201d our country\u2019s stats around opioids would be very different.<\/p>\n<p>I have to go back to the dentist to get another filling soon. Since today\u2019s adventure was a little unsettling, I may ask for the pain-numbing option next time. But then again, I might not.\u00a0<\/p>\n<p><em>Mary Elizabeth Elliott is the Vice-President, Communications, Membership and IT at CADCA<\/em><\/p>","protected":false},"excerpt":{"rendered":"<p>Esta manh\u00e3 passei algum tempo de cabe\u00e7a para baixo na cadeira do dentista, recebendo duas obtura\u00e7\u00f5es. eu realmente n\u00e3o sei<\/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":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Ruminating on Dentistry and Painkillers | CADCA<\/title>\n<meta name=\"description\" content=\"CADCA represents over 5,000 community 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