Opioids and Pain Management

National Maternal and Child Oral Health Resource Center
Georgetown University Washington, DC 20057

E-mail: OHRCinfo@georgetown.edu
Website: https://www.mchoralhealth.org
Available from the website.

This document provides guidance on opioids for oral health professionals. It includes information about assessing children and adolescents, drugs to recommend before prescribing opioids, prescribing opioids with caution and being aware of the potential for misuse or abuse, and understanding laws, policies, and recommendations. The document also discusses providing post-operative instructions and creating a safe, friendly environment. Information about prescription-drug-monitoring programs and managing acute oral pain are included, along with tips for dentists to share with parents and an overview of research. [Funded by the Maternal and Child Health Bureau]

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National Maternal and Child Oral Health Resource Center
Georgetown University Washington, DC 20057

E-mail: OHRCinfo@georgetown.edu
Website: https://www.mchoralhealth.org
Available from the website.

This practice guidance provides an overview of pain management for dental procedures for women of reproductive age. It discusses pharmacological considerations for pregnant women (pharmaceutical agents and indications, contraindications, and special considerations), neonatal opioid withdrawal syndrome, guidelines for providing opioids, managing acute dental pain, and guidelines for discharging women with opioid prescriptions. Information about prescription drug monitoring programs is included. [Funded by the Maternal and Child Health Bureau]

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American Dental Association, Health Policy Institute
211 East Chicago Avenue
Chicago, IL 60611-2678

Telephone: (312) 440-2500
Website: http://www.ada.org/en/science-research/health-policy-institute

This infographic provides information about trends in the percentages of opioids prescribed by dentists to individuals with private dental insurance between 2010 and 2015. Total percentages are provided, as well as percentages by age group. Information about days’ supply and quantities of pills prescribed by dentists to individuals with private insurance for 2010–2015 is also presented.

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Oregon Health Authority, Oral Health Program
800 N.E. Oregon Street, Suite 850
Portland, OR 97232

Telephone: (971) 673-0348
Secondary Telephone: (971) 673-0372
Fax: (971) 673-0240
E-mail: oral.health@state.or.us
Website: https://public.health.oregon.gov/PreventionWellness/oralhealth/Pages/index.aspx

This document for dentists provides guidelines on prescribing opioids. Appropriate dosages, types of medication to prescribe, prescribing refills, using guidelines for pain management, and ensuring that patients know how to secure medication and dispose of leftover medication are discussed. Alternatives to prescribing opioids are presented. Information is included on how to obtain the document in large print, Braille, non- English languages, or other formats.

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Oregon Health Authority
Public Health Division 800 NE Oregon Street
Portland , OR 97232

Telephone: 971-673-0252
Secondary Telephone:
Fax: (503) 947-2341
E-mail: mchsection.mailbox@dhsoha.state.or.us
Website: https://www.oregon.gov/OHA/PH/Pages/index.aspx
Available from the website.

This document provides recommendations for the management of opioid use for pregnant women, including pregnant women with opioid-use disorder, and for care of the opioid-exposed newborn. Topics include clinical recommendations, health-systems and policy recommendations, definitions, and resources and collaborative approaches.

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Partnership for Drug-Free Kids
352 Park Avenue South, 9th Floor
New York, NY 10010

Telephone: (855) 378-4373
Secondary Telephone: (212) 922-1560
Fax: (212) 922-1570
E-mail: webmail@drugfree.org
Website: http://www.drugfree.org/
Available from the website.

This guide provides information for a pregnant woman’s family about opioid misuse and treatment during pregnancy. The guide explains what an opioid use disorder is and discusses the importance of comprehensive prenatal care and treatment for pregnant women with the disorder, delivery, newborn health, breastfeeding, social supports, and what to expect in the weeks and months after delivery.

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Pennsylvania Medical Society
777 East Park Drive, P.O. Box 8820
Harrisburg, PA 17105-8820

Telephone: (717) 558-7750
Secondary Telephone: (800) 228-7823
Fax: (717) 558-7830
E-mail: stat@pamedsoc.org
Website: https://www.pamedsoc.org
Available from the website.

These guidelines are intended to help health professionals improve patient outcomes and avoid potential adverse outcomes associated with using opioids to treat acute dental pain. Contents include how to incorporate key practices into caring for patients receiving opioids for pain.

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