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CE CoursesArticlePain Management

Opioids’ Impact on Dental Anesthesia

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This review presents data from the literature focusing on opioids’ action on the central and peripheral nervous systems and subsequent influence on local anesthetics.

AGD Subject Code: 340

EDUCATIONAL OBJECTIVES

After reading this course, the participant should be able to:

  1. Describe the use and prevalence of opioid prescriptions in dentistry and the impact of these drugs on local anesthesia.
  2. Explain indications for opioids in the dental setting, the principal opioid receptors, and impacts of “first-pass” metabolism on orally administered opioids.
  3. Discuss considerations for local analgesics, especially when local drug concentrations increase, or the agents are combined with opioids.

 

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Edward Ruvins, DDS, MS, MBA, MSF, MSAC, is a founder of Spectrum Dental Group, Lighthouse Recovery, and Optimum Consulting Group and the co-founder of Genesis Behavioral Health. He is a certified valuation analyst and certified fraud examiner. Ruvins can be reached at eruvins@yahoo.com.


Mark Stein, DDS MD, is an assistant professor of oral and maxillofacial surgery at New York University and an attending physician at Columbia University Medical Center, Staten Island University Hospital where he is actively involved in resident training and education in the dentistry and surgery departments.


Susanna Kayserman, DDS, practiced cosmetic and restorative dentistry from 1995 to 2022. She is an active member of the American Dental Association and the Academy of Osseointegration. She has taught residents at Staten Island University Hospital and is actively involved in her local dental society.


Katie Brydon, LCSW, LAC, MAC, EMDR-c, is a licensed clinical social worker and a licensed addiction counselor in Colorado. Her practice focuses on eye movement desensitization and reprocessing-based treatment of complex psychological trauma and advanced treatment of addictions. Brydon is a founder of Road to Me Recovery, co-founder of Genesis Behavioral Health, and clinical director of Lighthouse Recovery.


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