AUTHOR DETAILS

Arthur H. Jeske, DMD, PhD

Dr. Arthur Jeske is currently Professor in the Department of General Practice and Dental Public Health and Associate Dean for Strategic Planning & Continuing Dental Education at the UTHealth School of Dentistry at Houston, where he teaches local anesthesia and dental therapeutics. Dr. Jeske received his B.S. degree from the University of North Carolina Charlotte and his Ph.D. (Pharmacology) and D.M.D. degrees from the Medical College of Georgia. He is Editor-in-Chief of Mosby's Dental Drug Reference and serves as Section Editor (Pharmacology), Cranio-The Journal of Craniomandibular and Sleep Practice. He holds Fellowship in the International College of Dentists, the American College of Dentists and the Pierre Fauchard Academy. He is past Editor of the Journal of the Greater Houston Dental Society, the Texas Dental Journal and is a consultant to the American Dental Association's Council on Scientific Affairs. His honors include membership in Omicron Kappa Upsilon, Delta Sigma Delta, and he is the recipient of the Distinguished Alumnus Award from the Medical College of Georgia School of Dentistry. Dr. Jeske has been in the part-time practice of general dentistry for over 40 years.

Alternatives to Opioid Analgesics in Dental Practice (5th Edition)
Credits: 1.0
AGD Code(s): 340
Non-Participating Provider Fee: $12.00

Opioid addiction is a major issue in many parts of the United States; many have labeled it a social crisis. Inappropriate prescribing by health care providers, including dentists, has been cited as one of the factors facilitating this problem. Analgesics play an important role in the management of dental pain, primarily as adjuncts to definitive interventions. Traditionally non-opioid/opioid combinations have been the drugs of choice for management dental pain. Increasingly strong scientific evidence for the superior pain relief provided by non-steroidal anti-inflammatory drugs has fundamentally changed the contemporary approach to the management of acute dental pain. This Quality Resource Guide (QRG) focuses on non-opioid oral analgesics for control of acute pain, with an emphasis on high-level scientific evidence. Principles of contemporary prescribing of analgesics in dental practice are covered, as well as a rationale for selection of specific drugs, the common adult dosage regimens, new NSAIDS options, the advantages of using a combination of drugs, and the use of liposomal bupivacaine for pre-emptive analgesia. Contraindications and warnings as well as adverse drug events associated with analgesics are discussed. This QRG will serve as an important resource for the dentist, and members of the office staff, when considering the use of analgesics for the patient with acute dental pain. It will also serve as a reference when explaining to a patient why the analgesics to be used may be different than they have experienced before.