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Cited by 22Opioid Use Disorder TreatmentPain Management and Opioid UseAnesthesia and Pain Management

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Trends in national opioid prescribing for dental procedures among patients enrolled in Medicaid

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Okunev, Ilya, Frantsve-Hawley, Julie, Tranby, Eric·2021·The Journal of the American Dental Association
DOI 10.1016/j.adaj.2021.04.013

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Abstract

BACKGROUND: The authors examined trends in opioid prescriptions by dentists for children and nonsenior adults enrolled in Medicaid. METHODS: The authors used the IBM Watson Medicaid claims databases for 2012 through 2019 and the Centers for Disease Control and Prevention conversion data set. Opioid prescriptions were linked to a dental visit when prescribed within 3 days of the dental visit and if the patient had no medical visit reported during that period. The authors conducted descriptive analyses for age, procedures performed, treatment history, and prescription strength. RESULTS: The results of the study showed consistent decreases in opioid prescription rates in dentistry during the study period from 2.7% to 1.6% among children (aged 0-20 years) and from 28.6% to 12.2% for adults (aged 21-64 years). The adult opioid prescription rate decreased for nonsurgical dental procedures from 9.7% to 2.9%. For surgical procedures, the adult prescription rate decreased from 48.0% to 28.7%. Most dental-related opioids were prescribed for oral surgeries (children, 70.8%; adults, 58.6%). By 2019, 23% of all opioid prescriptions for children were dental related. CONCLUSIONS: The authors found that opioid prescription rates in dentistry for people enrolled in Medicaid declined substantially from 2012 through 2019 for both children and adults. The percentage of prescriptions written for nonsurgical visits consistently declined over the observed time. During the same time, opioid prescription rates for both dental surgical procedures and dental nonsurgical procedures. PRACTICAL IMPLICATIONS: Although the trends revealed in the analysis show declining opioid prescription patterns, these results suggest that the overall rate is still too high and prescriptions are being written unnecessarily.

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References 28 · Cited by 22

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Metadata

Authors
Okunev, I., Frantsve-Hawley, J., & Tranby, E.
Corresponding author
Tranby, Eric
ORCID
Venue
The Journal of the American Dental Association
Publisher
Elsevier BV
Published
2021-08
Volume
152
Issue
8
Pages
622-630.e3
ISSN
0002-8177 (ISSN-L)
DOI
10.1016/j.adaj.2021.04.013
OpenAlex
W3186060800
Cited by
22
References
28
Citations by year
2026: 1 · 2025: 4 · 2024: 4 · 2023: 10 · 2022: 3
FWCI
3.68
Type
journal article
Language
en
Update notices
erratum (2021-10-01)
Open access
Licence
Locations
  • The Journal of the American Dental Association (publishedVersion, cc-by-nc-nd)
  • medRxiv (acceptedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Opioid Use Disorder Treatment
  • Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Opioid Use
  • Health Sciences › Medicine › Anesthesiology and Pain Medicine › Anesthesia and Pain Management
Keywords
opioid prescribing, dental treatment, Medicaid, oral surgery, children, adults, prescription opioid misuse
MeSH terms
Adult, Analgesics, Opioid, Child, Humans, Medicaid, Practice Patterns, Physicians', United States, Databases, Factual, Practice Patterns, Dentists', Oral Surgical Procedures

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CoChat. (2026). Citation check: Trends in national opioid prescribing for dental procedures among patients enrolled in Medicaid. https://app.cochat.ai/papers/10.1016/j.adaj.2021.04.013
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Okunev, I., Frantsve-Hawley, J., & Tranby, E. (2021). Trends in national opioid prescribing for dental procedures among patients enrolled in Medicaid. The Journal of the American Dental Association. https://doi.org/10.1016/j.adaj.2021.04.013