Alternatives to Dental Opioid Prescribing After Tooth Extraction

Part of paid clinical trials in Lexington, Kentucky.

Sponsor
Douglas Oyler
Study ID
NCT06275191
Status
Enrolling By Invitation

Conditions

  • Acetaminophen
  • Acute Pain
  • Adolescent
  • Analgesics, Opioid
  • Ibuprofen
  • Tooth Extraction

Eligibility Criteria

Sex
ALL
Age
12 Years - 25 Years
Healthy Volunteers
Not accepted

Interventions

  • Multicomponent intervention — BEHAVIORAL
    The multicomponent intervention consists of (1) a single 45-60-minute academic detailing session with provider participants, plus (2) provision of patient post-extraction instruction materials and (3) provision of blister-packaged acetaminophen and ibuprofen for distribution to adolescent/young adult patients after tooth extraction in the course of clinical practice
  • Usual care — OTHER
    No intervention.

Study Details

The goal of this clinical trial is to test a three-item intervention in oral surgeons who remove teeth. The main questions it aims to answer are: * Can the intervention reduce opioid prescriptions to adolescents and young adults after tooth removal? * Do oral surgeons' beliefs about the intervention and opioid prescribing change? * Do patients that report using opioids after tooth removal have different experiences than patients that do not? Oral surgeon participants will: * Attend a 1-hour education session with a trained pharmacist * Receive patient instructions and blister packs of pain medicine to give to patients * Complete 2 surveys about feasibility and appropriateness Patient participants will complete a survey about pain and medication use after having a tooth removed. Researchers will compare the intervention to usual care to see if it reduces opioid prescribing.

Key Dates

Start date
Apr 16, 2024
Status verified
Jun 2026
Primary completion
Jan 31, 2028
Completion
Dec 31, 2028

Study Design

Enrollment
38,159 participants (estimated)
Allocation
RANDOMIZED
Intervention model
SEQUENTIAL
Primary purpose
OTHER

Arms

  • Experimental: Intervention condition
    1. Academic detailing (45 to 60-minute session), plus 2. Provision of standardized patient post-extraction instructions for distribution, plus 3. Provision of blister-packaged acetaminophen and ibuprofen at recommended standard doses for distribution to to adolescent/young adult patients after tooth extraction in the course of clinical practice
  • Active Comparator: Control condition
    Usual practice

Primary Outcome Measure

Odds of post-extraction opioid prescription to adolescent/young adults after tooth extraction [ Time Frame: Same calendar date as dental extraction. Electronic health records will be extracted for the duration of the 4-year study period. ]

Locations (1)

FacilityCityStateZIPSite coordinators
University of KentuckyLexingtonKentucky40536-

Find similar trials in Lexington, KY

By research site
University of Kentucky· Lexington, KY

Related Studies