Clinical Report: Global Patterns in Opioid Prescribing by Dentists
Overview
This study evaluates trends in dental opioid dispensing rates across multiple countries from 2021 to 2024. The findings indicate that while the US dental opioid dispensing rate has decreased, it remains significantly higher than in other countries, suggesting opportunities for further reduction.
Background
Opioid prescriptions from dentists are linked to adverse events such as overdose and persistent use. Understanding the patterns of opioid prescribing in dentistry is crucial for addressing public health concerns related to opioid misuse. This study compares the dental opioid dispensing rates in the US with those in several other countries to assess international prescribing practices.
Data Highlights
Country
2021 Rate (per 100,000)
2024 Rate (per 100,000)
US
2786.3
2022.0
Canada
2081.9
1773.9
France
1408.2
1259.1
Puerto Rico
1116.8
1005.0
Australia
1066.2
1038.0
Belgium
287.4
248.6
Germany
144.6
97.9
Netherlands
85.5
83.0
Key Findings
The US dental opioid dispensing rate decreased by 27.4% from 2021 to 2024.
In 2021, the US had a dental opioid dispensing rate of 2786.3 per 100,000, significantly higher than other countries.
In 2024, the US rate was 2022.0 per 100,000, still the highest among the countries studied.
Two-thirds of US dental opioid prescriptions are for tooth extraction, where alternatives like ibuprofen and acetaminophen are effective.
Canada, France, Australia, and Puerto Rico also exhibited higher dental opioid dispensing rates compared to the Netherlands, Germany, and Belgium.
Clinical Implications
The high dental opioid dispensing rates in the US and other countries highlight the need for improved prescribing practices among dentists. Clinicians should consider non-opioid alternatives for pain management, especially for common procedures like tooth extractions.
Conclusion
The study underscores the ongoing challenge of high opioid prescribing rates in dentistry, despite recent decreases. Continued efforts are necessary to align dental prescribing practices with safer, evidence-based pain management strategies.