Pain Management and the Role of Opioids (Updated 2019)
You will receive 1 credit(s) of continuing education credit upon successful completion of this course.

This lecture will trace changes in prescribing methods over the past 40 years that may have, unintended, led to excessive narcotic prescribing, one of the causes of the current opioid epidemic. Dentists prescribe over ten percent of the immediate release narcotics in the U.S.A., and perhaps a greater percentage of initial opioid prescriptions. As a result statutory changes in regulation of narcotic prescribers and prescriptions have been promulgated in many states, including Connecticut, and include dentists. Non-opioid alternatives can be quite successful in controlling dental related pain and should be considered in most cases. Pre-emptive analgesia with combinations of long-acting local anesthetics and non-steroidal anti-inflammatory medications has led to significant decreases in immediate and long-term pain perception.

Joseph Piecuch, DMD, MD

Joseph Piecuch, DMD, MD is a graduate of the University of Massachusetts at Amherst (BA), Harvard University (DMD) and the University of Washington (MD). Dr. Piecuch’s residency in Oral and Maxillofacial Surgery was at the University of Washington. Initially a faculty member at the University of Connecticut, he established a private practice in 1985 and became affiliated with Hartford Hospital where he was Oral Surgery Educational Coordinator and OMS Section Chair. In 2008 he returned to...

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Learning Objectives:
  1. Understand the severity of the current opioid death epidemic.
  2. Learn how opioid prescribing practices changed 20 years ago, and how well-meaning concerns about total elimination of pain indirectly led to the current overdose problems.
  3. Understand the role of Dentistry in the narcotic epidemic.
  4. Understand why prescribing practices led to changes in Connecticut statutes concerning opioid prescribing.
  5. Understand the concept of pre-emptive analgesia and how techniques involving local anesthetics and NSAIDS can eliminate the need for narcotics in many cases.
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Release date: August 28, 2017
Review date: August 28, 2020
Expiration date: August 28, 2022
CE courses are administered by IMV, Ltd.
IMV, Ltd is an ADA CERP Recognized Provider.

ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry.

Concerns or complaints about this CE provider may be directed to DrBicuspid.com support or to ADA CERP at www.ada.org/cerp.