Hersh Elliot V, Kane William T, O'Neil Michael G, Kenna George A, Katz Nathaniel P, Golubic Stephanie, Moore Paul A
Oral and Maxillofacial Surgery and Pharmacology, School of Dental Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Compend Contin Educ Dent. 2011 Apr;32(3):22, 24-30; quiz 31-2.
Effective acute pain management is an essential but sometimes challenging component of dental practice. Numerous studies have examined the efficacy of various analgesic agents in dental postoperative models. This article combines an evaluation of the available evidence with current prescribing patterns to provide dental practitioners prescribing recommendations for acute pain, based on the anticipated severity of post-procedural pain. An important consideration when prescribing analgesics is to determine for whom opioid analgesics are necessary and appropriate, and if so, the dose and quantity that should be prescribed. This is partly because of the prevalence of substance and alcohol abuse that can be expected to be encountered within the dental patient population, and because substance abusers in the community frequently obtain prescription drugs from friends and family for misuse.
有效的急性疼痛管理是牙科实践中必不可少但有时具有挑战性的一部分。众多研究已考察了各种止痛剂在牙科术后模型中的疗效。本文结合对现有证据的评估和当前的处方模式，根据术后疼痛的预期严重程度，为牙科从业者提供急性疼痛的处方建议。开止痛药时的一个重要考虑因素是确定哪些患者需要并适合使用阿片类止痛药，如果需要，应开的剂量和数量是多少。部分原因在于预计在牙科患者群体中会遇到药物和酒精滥用的情况，而且社区中的药物滥用者经常从朋友和家人那里获取处方药以供滥用。
