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2021年牙科医学的疼痛管理:阿片类药物、冠状病毒及其他。

Pain Management for Dental Medicine in 2021: Opioids, Coronavirus and Beyond.

作者信息

Scrivani Steven J, Keith David A, Kulich Ronald J, DaSilva Alexandre F, Donoff R Bruce, Handa Shruti, Holland Nicole, Lerman Mark A, McCauley Jenna L, Reisner Lori, Resnick Cory M, Stohler Christian S, Vasciannie Alexis, Fortino Matthew, Schatman Michael E

机构信息

Department of Diagnostic Sciences, Craniofacial Pain and Headache Center, Tufts University School of Dental Medicine, Boston, MA, USA.

Oral and Maxillofacial Surgery, Harvard School of Dental Medicine, Department of Surgery, Massachusetts General Hospital, Boston, MA, USA.

出版信息

J Pain Res. 2021 May 24;14:1371-1387. doi: 10.2147/JPR.S319373. eCollection 2021.

Abstract

Over the past year our attention has inevitably been on the coronavirus pandemic, the health and welfare of our families, patients, and office staffs as well as the re-opening of our dental practices. In addition, the opioid crisis continues, is very likely to worsen as a result of the pandemic and continues to be a challenge to Dentistry. National public health issues and healthcare disparities continue and have created a global concern for providing evidence-based, adequate pain management in the dental setting. We have brought together a group of national thought leaders and experts in this field who will share their insights on the current state of opioid prescribing in Dentistry and describe some of the exciting work being done in advancing pain management. The learning objectives for this conference proceedings were: Describing the implications of current public health concerns for safe and effective pain management in dental medicine.Identifying risk factors and understanding the current guidelines for the use of opioid and non-opioid medications in dental medicine.Analyzing the interprofessional collaborations necessary for effective pain management in dental medicine.Recognizing the challenges and opportunities brought about by the COVID-19 pandemic for the dental profession.Applying evidence-based strategies for managing the complex pain patient in the dental setting.Appraising new and future modalities for the assessment and management of orofacial pain.

摘要

在过去的一年里,我们不可避免地将注意力集中在了冠状病毒大流行、我们家人、患者及办公室工作人员的健康与福祉,以及牙科诊所的重新开业上。此外,阿片类药物危机仍在持续,很可能因疫情而加剧,并且仍然是牙科领域面临的一项挑战。全国性的公共卫生问题和医疗保健差距依然存在,在牙科环境中提供基于证据的充分疼痛管理已引发全球关注。我们召集了该领域的一批全国性思想领袖和专家,他们将分享对牙科领域阿片类药物处方现状的见解,并介绍在推进疼痛管理方面正在开展的一些令人振奋的工作。本次会议论文集的学习目标如下:描述当前公共卫生问题对牙科医学中安全有效的疼痛管理的影响。识别风险因素并了解牙科医学中使用阿片类药物和非阿片类药物的现行指南。分析牙科医学中有效疼痛管理所需的跨专业合作。认识到新冠疫情给牙科行业带来的挑战和机遇。应用基于证据的策略来管理牙科环境中的复杂疼痛患者。评估评估和管理口腔面部疼痛的新的和未来的模式。

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