Brinkman D J, Brand H S, Rademacher W H M, Bots C P, Rozema F R
Ned Tijdschr Tandheelkd. 2021 Sep;128(9):435-439. doi: 10.5177/ntvt.2021.09.21067.
Oral care providers frequently prescribe analgesics for the management of dental pain. To get an overview of the analgesics prescribed in the Netherlands from 2016 through 2020, we collected data from the Stichting Farmaceutische Kengetallen (foundation [for] pharmaceutical indicators). Annually, more than 300,000 analgesics are prescribed by dentists in general practice and dental specialists. The largest group concerns NSAIDs (88%), followed by weak opioids (9%), acetaminophen (2%) and strong opioids (1%). Of the NSAIDs, ibuprofen is the most prescribed by all groups of oral care providers (84-91%). Of the weak opioids, dentists and oral and maxillofacial surgeons mainly prescribe codeine and codeine/ acetaminophen (64% and 78%, respectively), while orthodontists mainly prescribe tramadol (53%). Of the strong opioids, oxycodone is the most frequently prescribed by all groups of oral care providers (77-87%). Analgesics are a large part of the prescription medications in Dutch oral care and mainly concern NSAIDs (ibuprofen) and weak opioids (codeine/ acetaminophen). There are no major differences in prescription behaviour among different oral care providers.
口腔护理从业者经常开具镇痛药来治疗牙痛。为了了解2016年至2020年荷兰开具的镇痛药情况,我们从荷兰药物指标基金会收集了数据。每年,全科牙医和牙科专科医生开具的镇痛药超过30万剂。最大的类别是非甾体抗炎药(88%),其次是弱阿片类药物(9%)、对乙酰氨基酚(2%)和强阿片类药物(1%)。在非甾体抗炎药中,布洛芬是所有口腔护理从业者群体开具最多的药物(84%-91%)。在弱阿片类药物中,牙医以及口腔颌面外科医生主要开具可待因和可待因/对乙酰氨基酚(分别为64%和78%),而正畸医生主要开具曲马多(53%)。在强阿片类药物中,羟考酮是所有口腔护理从业者群体开具最频繁的药物(77%-87%)。镇痛药是荷兰口腔护理中处方药物的很大一部分,主要涉及非甾体抗炎药(布洛芬)和弱阿片类药物(可待因/对乙酰氨基酚)。不同口腔护理从业者之间的处方行为没有重大差异。