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Missouri restricts dental prescriptions of opioids



KANSAS CITY, Mo. (AP) – A new Missouri law limits the amount and types of pain medications that dentists can prescribe after studies found that painkillers prescribed following routine dental work are contributing to a national epidemic of opioid addiction

Gov. Mike Parson signed the bill this month that directs dentists to prescribe no opioids more than the equivalent of 10 regular Vicodin pills per day and to prescribe no extended-release opioids such as OxyContin at all

Dan Kessler, the president of Missouri

"I think we all are for limitations and not over-prescribing or even using things like hydrocodone," Kessler told The Kansas City Star. Hydrocodone is an ingredient in painkillers including Vicodin.

Dentists who have gone beyond the requirements of the new law will have to document the patient's medical record.

If the dentists do not make a record of prescriptions outside the bounds of the new law, the state's dental board could investigate and potentially pull their license, Kessler said.

"I hate to say it's on the honor system, but it kind of is," Kessler said. "But if you're a repeat offender and things happen, like people are OD'ing on it, then you're exposed."

The American Dental Association says dentists prescribe 6.4% of all U.S. opioid prescriptions in 201

2. Meanwhile, a study published in JAMA Internal Medicine in December showed that dentist opioid prescriptions play a significant role in adolescent and young adult addiction

The study found that people aged 16 to 25 whose first opioids were prescribed by a dentist has more than 10 times more likely than their peers to be diagnosed with opioid abuse within a year. Teens and young adults are more susceptible to addiction because their brains are still developing, and dentists are the most frequent opioid prescribers for adolescents because that's when most people have their wisdom teeth removed

"This statute will minimize critical role in the exposure of this group who are vulnerable to misuse, "said John Dane, the dental director of the Missouri Department of Health and Senior Services


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