IADR Abstract Archives
Integrated Analysis of Wisdom Tooth Related Opioid Dental Prescribing Behaviors
Objectives: Using data analytics of integrated health claims, demonstrate dental opioid prescribing behavior of network dentists over three year period for Under and Over 18 year old patients undergoing wisdom tooth extractions.
Methods:
Analysis of Claims on paid dental services matched against filled opioid prescriptions for same patient and providers (2016, 2017, and 2018). Extraction codes D7220, D7230, D7240, and D7241 maximum of 4 on date of service. Opioid prescriptions for same patient within 3 days of date of service. Analysis conducted for Days Supplied, MME (Morphine Milligram Equivalents), bony, semi bony, or soft tissue impactions. and number of extractions.
Results: Combined data of pharmacy and dental claims consisted of 83,803 members. 52,784 members containing 53,223 filled opioid scripts. Under 18-years-old cohort consists of 24,002 members with 14,435 opioid scripts. Over 18 years old cohort consists of 59,857 members with 37,788 opioid scripts. Prescribing of opioid scripts and MME and days supplied decreased each year for both groups. From 2016-2018 overall decreased opioid scripts for wisdom teeth extractions from 66.3% to 64.5%, average MME per script decreased from 142 to 113, and average days supplied decreased from 3.8 to 3.6 days. Under 18-year-old cohort decreased opioid scripts from 62.8% to 58.4%, average MME per script decreased from 142 to 110, and average days supplied per script decreased from 3.7 to 3.3 days. Over 18-years-old cohort decreased opioid scripts from 67.8% to 64.1%, average MME per script decreased from 142 to 114, and average days supplied per script decreased from 3.8 to 3.4 days. Under 18-year-old cohort were 8.4% less likely to be prescribed an opioid, days supplied and MMEs were also reduced as compared to over 18-year old. Based on significance (p<.05), logistic regression and odds ratio for total population, having two, three, or four teeth extracted greatest predictor of opioid script over impaction type.
Conclusions: Combined data showed patients in under 18 years old cohort received opioids 60.6% of time compared to 66.0% for patients 18 and older for wisdom tooth extractions. Percentage opioids prescribed year over year fell each year in both cohorts between 2016-2018. Also, days supplied and MMEs also reduced for patients under 18 compared to over 18 years old.
Methods:
Analysis of Claims on paid dental services matched against filled opioid prescriptions for same patient and providers (2016, 2017, and 2018). Extraction codes D7220, D7230, D7240, and D7241 maximum of 4 on date of service. Opioid prescriptions for same patient within 3 days of date of service. Analysis conducted for Days Supplied, MME (Morphine Milligram Equivalents), bony, semi bony, or soft tissue impactions. and number of extractions.
Results: Combined data of pharmacy and dental claims consisted of 83,803 members. 52,784 members containing 53,223 filled opioid scripts. Under 18-years-old cohort consists of 24,002 members with 14,435 opioid scripts. Over 18 years old cohort consists of 59,857 members with 37,788 opioid scripts. Prescribing of opioid scripts and MME and days supplied decreased each year for both groups. From 2016-2018 overall decreased opioid scripts for wisdom teeth extractions from 66.3% to 64.5%, average MME per script decreased from 142 to 113, and average days supplied decreased from 3.8 to 3.6 days. Under 18-year-old cohort decreased opioid scripts from 62.8% to 58.4%, average MME per script decreased from 142 to 110, and average days supplied per script decreased from 3.7 to 3.3 days. Over 18-years-old cohort decreased opioid scripts from 67.8% to 64.1%, average MME per script decreased from 142 to 114, and average days supplied per script decreased from 3.8 to 3.4 days. Under 18-year-old cohort were 8.4% less likely to be prescribed an opioid, days supplied and MMEs were also reduced as compared to over 18-year old. Based on significance (p<.05), logistic regression and odds ratio for total population, having two, three, or four teeth extracted greatest predictor of opioid script over impaction type.
Conclusions: Combined data showed patients in under 18 years old cohort received opioids 60.6% of time compared to 66.0% for patients 18 and older for wisdom tooth extractions. Percentage opioids prescribed year over year fell each year in both cohorts between 2016-2018. Also, days supplied and MMEs also reduced for patients under 18 compared to over 18 years old.
