Tooth Extraction Clinical Trial
Official title:
De-Implementing Opioid Use and Implementing Optimal Pain Management Following Dental Extractions
The overarching goal of this project is to de-implement the reliance on opioid analgesics and to implement reliance on non-opioid analgesics to manage postoperative pain following dental extractions. Using a prospective, provider-level, 3-arm cluster randomized trial design, the investigators will compare different strategies to reduce the reliance on opioids and increase the use of alternative pain management approaches utilizing information support tools aimed at both providers and their patients.
The primary objective of this project is to de-implement the use of opioid analgesics for the management of postoperative pain following dental extractions and to implement effective alternative pain management. The investigators propose a cluster-randomized trial design in which dental practitioners will be randomly assigned to 1 of 3 conditions involving different implementation strategies. The first condition, Standard Practice, will serve as a control condition. The second condition will implement a clinical decision support (CDS) tool that will extract patient history and interface with the state prescription drug monitoring program to provide personalized recommendations for analgesic prescribing and offer language for discussing optimal, evidence-based non-opioid pain management with dental extraction patients. The third condition will involve an enhanced version of the CDS (CDS-E) that will also include information regarding optimal, evidence-based, non-opioid pain management delivered directly to the patient both before and following the dental extraction visit. The investigators will examine opioid and non-opioid prescribing data from the electronic health record across study arms as well as other provider- and patient-focused outcomes using mixed methods. ;
| Status | Clinical Trial | Phase | |
|---|---|---|---|
| Completed |
NCT04166890 -
Comparison of the Efficacy and Safety of Two Homologous Active Principles for Local Dental Anesthesia
|
Phase 4 | |
| Active, not recruiting |
NCT02952209 -
The Effect of Alveolar Ridge Preservation After Tooth Extraction in the Posterior Maxilla
|
N/A | |
| Completed |
NCT02155764 -
Ridge Preservation With New Class of Osteoplastic Materials
|
Phase 2 | |
| Completed |
NCT01588444 -
Ridge Preservation After Tooth Extraction Using Cortical Versus Cancellous Freeze Dried Bone Allograft
|
N/A | |
| Completed |
NCT00387140 -
A Study to Evaluate the Safety and Efficacy of an Investigational Drug in the Treatment of Postoperative Dental Pain (MK-2295-005)
|
Phase 2 | |
| Recruiting |
NCT06245161 -
Efficacy of Computer Controlled Intraosseous Anesthesia in Pediatric Dental Patients
|
N/A | |
| Recruiting |
NCT05615272 -
Treatment of Alveolar Osteitis: Traditional or Regenerative?
|
N/A | |
| Completed |
NCT05101954 -
Platelet Rich Fibrin and Concentrated Growth Factors on Osseointegration of Immediate Implants
|
N/A | |
| Completed |
NCT03985033 -
The Clinical and Biological Effects of Leucocyte and Platelet-rich Fibrin (L-PRF) on Post-extraction Sockets Healing
|
N/A | |
| Completed |
NCT04082598 -
Antibiotic Therapy in Erupted Tooth Extractions
|
Phase 4 | |
| Completed |
NCT01924390 -
Histological Comparison of Ridge Preservation Using Mineralized FDBA Alone Versus a Combined Mineralized-Demineralized Freeze Dried Bone Allograft
|
N/A | |
| Completed |
NCT04930497 -
Vestibular Socket Therapy With and Without Bone Grafting
|
N/A | |
| Completed |
NCT03191448 -
Ridge Preservation Using FDBA and a Collagen Wound Dressing in Molar Sites
|
N/A | |
| Completed |
NCT03211312 -
Prediction Model of Cardiac Risk for Dental Extraction in Elderly Patients With Cardiovascular Diseases
|
||
| Withdrawn |
NCT06038695 -
Immediate Implant Placement Using Volume-Stable Collagen Matrix Combined With rhPDGF-BB
|
N/A | |
| Completed |
NCT05845437 -
On Adequacy of Referrals to Oral and Maxillofacial Surgery
|
||
| Recruiting |
NCT05220462 -
Remimazolam vs Midazolam Cognitive and Motor Recovery After Intravenous Conscious Sedation for Dental Extractions.
|
Phase 3 | |
| Active, not recruiting |
NCT03943680 -
Plasma Rich in Growth Factors in Post-extraction Sockets
|
N/A | |
| Recruiting |
NCT05106855 -
Comparative Study of Immediate Single Unit Implants in Early Loading Protocols, With or Without Photobiomodulation.
|
N/A | |
| Completed |
NCT03487718 -
A 14 Weeks Longitudinal Study to Investigate the Effect of Leukocyte- Platelet Rich Fibrin Plug on the Quality of the Newly Formed Bone in Ridge Preservation Procedure Following a Tooth Extraction. It is a Clinical, Radiographic and Histomorphometric Study.
|
N/A |