Opiate Crisis

Study: Naproxen More Effective Than Hydrocodone-Acetaminophen After Dental Surgery

More evidence that NSAIDs with or without acetaminophen are more effective in alleviating pain in the postoperative dental surgery pain model. A recent study from JBR Clinical research demonstrated some unanticipated findings: “This study is important because the relative efficacy of these two commonly used pain medications has not been directly compared in a validated […]

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Opiate Epidemic Disproportionately Worsening in High School Age Demographic

A pre-print citation in medRxiv is demonstrating a near 100% increase in opiate related deaths in the high school age demographic (ages 14-18) from 2019 to 2020 alone.  Illicitly manufactured fentanyl once again appears to be the usual suspect.  This study calculated drug overdose deaths by 5 year age groups over the 11 year period from 2010

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NC Practitioner Compliance With CSRS

The home/welcome page of the NC Board of Dental Examiners has an interesting post copied from the NC Medical Board’s website. Not too unexpectedly, CSRS is flagging registrants who have been prescribing controlled substances but not reviewing a patient’s CSRS profile. In this post it states: Administrators of the state-run North Carolina Controlled Substances Reporting

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AMA Reports Decreased Opiate Prescribing…Increased Deaths

Consistent with other reports we have made the American Medical Association has released a report showing a 44% decrease in opiate prescribing over the past 10 years with a 6.9% decrease from 2019-2020 alone.  However, at the same time, “deaths of despair” continue to rise as a worsening drug overdose and death epidemic from illicit opiates laced with fentanyl continues to

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Update: National Drug Overdosage Deaths Up 29.4%

The CDC reports that drug overdose death rates (from all causes) are up 29.4% over the last 12 months most likely reflecting so-called “deaths of despair” as the SARS-COV2 pandemic continues unabated.  This probably represents death from illicit drug abuse often times laced with fentanyl – a cheap but super-potent synthetic opioid frequently mixed with heroin

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NC CSRS Gateway Integration De-mystified

In 2009 the Obama Administration championed the development of the HITECH Act.  Among its many ramifications were the development of “meaningful use” parameters intended to provide financial incentives through health care insurance reimbursement (Medicare, Medicaid) for health care entities to adopt technological advances to make health care more accessible and affordable. The HITECH Act accomplished this through

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