Massachusetts Dental Schools Respond to the Prescription Opioid Crisis: A Statewide Collaboration

Keith DA, Kulich RJ, Bharel M, Boose RE, Brownstein J, Da Silva JD, D'Innocenzo R, Donoff RB, Factor E, Hutter JW, Shaefer JR, Karimbux NY, Jack H, Thomas HF.
J Dent Educ. 2017 Dec;81(12):1388-1394.
doi: 10.21815/JDE.017.098.
PMID: 29196326.
https://pubmed.ncbi.nlm.nih.gov/29196326/

The prescription opioid crisis has involved all sectors of U.S. society, affecting every community, socioeconomic group, and age group. While federal and state agencies are actively working to deal with the epidemic, medical and dental providers have been tasked to increase their awareness of the issues and consider ways to safely prescribe opioids and, at the same time, effectively treat their patients' pain. The Commonwealth of Massachusetts, under the leadership of Governor Charles D. Baker and his administration, challenged the state's four medical schools and three dental schools to improve their curricula to prepare the next generation of clinicians to deal with this crisis in an evidence-based, effective, and sympathetic way. This Perspectives article outlines the national prescription opioid crisis, details its effects in Massachusetts, and describes the interdisciplinary collaboration among the Commonwealth, the three dental schools, the Massachusetts Dental Society, and a concerned student group. The article also describes the efforts each dental school is undertaking as well as an assessment of the challenges and limitations in implementing the initiative. The authors hope that the Massachusetts model will be a useful resource for dental schools in other states.

Keywords: attitude of health personnel; controlled substances; dental education; dentist-patient relations; health behavior; opioids; orofacial pain; pain management; patients; public health; social responsibility; substance abuse.