{"id":"https://openalex.org/W4413040069","doi":"https://doi.org/10.3233/shti250862","title":"Painful Prescriptions: Opioid and Antibiotic Use for Dental Pain in the Emergency Department","display_name":"Painful Prescriptions: Opioid and Antibiotic Use for Dental Pain in the Emergency Department","publication_year":2025,"publication_date":"2025-08-07","ids":{"openalex":"https://openalex.org/W4413040069","doi":"https://doi.org/10.3233/shti250862","pmid":"https://pubmed.ncbi.nlm.nih.gov/40775880"},"language":"en","primary_location":{"id":"doi:10.3233/shti250862","is_oa":true,"landing_page_url":"https://doi.org/10.3233/shti250862","pdf_url":null,"source":{"id":"https://openalex.org/S4210179765","display_name":"Studies in health technology and informatics","issn_l":"0926-9630","issn":["0926-9630","1879-8365"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310318577","host_organization_name":"IOS Press","host_organization_lineage":["https://openalex.org/P4310318577"],"host_organization_lineage_names":["IOS Press"],"type":"book series"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Studies in Health Technology and Informatics","raw_type":"book-chapter"},"type":"book-chapter","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://doi.org/10.3233/shti250862","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5013004150","display_name":"Jay S. Patel","orcid":"https://orcid.org/0000-0003-0559-5958"},"institutions":[{"id":"https://openalex.org/I4210164862","display_name":"Artificial Intelligence in Medicine (Canada)","ror":"https://ror.org/05p590m36","country_code":"CA","type":"company","lineage":["https://openalex.org/I4210164862"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"Jay Patel","raw_affiliation_strings":["Center for Dental Informatics and Artificial Intelligence, Department of Oral Health Sciences, Temple University Kornberg School of Dentistry"],"raw_orcid":"https://orcid.org/0000-0003-0559-5958","affiliations":[{"raw_affiliation_string":"Center for Dental Informatics and Artificial Intelligence, Department of Oral Health Sciences, Temple University Kornberg School of Dentistry","institution_ids":["https://openalex.org/I4210164862"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5070068149","display_name":"Usha Sambamoorthi","orcid":"https://orcid.org/0000-0001-8311-1360"},"institutions":[{"id":"https://openalex.org/I123534392","display_name":"University of North Texas","ror":"https://ror.org/00v97ad02","country_code":"US","type":"education","lineage":["https://openalex.org/I123534392"]},{"id":"https://openalex.org/I165139151","display_name":"University of North Texas Health Science Center","ror":"https://ror.org/05msxaq47","country_code":"US","type":"education","lineage":["https://openalex.org/I165139151"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Usha Sambamoorthi","raw_affiliation_strings":["College of Pharmacy, University of North Texas Health Science Center"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"College of Pharmacy, University of North Texas Health Science Center","institution_ids":["https://openalex.org/I123534392","https://openalex.org/I165139151"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Ritwik Katiyar","orcid":null},"institutions":[{"id":"https://openalex.org/I4210164862","display_name":"Artificial Intelligence in Medicine (Canada)","ror":"https://ror.org/05p590m36","country_code":"CA","type":"company","lineage":["https://openalex.org/I4210164862"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"Ritwik Katiyar","raw_affiliation_strings":["Center for Dental Informatics and Artificial Intelligence, Department of Oral Health Sciences, Temple University Kornberg School of Dentistry"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Center for Dental Informatics and Artificial Intelligence, Department of Oral Health Sciences, Temple University Kornberg School of Dentistry","institution_ids":["https://openalex.org/I4210164862"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5017550786","display_name":"Wayne Satz","orcid":null},"institutions":[{"id":"https://openalex.org/I84392919","display_name":"Temple University","ror":"https://ror.org/00kx1jb78","country_code":"US","type":"education","lineage":["https://openalex.org/I84392919"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Wayne A. Satz","raw_affiliation_strings":["Department of Emergency Medicine, Lewis Katz School of Medicine at Temple University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Emergency Medicine, Lewis Katz School of Medicine at Temple University","institution_ids":["https://openalex.org/I84392919"]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":4,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.29280397,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"329","issue":null,"first_page":"362","last_page":"366"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10368","display_name":"Dental Health and Care Utilization","score":0.9919000267982483,"subfield":{"id":"https://openalex.org/subfields/3506","display_name":"Periodontics"},"field":{"id":"https://openalex.org/fields/35","display_name":"Dentistry"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10368","display_name":"Dental Health and Care Utilization","score":0.9919000267982483,"subfield":{"id":"https://openalex.org/subfields/3506","display_name":"Periodontics"},"field":{"id":"https://openalex.org/fields/35","display_name":"Dentistry"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10257","display_name":"Oral microbiology and periodontitis research","score":0.9818999767303467,"subfield":{"id":"https://openalex.org/subfields/3506","display_name":"Periodontics"},"field":{"id":"https://openalex.org/fields/35","display_name":"Dentistry"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10576","display_name":"Opioid Use Disorder Treatment","score":0.9817000031471252,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/medicine","display_name":"Medicine","score":0.8456748127937317},{"id":"https://openalex.org/keywords/emergency-department","display_name":"Emergency department","score":0.6732619404792786},{"id":"https://openalex.org/keywords/medical-prescription","display_name":"Medical prescription","score":0.6064841151237488},{"id":"https://openalex.org/keywords/medicaid","display_name":"Medicaid","score":0.6035099625587463},{"id":"https://openalex.org/keywords/cohort","display_name":"Cohort","score":0.5309754610061646},{"id":"https://openalex.org/keywords/antibiotics","display_name":"Antibiotics","score":0.4284104108810425},{"id":"https://openalex.org/keywords/emergency-medicine","display_name":"Emergency medicine","score":0.41659173369407654},{"id":"https://openalex.org/keywords/family-medicine","display_name":"Family medicine","score":0.3715416193008423},{"id":"https://openalex.org/keywords/medical-emergency","display_name":"Medical emergency","score":0.3304779529571533},{"id":"https://openalex.org/keywords/internal-medicine","display_name":"Internal medicine","score":0.2660551071166992},{"id":"https://openalex.org/keywords/psychiatry","display_name":"Psychiatry","score":0.14805573225021362},{"id":"https://openalex.org/keywords/health-care","display_name":"Health care","score":0.13441532850265503}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8456748127937317},{"id":"https://openalex.org/C2780724011","wikidata":"https://www.wikidata.org/wiki/Q1295316","display_name":"Emergency department","level":2,"score":0.6732619404792786},{"id":"https://openalex.org/C2426938","wikidata":"https://www.wikidata.org/wiki/Q3355478","display_name":"Medical prescription","level":2,"score":0.6064841151237488},{"id":"https://openalex.org/C2776534028","wikidata":"https://www.wikidata.org/wiki/Q1141363","display_name":"Medicaid","level":3,"score":0.6035099625587463},{"id":"https://openalex.org/C72563966","wikidata":"https://www.wikidata.org/wiki/Q1303415","display_name":"Cohort","level":2,"score":0.5309754610061646},{"id":"https://openalex.org/C501593827","wikidata":"https://www.wikidata.org/wiki/Q12187","display_name":"Antibiotics","level":2,"score":0.4284104108810425},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.41659173369407654},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.3715416193008423},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.3304779529571533},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.2660551071166992},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.14805573225021362},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.13441532850265503},{"id":"https://openalex.org/C89423630","wikidata":"https://www.wikidata.org/wiki/Q7193","display_name":"Microbiology","level":1,"score":0.0},{"id":"https://openalex.org/C98274493","wikidata":"https://www.wikidata.org/wiki/Q128406","display_name":"Pharmacology","level":1,"score":0.0},{"id":"https://openalex.org/C86803240","wikidata":"https://www.wikidata.org/wiki/Q420","display_name":"Biology","level":0,"score":0.0},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.0},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0}],"mesh":[{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000701","descriptor_name":"Analgesics, Opioid","qualifier_ui":"Q000627","qualifier_name":"therapeutic use","is_major_topic":true},{"descriptor_ui":"D000701","descriptor_name":"Analgesics, Opioid","qualifier_ui":"Q000627","qualifier_name":"therapeutic use","is_major_topic":true},{"descriptor_ui":"D000900","descriptor_name":"Anti-Bacterial Agents","qualifier_ui":"Q000627","qualifier_name":"therapeutic use","is_major_topic":true},{"descriptor_ui":"D000900","descriptor_name":"Anti-Bacterial Agents","qualifier_ui":"Q000627","qualifier_name":"therapeutic use","is_major_topic":true},{"descriptor_ui":"D004636","descriptor_name":"Emergency Service, Hospital","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D004636","descriptor_name":"Emergency Service, Hospital","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009323","descriptor_name":"Natural Language Processing","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009323","descriptor_name":"Natural Language Processing","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010818","descriptor_name":"Practice Patterns, Physicians'","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D010818","descriptor_name":"Practice Patterns, Physicians'","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D011307","descriptor_name":"Drug Prescriptions","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D011307","descriptor_name":"Drug Prescriptions","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D014098","descriptor_name":"Toothache","qualifier_ui":"Q000188","qualifier_name":"drug therapy","is_major_topic":true},{"descriptor_ui":"D014098","descriptor_name":"Toothache","qualifier_ui":"Q000188","qualifier_name":"drug therapy","is_major_topic":true},{"descriptor_ui":"D014098","descriptor_name":"Toothache","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":true},{"descriptor_ui":"D014098","descriptor_name":"Toothache","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":true},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D055815","descriptor_name":"Young Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D055815","descriptor_name":"Young Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.3233/shti250862","is_oa":true,"landing_page_url":"https://doi.org/10.3233/shti250862","pdf_url":null,"source":{"id":"https://openalex.org/S4210179765","display_name":"Studies in health technology and informatics","issn_l":"0926-9630","issn":["0926-9630","1879-8365"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310318577","host_organization_name":"IOS Press","host_organization_lineage":["https://openalex.org/P4310318577"],"host_organization_lineage_names":["IOS Press"],"type":"book series"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Studies in Health Technology and Informatics","raw_type":"book-chapter"},{"id":"pmid:40775880","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/40775880","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Studies in health technology and informatics","raw_type":null}],"best_oa_location":{"id":"doi:10.3233/shti250862","is_oa":true,"landing_page_url":"https://doi.org/10.3233/shti250862","pdf_url":null,"source":{"id":"https://openalex.org/S4210179765","display_name":"Studies in health technology and informatics","issn_l":"0926-9630","issn":["0926-9630","1879-8365"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310318577","host_organization_name":"IOS Press","host_organization_lineage":["https://openalex.org/P4310318577"],"host_organization_lineage_names":["IOS Press"],"type":"book series"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Studies in Health Technology and Informatics","raw_type":"book-chapter"},"sustainable_development_goals":[{"score":0.7300000190734863,"id":"https://metadata.un.org/sdg/4","display_name":"Quality Education"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2281130122","https://openalex.org/W2367483416","https://openalex.org/W2141668586","https://openalex.org/W2946391707","https://openalex.org/W2255678829","https://openalex.org/W2750555480","https://openalex.org/W2164384113","https://openalex.org/W2092734722","https://openalex.org/W80983950","https://openalex.org/W4376629955"],"abstract_inverted_index":{"Overprescription":[0],"of":[1,59,123,138],"opioids":[2],"and":[3,17,24,53,82,90,111,127,140],"antibiotics":[4,139],"remains":[5],"a":[6,26,57],"significant":[7],"public":[8],"health":[9,19],"challenge":[10],"in":[11,146],"the":[12,36,76,112,135],"US,":[13],"contributing":[14],"to":[15,32],"systemic":[16],"dental":[18,144],"issues.":[20],"This":[21,132],"study":[22,133],"developed":[23],"tested":[25],"natural":[27],"language":[28],"processing":[29],"(NLP)":[30],"model":[31,78],"identify":[33],"patients":[34,106,124],"visiting":[35],"emergency":[37],"department":[38],"(ED)":[39],"at":[40],"Temple":[41],"University":[42],"Health":[43],"System":[44],"for":[45,143],"dental-related":[46,66],"reasons.":[47],"We":[48],"extracted":[49],"data":[50],"from":[51],"EHR":[52],"EDR":[54],"systems,":[55],"yielding":[56],"cohort":[58,94],"89,349":[60],"patients,":[61],"including":[62],"2,918":[63],"(3%)":[64],"with":[65,104],"ED":[67,147],"visits.":[68],"Using":[69],"gold-standard":[70],"datasets":[71],"created":[72],"through":[73],"manual":[74],"annotation,":[75],"NLP":[77],"combined":[79],"fuzzy":[80],"matching":[81],"embedding-based":[83],"algorithms,":[84],"achieving":[85],"95%":[86],"accuracy,":[87],"98%":[88],"specificity,":[89],"92%":[91],"sensitivity.":[92],"The":[93],"was":[95],"evenly":[96],"split":[97],"by":[98],"gender,":[99],"predominantly":[100],"African":[101],"American/Black":[102],"(57%),":[103],"most":[105],"aged":[107],"20-40":[108],"years":[109],"(54%),":[110],"majority":[113],"relying":[114],"on":[115],"Medicaid":[116],"(36%)":[117],"or":[118],"Medicare":[119],"(28%).":[120],"Notably,":[121],"70%":[122],"received":[125],"antibiotics,":[126],"11%":[128],"were":[129],"prescribed":[130],"opioids.":[131],"demonstrated":[134],"high":[136],"prevalence":[137],"opioid":[141],"prescriptions":[142],"pain":[145],"settings.":[148]},"counts_by_year":[],"updated_date":"2026-07-15T18:14:33.161393","created_date":"2025-10-10T00:00:00"}
