Issuing a dental prescription is common and, although dentists do not give medicine out as often as a GP, it is still likely that you may need to prescribe medication to your patients.
So, when you do, here is a best practice guide of what to consider.
What are the most common medical problems in dentistry?
It is likely you will need to prescribe multiple drugs for all sorts of medical problems during your time in dentistry, but there are a few that are more likely to crop up than others. These include, but are not limited to:
- Dental and orofacial pain
- Oral infections, including: bacterial infections, fungal infections and viral infections
You might also encounter medical emergencies in your practice. Common health issues include:
- Cardiac Prostheses
- Heart disease
There are a number of different reactions to a number of these, whether it is sending them to hospital, giving them an essential shot, or changing the drugs. For example, pregnant women can only take certain drugs, it is important to research what you are prescribing to someone who is either pregnant or breast feeding to ensure both mother and baby are safe and well.
How does a dentist prescribe medicine?
Patients may have a number of conditions which may require medical help, but they can often be aided with the help of medicine. When writing a prescription, it is important to note the strength and quantity clearly. Abbreviations should be avoided when using units or the name of the drugs, to ensure there is no confusion. Similarly, the dose and frequency should be written down clearly and explained verbally to the patient.
It is not required by law that a dentist needs to liaise with the patient’s GP when prescribing medicine – although it can sometimes be needed to ensure the correct medicine is being prescribed.
When printing the information, it is important to ensure the date, patient’s details, address etc are all accurate. Similarly, the dentist’s name must be at the bottom of the prescription, and it needs to be signed. Despite being different entities, drug prescribing for dentistry is quite similar to a GP prescribing drugs to their patients. Dentists are only able to prescribe medicines that are available to get on a prescription. Alternatively, you can advise your patients of medicines they do not need a prescription for, and help them find the right place to get them from. Any medicines recommended to a private patient can not be prescribed on an NHS prescription.
Can dentists prescribe antibiotics?
Dentists have the ability to prescribe antibiotics. In some circumstances, it can be beneficial to use antibiotics, but the dentist is likely to prioritise other medicines first. For example, if your patient is suffering from a dental abscess, the initial pain relief would be painkillers, specifically ibuprofen. However, if the infection spreads, or is more severe, then the dentist may wish to prescribe antibiotics.
Are there any issues with prescribing drugs?
GPs would usually have all of the details of the patient’s medical history, allowing them to understand what drugs would work and what may cause a reaction. Dentists can only prescribe medicine that would be beneficial to oral health so it is important to try to get a greater understanding of the patient’s broader health.
While it is not essential to liaise with the patient’s GP, it can be a good idea to do so. GPs will be able to advise you on what can be prescribed and what strength the patient will be able to take in order to avoid a problem with any of their other medications.
A dentist should keep an emergency drugs kit in their office in case a dental emergency occurs in an appointment. These emergency drugs would typically include:
- Glyceryl trinitrate spray
As a dentist, you should be prepared for any situation in the dental chair, which is why it is essential to have first aid training, and ideally have at least a qualified first-aid trainer in the practice at all times. Training should be updated yearly to ensure your patients are in safe hands, particularly if a patient would need to be resuscitated on site.
For help and support on how to cater for all circumstances in your practice, contact DDS.