A peer reviewed article by Eric S. Bornstein, DMD, BS
An adverse drug reaction (ADR) is an unwanted or harmful reaction following the administration of a drug or combination of drugs under normal conditions of use. An ADR is unpredictable and varies in severity, from minor side effects to severe complications such as organ damage, hospitalization, or even death. These unfortunate events are a significant concern in health care and lead to substantial increases in morbidity, mortality, and increased health-care costs. ADRs in dentistry are underreported and often overlooked, leading to a lack of awareness among dental professionals. In dentistry, ADRs can occur due to local anesthetics, antibiotics, antifungals, analgesics (opioid and nonopioid), anxiolytics, and muscle relaxants, all commonly used in the practice of dentistry. This course reviews some of the most prescribed medications in dentistry and their potential for ADRs. Further, it will underscore the need for improved pharmacovigilance in dental practice, including better reporting systems and education about ADRs for dental professionals. Finally, it emphasizes the importance of a thorough patient history, including medication history, to identify patients at risk of ADRs.
Educational objectives
At the conclusion of this course, the oral health-care provider will be able to:
- Identify the most commonly prescribed drugs in dentistry and their potential adverse reactions with a patient’s existing drug regimen
- Develop the ability to recognize the signs and symptoms of adverse drug reactions in dental patients
- Review the necessary skills to assess patients’ medical histories, including current medications, to avoid potential drug interactions
- Review management of emergencies arising from adverse drug reactions, including understanding when and how to refer patients to appropriate medical facilities
- Understand the importance of staying updated on new drugs, their uses in dentistry, and potential adverse reactions to ensure patient safety and effective treatment
About the Author
Eric S. Bornstein, DMD, BS, is a biochemist, dentist, and photobiologist. He has managed six human clinical trials in the infectious disease space, including periodontal disease. Dr. Bornstein is widely published in peer-reviewed journals such as Current Trends in Microbiology, Dentistry Today, and Compendium. He currently delivers CE webinars for the Institute for Natural Resources (inrseminars.com) on the subjects of circadian medicine, inflammation, pharmacology, marijuana, vaping, opioids, hallucinogens, and periodontal disease. His best-selling medical and fiction books can be found at drericbornstein.com.
Quick Access Code: 22532
Image Credit: Johnrob / iStock / Getty Images Plus / Getty Images
Course Includes
- 1 Lesson
- 1 Test
- Course Certificate
CE credit(s): 4
Course Type: Written
Published Date: August 2025
This continuing education (CE) activity was developed by Endeavor Business Media with no commercial support.
This course was written for dentists, dental hygienists, and dental assistants, from novice to skilled.
Educational methods: This course is a self-instructional journal and web activity.
Provider disclosure: Endeavor Business Media neither has a leadership position nor a commercial interest in any products or services discussed or shared in this educational activity. No manufacturer or third party had any input in the development of the course content.
Requirements for successful completion: To obtain 4 CE credits for this educational activity, you must pay the required fee, review the material, complete the course evaluation, and obtain an exam score of 70% or higher.
CE planner disclosure: Laura Winfield, Endeavor Business Media dental group CE coordinator, neither has a leadership nor commercial interest with the products or services discussed in this educational activity. Ms. Winfield can be reached at lwinfield@endeavorb2b.com.
Educational disclaimer: Completing a single continuing education course does not provide enough information to result in the participant being an expert in the field related to the course topic. It is a combination of many educational courses and clinical experience that allows the participant to develop skills and expertise.
Image authenticity statement: The images in this educational activity have not been altered.
Scientific integrity statement: Information shared in this CE course is developed from clinical research and represents the most current information available from evidence-based dentistry.
Known benefits and limitations of the data: The information presented in this educational activity is derived from the data and information contained in the reference section.
Registration: The cost of this CE course is $39.00 for 4 CE credits.
Cancellation and refund policy: Any participant who is not 100% satisfied with this course can request a full refund by contacting Endeavor Business Media in writing.
Provider information:
Endeavor Business Media is a nationally approved PACE program provider for FAGD/MAGD credit.
Approval does not imply acceptance by any regulatory authority or AGD endorsement.
11/1/2024 to 10/31/2028.
Provider ID# 320452
AGD code: 010
Endeavor Business Media is designated as an approved provider by the American Academy of Dental Hygiene, Inc. #AADHEBM (January 1, 2025 - December 31, 2026). Approval does not imply acceptance by a state or provincial Board of Dentistry. Licensee should maintain this document in the event of an audit. AADH code: AADHEBM-460-8-2025-4
Endeavor Business Media is an ADA CERP–recognized provider.
ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of dental continuing education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry.
Concerns or complaints about a CE provider may be directed to the provider or to CERP at ada.org/goto/cerp.
