Pain management for patients with chemical dependence

This course will help dental professionals best navigate the nuances of managing pain in patients with chemical dependence and opioid use disorders by discussing how to identify risk factors and best choose effective therapies while minimizing risk.

3 CE Credits

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A peer-reviewed article written by Amisha Singh, DDS


Opioids have been traditionally used to routinely treat a variety of acute and chronic conditions, but with recent research and attention to the risk of chemical dependence, prescriptive recommendations and practices have changed. Their use and their risks become especially important in pain management with patients who have a history of addiction or other forms of chemical dependence. Science in the field of pain medicine and evidence-based practice helps practitioners outline a course of pain management that can reduce the risk of addiction or relapse while effectively managing pain and disability in a patient. A discerning provider armed with the right tools can help stabilize pain in a safe and responsible manner. This course will help dental professionals best navigate the nuances of managing pain in patients with chemical dependence and opioid use disorders by discussing how to identify risk factors and best choose effective therapies while minimizing risk.

Educational objectives

At the end of this self-paced educational activity, participants will be able to:

  1. Articulate the clinical differences between addiction, tolerance, and dependence.
  2. Discuss the role of dentistry in pain management and opioid awareness for this patient population.
  3. Identify risk factors in patients and treatment to note when prescribing pain medication.
  4. Discuss use and misuse guidelines for pain therapies used for both acute and chronic pain and discuss alternative methods of pain control that may be beneficial to this population.
  5. Review common pain medications used, recognize contraindications to prescribing in patients with chemical dependence, and identify viable pain therapy strategies to use with at-risk populations.

Amisha Singh, DDS, is a Denver native and loves living in beautiful Colorado. She has worked in multiple practice modalities and has also owned her own startup practice. She is a faculty member at the University of Colorado School of Dental Medicine and serves as the interim director of diversity and inclusion. She serves on the ADA Dental Wellness Advisory Committee, the ADA Council for Health Literacy, and on the MDDS and CDA Membership Councils. She is the CDA New Dentist Committee chair for Colorado. Dr. Singh is also a blogger and professional speaker who works with IgniteDDS to inspire other dental professionals and provide them resources to be the best clinicians possible. She writes for numerous publications and serves on the junior editorial board for Dental Entrepreneur Woman magazine, the Dental Economics Editorial Advisory Board, and as coeditor of the MDDS Articulator. She is driven to change the landscape of health care in the US and was a workforce diversity consultant for the Colorado Department of Public Health. She worked to help recruit underrepresented minorities to the professions of dentistry and medicine. Dr. Singh currently serves as an ADA Success Speaker, participates in the ADA Institute of Diversity in Leadership, and is the founder of the CDA Diversity in Leadership program. She was recognized as one of the 2018 “10 Under 10” top ADA dentists nationally. Her passions include inspiring others and encouraging inclusion, equity, and an entrepreneurial spirit. Dr. Singh wants to dedicate her life to helping dentists, students, and patients be better, healthier, and more empowered.  When not practicing dentistry, she loves to get lost in a good book, cook, and do all things creative.

© Evgenii Potapov |
Quick Access Code: 15432

Not Enrolled
This course is currently closed$39.00

Course Includes

  • 6 Lessons
  • 1 Test
  • Course Certificate
  • CE credit(s): 3

    Course Type: Written

    Published Date: JUNE 2020

    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 3 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

    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 3 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:

    Dental Board of California: Provider RP5933. Course registration number CA code: 03-4527-15432. Expires MAY 2023. “This course meets the Dental Board of California’s requirements for 3 units of continuing education.”


    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.
    11/1/2022 to 10/31/2024.
    Provider ID# 320452
    AGD code: 340, 134


    Endeavor Business Media is designated as an approved Provider by the American Academy of Dental Hygiene, Inc. #AADHPNW (January 1, 2022–December 31, 2024). 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:


    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



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