title: [Taking care of drug addict in odontology].
abstract: In the dental surgery practice, a drug addicted patient declares suffering from high pain and asks with insistence to be examined in emergency. The clinical examination shows a pity overall dental status: an important dental deterioration, a periodontal disease. At the end of the examination, the patient suffering withdrawal syndrome, asks with a high demand up to physical threat, to get a prescription of psychotropic medicines, and especially opiates (high dose buprenorphine). In front of this situation, the dental surgeon will face two aspects: first of all, clinical issues, as taking care of the odontological pathologies, management of the pain and of the withdrawal syndrome and second of all, the legislation issues related to its responsibility of prescription writer and the specific attitude to adjust in front of a patient with withdrawal syndrome at the dental surgery practice.
authors.affiliation: Centre Médical St Edouard, Alfortville, France. drphp1@orange.fr
authors.forename: Philippe
authors.initials: P
authors.lastname: Pirnay
authors.forename: Stéphane
authors.initials: S
authors.lastname: Pirnay
mesh_terms: D005882:Gingival Diseases / Q000601:surgery; D006556:Heroin Dependence / Q000150:complications; D006801:Humans; D010146:Pain / Q000188:drug therapy* / Q000209:etiology; D055553:Prescription Drugs; D011619:Psychotropic Drugs / Q000627:therapeutic use; D013375:Substance Withdrawal Syndrome; D019966:Substance-Related Disorders / Q000150:complications* / Q000523:psychology; D014076:Tooth Diseases / Q000150:complications* / Q000523:psychology / Q000601:surgery*
chemical_list: D055553:Prescription Drugs; D011619:Psychotropic Drugs