2014 Chemical Dependency - A Protocol for Dentists With Patients Who May be Suffering from Chemical Dependency - September 2014 TDA Newsletter
Chemical dependency is a chronic and progressive disease hat is largely untreated. Dentists are often targeted by drug seekers and see patients that might have alcohol and/or drug abuse problems. The dental literature gives few, if any, suggested protocols for handling these difficult patients in a dental office when considering chemical dependency as a disease.

 1) Today, it is universally recognized that chemical dependency is:
  1. A moral defect in character
  2. A use of substances with no consequences
  3. A disease
  4. An experimentation
 2) As dentists, the administering and prescribing drugs to our patients requires:
  1. A thorough history of drug use on all new patients
  2. An update of drug history periodically
  3. Nothing because our patients are trustworthy
  4. Both A and B are correct
 3) What percent of immediate released opioids in the United States are prescribed by dentists:
  1. 10%
  2. 12%
  3. 15%
  4. 6%
 4) Approximately what percent of immediate released opioids prescribed by dentists are diverted and used non-medically:
  1. 12%
  2. 16%
  3. 23%
  4. 25%
 5) According to the National Survey on Drug Use and Health in 2012, how many people aged 12 or older needed treatment for their chemical dependency :
  1. 23.1 million
  2. 2.5 million
  3. 20.6 million
  4. 15.6 million
 6) What percent of high school seniors report using a prescription drug for non-medical reasons in the last year:
  1. Very few
  2. Almost 15%
  3. 10 - 12%
  4. None
 7) The Drug Abuse Screening Test has been found to be useful in detecting:
  1. Drug addiction
  2. Drug abuse
  3. Alcohol abuse
  4. All of the above
 8) Since alcohol is legal, our basic health history should:
  1. Have no questions involving alcohol consumption
  2. Question the consumption of beer only
  3. Have a general non-intrusive question involving alcohol consumption
  4. Ask how many DUIs you have had
 9) Because chemical dependency is a chronic, progressive disease, the dentist might have an opportunity to recognize and refer a patient :
  1. Making a significant contribution to his/ her health
  2. Making a significant contribution to the health of his/her family
  3. Can broaden the scope of care a dentist can provide
  4. All of the above
 10) One to two yes answers on the Drug Use Questionnaire (DAST-10) indicate:
  1. No risk
  2. Substantial risk
  3. Risky business
  4. Harmful behavior
 11) As dentists we do not diagnose or treat chemical dependency, but as healthcare providers we:
  1. Try to get the patient to appropriate healthcare provider
  2. Never look beyond the oral cavity
  3. Have a responsibility to recognize a potential health problem and help patients find the appropriate care
  4. Both A and C are correct
 12) Dentists are:
  1. First line healthcare providers
  2. Educated with a depth of knowledge that can be utilized to help a patient's total health
  3. All of the above