protocolSection identificationModule nctId: NCT06275191, orgStudyIdInfo id: 80758, secondaryIdInfos id: 1UG3DE032621-01, type: NIH, link: https://reporter.nih.gov/quickSearch/1UG3DE032621-01, secondaryIdInfos id: 4UH3DE032621-02, type: NIH, link: https://reporter.nih.gov/quickSearch/4UH3DE032621-02, briefTitle: Alternatives to Dental Opioid Prescribing After Tooth Extraction, acronym: ADOPT, statusModule overallStatus: NOT_YET_RECRUITING, startDateStruct date: 2024-04, primaryCompletionDateStruct date: 2028-01, completionDateStruct date: 2028-12, studyFirstPostDateStruct date: 2024-02-23, lastUpdatePostDateStruct date: 2024-03-06, sponsorCollaboratorsModule leadSponsor name: Douglas Oyler, class: OTHER, collaborators name: National Institute of Dental and Craniofacial Research (NIDCR), descriptionModule briefSummary: The goal of this clinical trial is to test a three-item intervention in oral surgeons who remove teeth. The main questions it aims to answer are:* Can the intervention reduce opioid prescriptions to adolescents and young adults after tooth removal?* Do oral surgeons' beliefs about the intervention and opioid prescribing change?* Do patients that report using opioids after tooth removal have different experiences than patients that do not?Oral surgeon participants will:* Attend a 1-hour education session with a trained pharmacist* Receive patient instructions and blister packs of pain medicine to give to patients* Complete 2 surveys about feasibility and appropriatenessPatient participants will complete a survey about pain and medication use after having a tooth removed.Researchers will compare the intervention to usual care to see if it reduces opioid prescribing., conditionsModule conditions: Analgesics, Opioid, conditions: Acute Pain, conditions: Tooth Extraction, conditions: Adolescent, conditions: Acetaminophen, conditions: Ibuprofen, designModule studyType: INTERVENTIONAL, phases: NA, designInfo allocation: RANDOMIZED, interventionModel: SEQUENTIAL, interventionModelDescription: Stepped wedge cluster randomized trial, primaryPurpose: OTHER, maskingInfo masking: DOUBLE, maskingDescription: Blinding to the intervention is not possible in this study, as the intervention requires provider engagement. Provider participants and any clinic personnel will be blinded to the allocation sequence, and those not yet receiving the intervention will not be aware of the time at which they will have the intervention implemented. The study biostatistician will be aware of the allocation sequence.At the beginning of each period, the study biostatistician will inform the research coordinator, project manager, academic detailing pharmacist, and PIs which cluster will be transitioning to the intervention condition next. This information will be used to facilitate scheduling academic detailing visits and coordinate blister pack and patient instructions material assembly. The clinic will be informed of their allocation during Visit 4 to facilitate scheduling academic detailing visits., whoMasked: PARTICIPANT, whoMasked: INVESTIGATOR, enrollmentInfo count: 38159, type: ESTIMATED, armsInterventionsModule interventions name: Multicomponent intervention, interventions name: Usual care, outcomesModule primaryOutcomes measure: Odds of post-extraction opioid prescription to adolescent/young adults after tooth extraction, secondaryOutcomes measure: (Change in) intervention feasibility, secondaryOutcomes measure: (Change in) intervention appropriateness, secondaryOutcomes measure: (Change in) opioid prescribing feasibility, secondaryOutcomes measure: (Change in) opioid prescribing appropriateness, secondaryOutcomes measure: Self-reported pain, secondaryOutcomes measure: Self-reported pain interference, secondaryOutcomes measure: Self-reported pain satisfaction, eligibilityModule sex: ALL, minimumAge: 12 Years, maximumAge: 25 Years, stdAges: CHILD, stdAges: ADULT, contactsLocationsModule locations facility: University of Kentucky, city: Lexington, state: Kentucky, zip: 40536, country: United States, contacts name: Jennifer Dolly Prothro, MPH, role: CONTACT, email: jenniferdolly@uky.edu, contacts name: Enif Dominguez, DDS, role: SUB_INVESTIGATOR, contacts name: Patricia R Freeman, PhD, role: SUB_INVESTIGATOR, contacts name: Hannah K Knudsen, PhD, role: SUB_INVESTIGATOR, contacts name: Craig S Miller, DDS, role: SUB_INVESTIGATOR, contacts name: Sharon L Walsh, PhD, role: SUB_INVESTIGATOR, contacts name: Philip M Westgate, PhD, role: SUB_INVESTIGATOR, geoPoint lat: 37.98869, lon: -84.47772, hasResults: False