Role of pharmacists in consulting with the underserved regarding toothache pain.

OBJECTIVE: To examine the pharmacist's role in managing toothache pain from the patient's perspective. DESIGN: Cross-sectional study. SETTING: Maryland during April and May 2006. PARTICIPANTS: 5,556 low-income white, black, and Hispanic households were screened to identify 398 households with at least one adult who had experienced a toothache during the previous 12 months. INTERVENTION: Telephone screening followed by telephone interview concerning treatment sought for most recent toothache. MAIN OUTCOME MEASURE: Whether a pharmacist was consulted for toothache pain. RESULTS: Interviews were completed for 68.3% of eligible households. One of five respondents consulted a pharmacist regarding toothache pain. No differences were noted among demographic groups other than differences related to age. No association was observed between respondents asking for advice from pharmacists and the number of toothaches they experienced during the previous 10 years or the pain level of their most recent toothache; however, an association was seen between the duration of the most recent toothache and the degree to which the toothache interfered with daily activities. Approximately 90% of respondents adhered to pharmacist advice, while 55.7% reported that the advice helped "a lot." CONCLUSION: Pharmacists have an important role to play in alleviating toothache pain, especially among lower-income individuals without ready access to traditional dental services.

Toothache pain: behavioral impact and self-care strategies.

A computer-assisted telephone interview in Maryland of adults who had low income and were Hispanic, Black, and White and who had experienced a toothache during the previous 12 months was conducted. Respondents reported a high prevalence of toothaches, with 44.3% having experienced more than five toothaches during the preceding 10 years. Pain intensity associated with the most recent toothache was high with 45.1% of the respondents reporting the highest pain possible. Pain interfered with many aspects of normal functioning. Self-care strategies generally took precedence over professional health services. Pain sufferers used a combination of self-care and formal care strategies. Initial strategies most often focused on nonprescription medicines(home remedies and prayer. The majority of respondents ultimately sought pain relief from a dentist. We identified a number of significant differences in the strategies used across racial/ethnic groups.

Toothache pain: a comparison of visits to physicians, emergency departments and dentists.

BACKGROUND: Researchers' understanding of the use of emergency departments (EDs) and physicians' offices for the treatment of toothaches is limited. The authors conducted a study to explore their use by low-income and minority adults in comparison with the use of traditional dental services. METHODS: Participants included low-income white, African-American and Hispanic adults who had experienced a toothache during the previous 12 months. A stratified random sample of 4,200 households in Maryland participated in a cross-sectional telephone survey. Trained survey staff completed interviews with someone in 272 (68.3 percent) of 398 eligible households. RESULTS: Only 8.7 percent of respondents contacted an ED for toothache pain relief, while 20.1 percent contacted physicians. The majority of respondents who contacted an ED (80.5 percent) or a physician (82.6 percent) also contacted a dentist. Contacts with a dentist were reported by 58.6 percent of respondents. The authors conducted tabular analyses using chi(2) tests of statistical significance (P < .05) and SUDAAN's multivariable logistic regression procedure (Research Triangle Institute, Research Triangle Park, N.C.) (P < .05). CONCLUSIONS: Respondents experiencing toothache pain ultimately sought definitive resolution of their pain from dentists while visiting EDs and physicians for temporary relief. Access to dentists' services was particularly problematic for Hispanics and was exacerbated by health literacy issues. CLINICAL IMPLICATIONS: The elimination of oral health disparities must involve consideration of cultural influences on minority populations, as well as the responsibilities of the dental profession.