PMID- 23989840 OWN - NLM STAT- MEDLINE DCOM- 20150909 LR - 20220311 IS - 1943-4723 (Electronic) IS - 0002-8177 (Linking) VI - 144 IP - 9 DP - 2013 Sep TI - Adverse drug and device reactions in the oral cavity: surveillance and reporting. PG - 1014-21 AB - BACKGROUND: According to the U.S. Centers for Disease Control and Prevention, 48 percent of Americans (roughly 144 million people) used at least one prescribed medication in the preceding month; 11 percent used five or more. The authors describe the U.S. Food and Drug Administration's (FDA's) MedWatch program, the safety surveillance system for drugs and devices in the United States, and the dentist's role with regard to voluntary reporting of adverse effects (AEs). They also identify the most frequent AEs in the oral cavity as reported in the FDA Adverse Event Reporting System (FAERS). METHODS: The authors reviewed the literature regarding MedWatch, and they mined data in the FAERS public database for the 100 most commonly prescribed medications and their associated AEs. RESULTS: Pharyngitis was the most common AE. Cough, dysgeusia and dysphagia also were common. CONCLUSION: The MedWatch program and its related databases contain useful information about AEs of pharmaceuticals and devices manifested in the oral cavity. Increased participation in the reporting of suspected adverse reactions will improve the national surveillance system and ultimately will protect patients' safety. PRACTICAL IMPLICATIONS: As pharmaceutical consumption increases exponentially for a growing segment of the population, and as innovation in dental technology and devices flourishes, dentists have a distinct role in safeguarding patients' well-being. Promptly reporting AEs in the oral cavity improves quality of care and protects patients' well-being. FAU - Zavras, Athanasios I AU - Zavras AI AD - Columbia University Medical Center, 622 W. 168th St., Suite PH17-306, New York, NY 10032, USA. az2256@mail.cumc.columbia.edu FAU - Rosenberg, Gregory E AU - Rosenberg GE FAU - Danielson, Jared D AU - Danielson JD FAU - Cartsos, Vassiliki M AU - Cartsos VM LA - eng PT - Journal Article PL - England TA - J Am Dent Assoc JT - Journal of the American Dental Association (1939) JID - 7503060 RN - 0 (Dental Implants) RN - 0 (Pharmaceutical Preparations, Dental) RN - 0 (Prescription Drugs) SB - IM MH - Adverse Drug Reaction Reporting Systems/*statistics & numerical data MH - Cough/epidemiology MH - Data Mining MH - Deglutition Disorders/epidemiology MH - Dental Implants/adverse effects MH - Dental Instruments/adverse effects MH - Drug-Related Side Effects and Adverse Reactions/*epidemiology MH - Dysgeusia/epidemiology MH - Equipment Safety MH - Humans MH - Pharmaceutical Preparations, Dental/adverse effects MH - Pharyngitis/epidemiology MH - Population Surveillance MH - Prescription Drugs/adverse effects MH - Product Surveillance, Postmarketing MH - Safety MH - United States/epidemiology MH - United States Food and Drug Administration MH - Voluntary Programs OTO - NOTNLM OT - Epidemiology OT - U.S. Food and Drug Administration OT - consumer product safety OT - drugs OT - implants OT - legal liability OT - oral medicine OT - postmarketing product surveillance OT - safety management EDAT- 2013/08/31 06:00 MHDA- 2015/09/10 06:00 CRDT- 2013/08/31 06:00 PHST- 2013/08/31 06:00 [entrez] PHST- 2013/08/31 06:00 [pubmed] PHST- 2015/09/10 06:00 [medline] AID - S0002-8177(14)60591-2 [pii] AID - 10.14219/jada.archive.2013.0228 [doi] PST - ppublish SO - J Am Dent Assoc. 2013 Sep;144(9):1014-21. doi: 10.14219/jada.archive.2013.0228.