Firsts can be life changing — think about your first kiss, your first time behind the wheel of a car. But what about the first time you got a prescription for a narcotic? James Hatzell, from Collingswood, NJ, is now a technology officer for a college addiction treatment program. He didn't realize it at the time, but that spring day of his junior year of high school — seven years ago — was a pivotal moment in his life. "We're in our 2001 Honda Odyssey minivan, driving to the dentist," Hatzell recalls. "And we get there, and I'm just pumped. I was very excited to get my wisdom teeth out." The prospect of pain didn't thrill the teen, but he'd heard from friends that when the dentist took out his teeth, he'd get his very own bottle of pain pills. Those pain pills, Hatzell now says, eventually derailed his life. Dentists have long been frequent prescribers of immediate-release opioids like Vicodin and Percocet for the pain from tooth extractions. That's a lot of pills and teeth; annually