Dentoalveolar Plenary: Postoperative Pain Control

Opioids are commonly prescribed for postoperative pain control after both minor and major surgical procedures. Minor oral surgical procedures, such as third molar removal, are often a patient's first exposure to surgery and first exposure to opioid medication. Although many times opioids are necessary for adequate pain management, data have shown many patients receive more opioids than are necessary to relieve pain after a minor procedure. This session will focus on strategies to reduce the amount of opioid medication prescribed for minor procedures in the oral and maxillofacial surgical practice. Alternative postoperative medications will be discussed. The use of injected submucosal medication to lessen the amount of postoperative analgesics needed also will be presented. The addition of innovative postoperative pain control approaches can help make the oral and maxillofacial surgical practice less reliant on opioid medication for pain management.

This course is included in AAOMS’s current CE online offerings that appear to count toward the eight hours required by the MATE Act to other session descriptions.

Learning Objectives

At the conclusion of this program, participants should be able to:

  1. Review opioid prescription trends after office oral surgical procedures. 
  2. Identify alternative strategies to lessen or obviate the need for opioid prescribing after minor surgical procedures. 
  3. Describe the indications and contraindications on the use of submucosal injectable medications in dentoalveolar practice. 

Thomas B. Dodson, DMD, MPH, FACS
Professor and Chairman
University of Washington, Department of Oral and Maxillofacial Surgery
Seattle, Washington
Disclosure: Nothing to disclose.

Pedro F. Franco, DDS
Adjunct Clinical Assistant Professor Oral and Maxillofacial Surgery
Texas A & M College of Dentistry
Irving, Texas
Kls Martin: Consultant/Advisory Board, Speaker/Honoraria; Pacira Pharmaceuticals: Consultant/Advisory Board, Speaker/Honoraria; Stryker Craniomaxillofacial Inc.: Consultant/Advisory Board, Speaker/Honoraria

Stuart E. Lieblich, DMD
Private Practice, Avon Oral, Facial and Dental Implant Surgery
Clinical Professor, University of Connecticut
Avon, Connecticut
Disclosure: Pierrel Pharma: Speaker/Honoraria

Kevin J. McCann, DDS
Oral and Maxillofacial Surgeon
Private Practice
Waterloo, Ontario, Canada
Disclosure: Nothing to disclose.

Gerry Ross, DDS
Dentist and Lecturer
GMA Laser Education
Alliston, Ontario, Canada
Disclosure: GMA Laser Education: Ownership Interest; Zolar Lasers: Speaker/Honoraria

An Internet-based CDE/CME Activity
Original Release Date: October 1, 2021
Expiration Date: October 1, 2024
Estimated time to complete this educational activity: 2.0 hours
Method of participation: Self-Study



Thomas B. Dodson, DMD, MPH, FACS

Professor and Chairman

University of Washington, Department of Oral and Maxillofacial Surgery

Dr. Thomas Dodson is Professor and Chair of the Department of Oral and Maxillofacial Surgery at University of Washington School of Dentistry.
He received his dental degree from Harvard School of Dental Medicine and Masters of Public Health from Harvard School of Public Health. He completed his OMS training at University of California-San Francisco (UCSF). Additional post-doctoral training included a Dental Public Health residency and a NIH-funded fellowship in Clinical Epidemiology at UCSF.
Dr. Dodson believes that patients are our partners in discovery. As such, his research interests lie primarily in outcomes research. The primary goal of his research efforts is to improve patient outcomes by elucidating and promoting data-driven clinical decision-making.

Disclosure: Nothing to disclose

Kevin J. McCann, DDS

Oral and Maxillofacial Surgeon

Private Practice

Dr. McCann has been in solo private practice in Kitchener- Waterloo, ON, since 1994. He completed his dental education at the University of Western Ontario in 1985 and his OMFS residency at the University of Toronto in 1993. He practiced general dentistry in the Canadian Armed Forces between 1985 and 1989.
He has taken an active interest in the safe provision of sedation and anesthesia in the office environment. He has been the President of the Canadian Dental Society of Anesthesiology for several years. He has provided anesthesia updates to several of the Residency programs in Canada. He has been instrumental in providing continuing education programs in anesthesia for members of both CAOMS and CDSA.

Disclosure: Nothing to disclose

Stuart E. Lieblich, DMD, FACD, FICD

Clinical Professor, Department of Oral and Maxillofacial Surgery

University of Connecticut School of Dental Medicine

Dr. Lieblich graduated from Rutgers University and the University of Pennsylvania School of Dental Medicine (1981). He completed his residency in oral and maxillofacial surgery at Kings County/Downstate Medical Center in New York. In 1984 he assumed a full-time position on the faculty of the University of Connecticut until 1988. Currently, he is in private practice in Avon, CT and maintains a part-time teaching appointment at the university as a clinical professor. Previously he has served as president of the American Dental Society of Anesthesiology and the American Board of Oral and Maxillofacial Surgery. Dr. Lieblich is on the editorial boards of Anesthesia Progress and Journal of Oral and Maxillofacial Surgery and “Triple O”. He serves on many local, state and national committees in his specialty and currently is a member of the American Dental Association’s Commission on Accreditation (oral and maxillofacial surgery) and the American Association of Oral and Maxillofacial Surgeons Parameters of Care Committee (chair, Dentoalveolar surgery section). He has contributed to over 20 textbooks and co-authored the text “Anesthesia Complications in the Dental Office”. Dr. Lieblich is the medical director of Oral and Maxillofacial Surgery/Pediatric Dentistry at Connecticut Children’s Medical Center.

Disclosure: No relevant financial relationships.

Pedro F. Franco, DDS

Adjunct Clinical Assistant Professor Oral and Maxillofacial Surgery

Texas A & M College of Dentistry

Clinical Faculty at Texas A & M College of Dentistry Department of Oral and Maxillofacial Surgery
UT Southwestern Medical Center Dallas TX
Attending Surgeon Baylor Scoot & White University Medical Center Dallas TX
Past President American College of Oral and Maxillofacial Surgeons
National & International speaker on topics related to TMJ and Orthognathic Surgery, dental implants and non opioid oral surgery

Disclosure: Kls Martin: Consultant/Advisory Board, Speaker/Honoraria; Pacira Pharmaceuticals: Consultant/Advisory Board, Speaker/Honoraria; Stryker Craniomaxillofacial Inc.: Consultant/Advisory Board, Speaker/Honoraria

Gerry Ross, DDS

Dentist and Lecturer

GMA Laser Education

Dr Gerry Ross practiced dentistry in Tottenham Ontario ( 1 hour north of Toronto) for 50 years. A large part of his practice has been treating Facial pain on a referral basis. He has been using surgical lasers since 1992 and Low Level lasers since 1993 . He has give over 250 lectures locally and internationally.
He has published 15 papers in both peer reviewed and noon peer reviewed journals, does peer review for 4 journals and is a member of the Editorial Board of Photobiomodulation, Photomedicine and Laser Surgery. He has been a member of the Academy of Laser Dentistry since it,s inception (and a board Member 20016-2021), the North American Association of Photobiomodulation Therapy ( president 2010-2012) , as well as the Canadian and Ontaripo Dental Associations,
His special interest is Low Level Laser (Photobiomodulation) Therapy and his passion is to have this accepted as Standard of Care in dentistry.

Disclosure: GMA Laser Education: Ownership Interest; Zolar Lasers: Speaker/Honoraria

Continuing Education Provider Approval
The American Association of Oral and Maxillofacial Surgeons is an ADA CERP Recognized Provider.

ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education.

ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry.

The American Association of Oral and Maxillofacial Surgeons designates this activity for 2.0 continuing education credit(s).

AGD - Accepted Program Provider
FAGD/MAGD Credit
11/1/22-12/31/26
Provider ID# 214680

The American Association of Oral and Maxillofacial Surgeons (AAOMS) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The American Association of Oral and Maxillofacial Surgeons designates this internet-based enduring material for a maximum of 2.0 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Key:

Complete
Failed
Available
Locked
Faculty and Planner Disclosure
Pre-Quiz
7 Questions  |  1 attempt  |  0/7 points to pass
7 Questions  |  1 attempt  |  0/7 points to pass
Dentoalveolar Plenary: Postoperative Pain Control
Open to view video.
Open to view video.
Post-Quiz
7 Questions  |  Unlimited attempts  |  5/7 points to pass
7 Questions  |  Unlimited attempts  |  5/7 points to pass
Evaluation
11 Questions
Certificate
2.00 CDE/CME credits  |  Certificate available
2.00 CDE/CME credits  |  Certificate available