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Dental Opioid Guidelines

We convened a multidisciplinary consortium of dentists, periodontists, oral and maxillofacial surgeons, endodontists, and patients to develop ideal opioid prescribing patterns after common dental procedures utilizing a modified Delphi approach. Best prescribing practices are listed for post-operative narcotic naive patients at discharge. 

*For the above list of dental procedure-types, this expert panel recommended a range, with '0' (zero) as the starting point and up to the maximum number mentioned above. The type of opioid and amount prescribed should be customized for each patient by factoring the extent and complexity of the surgical procedure. These are not meant to substitute clinician's own assessment of the pain management needs of their individual patient. 

Download a PDF of these guidelines here

Please Note

All medications require a thorough evaluation for contraindications. Doses given are recommendations. Adjustments may be required for individual patients. In case of patient allergy to Oxycodone, replace 5mg Oxycodone with 2 mg Hydromorphone (Dilaudid).

Some examples of relative contraindications:​

  1. Acetaminophen : contraindicated with liver disease or elevated LFTs

  2. NSAIDS: contraindicated with bleeding risks, GI ulcers and chronic kidney disease

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Owais Farooqi, DDS, MDS, Dental Lead

R Bruce Templeton DMD, Oral and Maxillofacial Surgery

Albert Goerig, DDS, MS, Endodontics 

Diego Velasquez, DDS, MSD, Periodontics

Chad M. Novince, DDS, MSD, PhD, Periodontics

Anthony Lotesto, DMD, Oral and Maxillofacial Surgery

 Matthew Zieman, DMD, Oral and Maxillofacial Surgery

Joseph G Maloney, DMD, Periodontics

Martin Makary, MD, MPH, FACS, General Surgery

M. Kinon Lecholop DMD, FACS, Oral and Maxillofacial Surgery

Caroline Hezkial, BDS (Orofacial Pain)

Shaad Rizwi, MD, Patient Reprentative

Deborah Byrd, Patient Representative

Heidi Overton, MD, General Surgery

Christine Fahim, PhD, Research Team

William Bruhn, BS, Research Team

*Experts on this panel participated in their individual capacity. Their opinions were solely theirs, and do not necessarily reflect the opinion of their respective employer(s)/affiliated professional organization(s)/educational institution(s).


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