Pain Management in Oral Surgery Part 2

Dr. KEYVAN ABBASZADEH

In the second of this two-part presentation on pain management in oral surgery, Dr. Keyvan Abbaszadeh, oral and maxillofacial surgeon from London, ON, reviews the mode of action of the key pharmacological agents and outlines effective strategies for the management of post-operative pain.

Here are the key takeaways from the presentation:

Rationale for Aggressive Pain Management

• • Prevent long-term pain
  • Allay public fear of oral surgery/dentistry
  • Minimize post-surgical pain calls
  • Minimize physiological effects of pain – cardiovascular, pulmonary, endocrine, gastrointestinal

Elements of an Effective Analgesic Strategy

• • Use profound local anesthesia & pre-operative anti-inflammatories
  • Minimize trauma
  • Prescribe scheduled pain relief for the immediate post-operative period (48 hours)
  • Stagger medication schedule to provide more consistent analgesia
  • Optimize use of non-steroidal anti-inflammatory drugs
  • Judicious use of narcotics
  • Use adjunctive agents/techniques

Further Resources

• • CDA Pain Management Resource

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Until next time!
CDA Oasis Team