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Published on: November 15, 2024
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A multimodal analgesic protocol may reduce opioid use after third molar surgery: A pilot study
Caitlin Magraw1, Matthew Pham1, Timothy Neal2
1Department of Oral and Maxillofacial Surgery, School of Dentistry, University of North Carolina, Chapel Hill, NC, USA.
Summary
A new multimodal analgesic protocol limited opioid doses prescribed for postoperative pain management after third molar surgery. This pilot study suggests it effectively reduces available opioid prescriptions for patients.
Area of Science:
- Oral and Maxillofacial Surgery
- Pain Management
- Pharmacology
Background:
- Postoperative pain management often relies on opioid analgesics.
- Concerns exist regarding opioid overprescribing and potential for misuse.
- Multimodal analgesic protocols aim to reduce opioid dependence.
Purpose of the Study:
- To assess the number of opioid doses patients received via filled prescriptions after implementing a multimodal analgesic protocol.
- To evaluate the impact of this protocol on opioid availability for postoperative pain management.
Main Methods:
- Retrospective analysis of 24 patients undergoing third molar surgery in 2017.
- Inclusion criteria: ASA I-II, age 18-35, at least two lower third molars removed.
- Exclusion criterion: history of opioid addiction/abuse.
- Primary outcome: number of opioid doses filled; predictor: multimodal analgesic protocol.
Main Results:
- Analysis included 24 patients (83% female), median age 25.
- Median surgery duration was 35 minutes.
- The median number of opioid doses filled per patient was 4 (IQR 0-4).
Conclusions:
- Implementation of a multimodal analgesic protocol may effectively limit opioid doses available to patients.
- This strategy shows promise for managing postoperative pain across diverse patient groups and procedures.
- Further research is warranted to validate these findings in larger cohorts.
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