Many Oral Surgeons Do Not Prescribe Narcotics Following Oral Surgery

Posted on 3/16/2026 by San Tan Oral Surgery

Tooth model sitting beside a small pile of pain relief pills that spilled out of a nearby bottle.

Are you scheduled for oral surgery and worried about pain medication? You might be surprised to learn that many oral surgeons are moving away from routinely prescribing narcotics, also known as opioids, after procedures. This shift is driven by a greater understanding of pain management and a desire to minimize the potential for addiction and other unwanted side effects.

Understanding Pain After Oral Surgery

Oral surgery can range from simple tooth extractions to more complex procedures like jaw reconstruction. Naturally, you'll experience some discomfort afterward. This discomfort is part of the healing process. For many years, opioid medications were the go-to solution for managing this pain. However, we now know that there are effective alternatives.

The Risks of Opioids

Opioids are powerful pain relievers, but they come with significant risks. These risks include nausea, constipation, drowsiness, and, most seriously, the potential for addiction. Even short-term use can lead to dependence in some individuals. Furthermore, unused opioid pills can be a danger to others in the household, especially children and teenagers.

Exploring Alternative Pain Management Strategies

The good news is that effective pain management doesn't always require narcotics. A combination of over-the-counter medications, like ibuprofen and acetaminophen, can often provide adequate relief. These medications work in different ways to reduce pain and inflammation. Your oral surgeon can advise you on the correct dosage and timing for these medications.

Beyond medication, there are other strategies to manage pain and promote healing. Applying ice packs to the affected area can help reduce swelling and discomfort. Eating soft foods and avoiding strenuous activity can also aid in the recovery process.

The Role of Oral Surgeons in Responsible Prescribing

Oral surgeons are committed to providing patients with the best possible care, and that includes responsible prescribing practices. We carefully evaluate each patient's individual needs and consider their medical history before recommending any pain medication. We are also educated about the latest research on pain management and stay up-to-date on best practices. This includes considering alternatives to opioids whenever possible and educating patients about the risks and benefits of all treatment options.

The Importance of Open Communication

If you're concerned about pain management after oral surgery, the most important thing you can do is have an open and honest conversation with your oral surgeon. Discuss your concerns, your medical history, and any previous experiences with pain medication. Your surgeon can then develop a personalized pain management plan that meets your individual needs and minimizes the risks associated with opioid use.

Focusing on Prevention Dentistry

Beyond pain management, it's also important to focus on prevention dentistry to reduce the need for oral surgery in the first place. Regular check-ups, good oral care habits, and early intervention can help prevent many dental problems that may eventually require surgical treatment.

In conclusion, many oral surgeons are choosing not to prescribe narcotics after oral surgery as a standard practice. By understanding the risks of opioids and exploring alternative pain management strategies, we can help patients manage their pain effectively and safely. Remember to discuss your concerns with your oral surgeon and work together to create a pain management plan that works for you.

About
Dr. Cynthia Colson

Dr. Colson grew up in the Metro area, attending Camelback High School and ASU. She graduated from the University of Kentucky Dental School and completed her residency at Long Island Jewish Hospital in Long Island, New York. She also attended an anesthesia fellowship program at the University of Illinois at Chicago and has traveled with Healing The Children, a non-profit organization, to Bucarumanga Columbia treating patients with cleft lip and palate deformities.
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What our patients are saying about us

"Dr. Colson is amazing! She explained everything thoroughly without sounding condescending and gently but directly guides you through the whole procedure. She is excellent and super experienced. I got my wisdom teeth pulled (3 partially impacted and one simply extracted) and aside from asking too many questions under laughing gas before the general anesthesia knocked me out, I got no complications and have had essentially no pain at all." – Ana D.

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Gilbert, AZ 85297

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San Tan Oral Surgery, 3303 S. Lindsay Rd. Suite 112, Gilbert, AZ 85297-2100 - (480) 604-2592 - santanoralsurgery.com - 4/11/2026 - Associated Words: Dental Implants Gilbert AZ -