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Rethinking Standing Orders for Opioids to Manage Pain in Adolescents and Young Adults Requiring Third Molar Extraction

Premiere Date: Wednesday, September 2, 2020

This activity offers CE credit for:

  1. Dental

All other clinicians will receive a Certificate of Attendance stating this activity was certified for AMA PRA Category 1 Creditâ„¢

Credit Expiration Date:
Sunday, December 31, 2023
Note: Credit Is No Longer Available


Mani Saraghi, DMD, DADBAMani Saraghi, DMD, DADBA 
Diplomate, American Dental Board of Anesthesiology
Director, Dental Anesthesiology Residency Program
Jacobi Medical Center
Assistant Professor of Dentistry
Albert Einstein College of Medicine
Bronx, NY

Statement of Need

It has long been a habit of dentists and oral and maxillofacial surgeons to prescribe narcotics following surgeries such as third molar extraction, with many prescribing as many as 20-30 tablets. A recent study of 105 patients who underwent third molar extraction saw 8 surgeons prescribing 1,773 opioid units, with only 38.4% of those units being consumed during the study period. As dental postsurgical pain is mainly driven by inflammation, NSAIDs are an effective non-opioid alternative to treatment, and applying a multimodal analgesia approach provides pain relief at multiple inputs on the nociceptive pathway, reducing the need for opioids.

The first installment of this CME Outfitters BriefCase series on non-opioid pain management focuses on how to choose safe and effective pain management strategies for dental postsurgical pain by aligning pain management practices to evidence-based recommendations for a rational, multimodal approach to analgesia.

Learning Objectives

At the end of this CE activity, participants should be able to:

  • Apply evidence and guideline recommendations supporting non-opioid pain management to treatment decision-making.

Financial Support

Supported by an educational grant from Johnson & Johnson, administered by Johnson & Johnson.

Target Audience

Dentists and oral surgeons

Credit Information

Post-tests, credit request forms, and activity evaluations must be completed online (requires free account activation), and participants can print their certificate or statement of credit immediately (75% pass rate required). This website supports all browsers except Internet Explorer for Mac. For complete technical requirements and privacy policy, visit

Disclosure Declaration

It is the policy of CME Outfitters, LLC, to ensure independence, balance, objectivity, and scientific rigor and integrity in all of their CE activities. Faculty must disclose to the participants any relationships with commercial companies whose products or devices may be mentioned in faculty presentations, or with the commercial supporter of this CE activity. CME Outfitters, LLC, has evaluated, identified, and attempted to resolve any potential conflicts of interest through a rigorous content validation procedure, use of evidence-based data/research, and a multidisciplinary peer review process. The following information is for participant information only. It is not assumed that these relationships will have a negative impact on the presentations.

Dr. Saraghi reports that she is a consultant to the New York State Department of Health as a subject matter expert in acute dental pain management, including opioids, for a project called, "Dental Opioid Prescribing Using Health Literacy Concepts, Acute Pain Management".

Evan Luberger (planning committee) has no disclosures to report.

Jan Perez (planning committee) has no disclosures to report.

Sharon Tordoff (planning committee) has no disclosures to report.

Disclosures were obtained from the CME Outfitters, LLC staff: No disclosures to report.

CME Outfitters, LLC and the faculty do not endorse the use of any product outside of the FDA labeled indications. Medical professionals should not utilize the procedures, products, or diagnosis techniques discussed during this activity without evaluation of their patient for contraindications or dangers of use.

Questions about this activity? Call us at 877.CME.PROS (877.263.7767).


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