Journal of Oral and Maxillofacial Surgery

Abstract Background: Pain management is one of the most critical aspects of practice in Oral and Maxillofacial Surgery. We performed a three year retrospective analysis of heavy opioid prescription in one practice after introduction of Office Protocol designed to decrease such prescriptions. Methods: We analyzed data available through Illinois Monitoring Service of patients who obtained hydrocodone/oxycodone prescriptions for qualified procedures routinely requiring heavy opioids. The number of procedures performed in each year, starting 2015 and ending 2017 was analyzed along with percentage of patients that filled prescription for heavy opioids in the same time frame. 95 % confidence intervals were used to analyze the data and compare between each year. Results: Based on the 95% confidence intervals, 56.6% of patients undergoing qualified surgical procedures required heavy opioid prescriptions in 2015. After introduction of Office Protocol for pain management that numbered fell to 15.2% in 2 years. Thus, we obtained a 3.7fold reduction in Hydrocodone/Oxycodone prescription in a three years interval. Conclusion: The Office Protocol utilized in this study that included use of NSAIDs, acetominophen and homeopathic Recovery Kit has effectively decreased the number of heavy opioids required for patients undergoing various oral surgery procedures.

We show the methods applicated in our study

Pre-operative assessment of obstructive sleep apnea - survey of OMS providers data set.

the original relative abundance of bacteria

Modified SEER dataset that we used for statistical analyses

The excel file include the original result of each experimental subject in the study and the sequence of groups in each experimental round.

More cases and case photos are provided in the Appendices.

This file contains the de-identified data for 12 patients that received both Control and Experimental Sedation techniques as per the manuscript

subject gender, repair stage, fistula, age at repair