Pain Management & Prescription Policy

Pain management is routinely required for some dental procedures. Goodness Dental promises to provide respectful care and appropriate management of dental pain. Most often, dental pain management is for acute or episodic situations, requiring short-term prescriptions for pain medication. For many conditions, ibuprofen, acetaminophen, or a combination of the two will suffice to alleviate dental pain. In other circumstances, small doses of prescription medications followed by over-the-counter medications (OTCs) will provide appropriate pain relief.

  • We may choose to prescribe opioids cautiously or to refuse prescriptions for opioids to those with a substance-abuse history. Be aware that such use can trigger relapse behaviors in susceptible individuals.
  • We may ask if patients are receiving medication from other doctors. We may also consult with prescription drug monitoring programs. If our doctors have any suspicion of drug abuse, we will not prescribe opioids to patients.
  • We will not prescribe opioids to patients in substance-abuse treatment programs without consulting the program’s medical staff.
  • We will not offer prescriptions with refills. We may choose not to replace prescriptions that were lost, destroyed, or stolen.
  • We will not prescribe over the phone, especially with patients we have not met.
  • We discourage the use of non-combination opioids.
  • If we choose to prescribe opioids, we will prescribe opioid pills only in small dosages, which in most cases should not exceed three days or 10 tablets.
  • When we prescribe an antibiotic with the opioids, we will stipulate that the narcotic must be filled with the antibiotics at the pharmacy.
  • We will not prescribe opioids more than seven days after the last appointment. In most cases, three days of medication will suffice. It is strongly recommended that the patient be assessed in the clinic prior to providing refills.
  • We will require a patient assessment to provide a second refill (same or different opioid) request. We will only provide the prescription once a supporting diagnosis is established to continue with narcotic pain management.
  • Prolonged pain management (while awaiting specialty care) will be managed by and/or coordinated with the patient’s primary care provider.

Pain Management Questions?

Goodness Dental doctors may refuse or restrict prescriptions to ensure the best interests of the patient and the clinic. Patient enquiries regarding prescriptions may be sent via email to painmanagement@goodnessdental.com