Managing Acute Pain in Dentistry: The Opioids Crisis

Presented by: Dr. David Mock and Dr. Aviv Ouanounou

RCDSO Expiry Date: December 14, 2022

To qualify as a Core Category 1 course, the course certificate must be issued no later than this date.

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  • Dr. David Mock DDS, PhD, FRCD(C)

    Professor of Oral Pathology/Oral Medicine
    Faculty of Dentistry, University of Toronto
    Professor of Laboratory Medicine and Pathobiology,
    Faculty of Medicine, University of Toronto

    Dr. David Mock received his DDS from the University of Toronto in 1968. In 1977, he obtained his Fellowship in Oral Pathology from the Royal College of Dentists of Canada and, in 1978, his PhD also from the University of Toronto. In 1999, Dr. Mock was granted Fellowship in Oral Medicine from the Royal College of Dentists of Canada.

    Dr. Mock is Dean Emeritus of the Faculty of Dentistry, University of Toronto having served as Dean from 2001 to 2012. He served as Professor of Oral Pathology/Oral Medicine, University of Toronto, as well as Laboratory Medicine and Pathobiology in the Faculty of Medicine. He is on the dental staff of the Department of Dentistry, a staff pathologist in the Department of Pathology and Laboratory Medicine and Associate Director of the Wasser Pain Management Centre at Mount Sinai Hospital, Toronto in which from 1992 to 2000, he was Dentist-in-Chief. Dr. Mock was the Associate Dean Biological and Diagnostic Sciences of the Faculty of Dentistry from 1998 to 2001.

    Dr. Mock has published widely in the field of Oral Pathology/Oral Medicine and, most recently, is recognized for his expertise in the diagnosis and management of orofacial pain. His contributions to the profession have been recognized with a number of honours, including fellowship in the American College of Dentists, the International College of Dentists and the Pierre Fauchard Academy. Amongst his awards, he is a recipient of an “Alumnus of Distinction” award from the Faculty of Dentistry, University of Toronto, the “Barnabus Day Award” from the Ontario Dental Association, the “Award of Merit” from the Pierre Fauchard Academy and a “Presidential Citation” from Alpha Omega Dental Fraternity.

  • Dr. Aviv Ouanounou BSc, MSc, DDS, FICO

    Assistant Professor,
    Dept. of Clinical Sciences (Pharmacology)
    University of Toronto, Faculty of Dentistry

    Dr. Aviv Ouanounou is an Assistant Professor of Pharmacology at the Faculty of Dentistry, University of Toronto. He received both his DDS and MSc at the University of Toronto. He teaches pharmacology to undergraduate and graduate students and is also a clinical instructor and Treatment Plan Coordinator. Dr. Ouanounou won several teaching awards including “Best Teacher of the Year Award” in 2013 and 2015. Also, Dr. Ouanounou is the recipient of the 2014-2015 prestigious Dr. Bruce Hord Master Teacher Award for excellence in teaching at the Faculty of Dentistry at the University of Toronto. He is a member of the American Academy of Pain Management and the American College of Clinical Pharmacology. He also maintains a general private practice in Toronto.

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One of the most common sequela associated with dentistry and dental treatment is acute post-operative pain. Almost every procedure associated with dental treatment has the potential to cause some degree of post-operative pain requiring multi-faceted management. Today’s clinician has a large armamentarium of pharmacological agents to draw from to control acute post-operative pain and these options will be discussed. At the same time, news of the accelerating “opioid crisis” is inescapable and concern about the role of prescribers is in question.  Along with the other health professions entitled to prescribe opioids, dentistry has become aware of its responsibility to consider ways to balance patient safety with effective management of pain.

During this presentation, the practitioner will become aware of the role of dentistry in acute pain management and in the opioid issue.  The various guidelines and policies of professional and government agencies will be presented and their implications for the practice of dentistry will be explored, where possible using specific examples.  Participants will be encouraged to participate.