Name two opioid-containing analgesics commonly used in dentistry.

• A. Morphine sulfate
• B. Hydrocodone/acetaminophen and oxycodone/acetaminophen
• C. Codeine alone
• D. Tramadol alone

Answer: (B)

Postoperative dental pain is often managed with nonopioid analgesics first, and when an opioid is needed, combining it with acetaminophen enhances pain relief while allowing a lower opioid dose. Hydrocodone/acetaminophen and oxycodone/acetaminophen are two of the most commonly prescribed opioid-containing analgesics in dentistry because the acetaminophen boosts analgesia and helps control pain, while the opioid provides stronger relief for moderate to severe discomfort after procedures like extractions or implants. This combination also tends to be well tolerated and is familiar to clinicians and patients, making it a standard choice in many dental formularies.

Morphine sulfate is an opioid, but it is not routinely used in everyday dental practice due to its potency and greater side effects. Codeine alone is less commonly used as a standalone analgesic today, since it’s typically given with acetaminophen or aspirin when an opioid is needed. Tramadol is an opioid-like analgesic, but it is not as commonly prescribed for routine dental pain as the acetaminophen–opioid combinations.