Opioid Free Treatment

Oral Surgery Office, John Paul Malan, DDS, Nampa & Fruitland ID

What is an opioid?

  Learn More About Prescription Opioid Pain Medications    


Dr. Malan has found that there are effective ways to control pain and use less opioids, or even have an opioid free postoperative experience. Dr. Malan uses the following methods to allow patients to go back to normal activities in less time because therapy includes using long-lasting analgesic techniques.

Multimodal Approach to Control Postoperative Pain

The multimodal approach involves the simultaneous use of a combination of 2 analgesics that act at different sites within the central and peripheral nervous systems in an effort to:

  • Reduce pain
  • Minimize opioid use and opioid releated adverse drug events

We combine multiple options to control pain that include the use of a long acting local anesthetic (EXPAREL).   EXPAREL® is injected directly to the surgical site during the procedure. It starts working before you feel the pain and numbs the area around the site and gives long-lasting (up to 3 days) of pain control, meaning you may need fewer pain medications.

How does EXPAREL work?

EXPAREL is a Uses DepoFoam® to Release Bupivacaine Over Time

By utilizing the DepoFoam product delivery platform, EXPAREL delivers therapeutic levels of bupivacaine over time.  DepoFoam is a multivesicular liposomal product delivery technology that encapsulates drugs without altering their molecular structure and then releases them up to 3 days after injection.

For more information, please visit www.EXPAREL.com

Personalized, gentle, comprehensive patient care is our number one priority. Call us Today!
Nampa ID
Nampa Location Phone Number 208-505-1946
Nampa ID
An Appointment
   Fruitland ID
Nampa Location Phone Number 208-505-1946
Fruitland ID

Our office hours are Monday through Thursday 7:00am - 4:00pm; & Friday 7:00am - 3:00pm for both Nampa & Fruitland locations

Not my Child? 

Use of opioid Prescriptions before the 12th grade is independently associated with a 33% increase in risk of future opioid misuse even after high school. This is concentrated among students with little or no history of drug abuse, as well as having a strong disapproval of drug use before taking them.   http://pediatrics.aappublications.org/content/early/2015/10/21/peds.2015-1364

Everyday in the U.S. 2,500 youth (12-17) abuse a prescription pain reliever for the first time 

On a typical day emergency department visits for drug abuse by youth aged 12-17 includes 26 for opioid pain relievers


“Public health officials have called the current opioid epidemic the worst drug crisis in American history, killing more than 33,000 people in 2015. Overdose deaths were nearly equal to the number of deaths from car crashes. In 2015, for the first time, deaths from heroin alone surpassed gun homicides.”


Prescription drug abuse causes the largest percentage of deaths from drug overdosing. Of the 22,400 drug overdose deaths in the US in 2005, opioid painkillers were the most commonly found drug, accounting for 38.2% of these deaths.

In the US alone, more than 15 million people abuse prescription drugs, more than the combined number who reported abusing cocaine, hallucinogens, inhalants and heroin.


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