Concerns about opiate use after wisdom teeth extraction
I have scheduled my college age daughter's wisdom teeth extraction for late summer. In the past 5 years (starting at age 16) she has had 4 surgeries (3 for ACL reconstruction, and 1 for sinus) and every time she has had Oxycontin. While there has been no sign of her not taking them as directed or abuse, I am very concerned about her using them. She has a very low pain tolerance and feels that she "needs" these meds for post operative pain. I recently read a WaPo article which said that even one course of opiates used for wisdom teeth extraction could result in abuse or addiction and that studies showed that tylenol and advil were more effective in reducing dental pain. So I called the oral surgeon office ahead of her appointment to voice my concern and asked if they might make the argument to her when we came in about using the analgesics instead of narcotics. The person I spoke to said their office had seen the same article, and while their office still regularly prescribed the narcotics, there were some oral surgeons that wouldn't. They said would make a note in her file.
During the appointment they asked her about narcotics and she said that Oxy worked for her. So I brought up the info in the article and everyone listened, and while my daughter said she might be willing to try just the analgesics, she then again said she had a low pain tolerance.
Is it fair of me to feel that just because of the risk of addiction and with so many previous surgeries having used opiates, that maybe it is not worth the risk and that she should endure a couple days of pain to avoid some possible long term negative outcome? Does anyone have any previous experience, advice or perspective on how to deal with this situation? Part of me thinks I shouldn't worry so much, but I'd hate to find out a year from now that I have a kid addicted to opiates after all of these surgeries because the medical professionals were reluctant to change their practices in light of the info?
[Moderator Note] a similar question was asked last year. See "Norco prescription for wisdom teeth?" https://www.berkeleyparentsnetwork.org/advice/health/wisdomteeth