The 40-year old patient in the previous scenario returns to the clinic two weeks after the emergency evaluation for a partially impacted wisdom tooth, which led to analgesic therapy and a referral to the oral surgeon for extraction of the symptomatic tooth. When you enter the operatory the patient introduces himself to you again, not remembering you from the last visit. The patient then begins to hold his jaw in agony, crying, claiming that he could not make it to the oral surgeon and ibuprofen was not enough for the pain. The patient then begins to reveal that he has a history of cocaine abuse and Motrin has never been able to relieve his pain, especially oral pain. The patient asks specifically for Percocet 5mg/325mg because that is what has worked in the past due to his “very low threshold for pain.”