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Over-the-counter (OTC) pain medications: Use OTC analgesic pills such as Tylenol (acetaminophen), Motrin or Advil (ibuprofen), and Aleve or Naprosyn (naproxen). Numbing gels: OTC oral gels containing benzocaine may be used by adults to relieve pain. Teething gels must not be used in children younger than two years of age.
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Fast acting Rapid toothache relief For direct application to the source of toothache
- (8)
- ORAGEL
- Overview
- Causes of toothache
- Nonopioid analgesics
- Opioid analgesics
- Antibiotics
- Topical anesthetics
- Alternative drug-free options
- Prevention
- When to contact a dentist
- Frequently asked questions
To manage toothache and reduce swelling, a person may consider using medications such as pain relievers, antibiotics, or drug-free alternatives.
Toothache is a common symptom of many dental issues. It can cause discomfort and may make eating and drinking difficult. Many options, including medications, are available to help reduce pain. If a person has a toothache lasting more than a few days, it is advisable to consult a dentist.
Toothache can occur due to various reasons, such as:
•dental caries or cavities, known as tooth decay
•dental infections, or as a complication, a dental abscess
•dental or face injuries
•gum disease
•teeth grinding
People can classify analgesics, or pain relief medication, as opioids or nonopioids. This term refers to whether they interact with the opioid receptors in the brain.
Nonopioid analgesic options include acetaminophen and nonsteroidal anti-inflammatory drugs (NSAIDs).
These drugs are very effective for relieving mild or moderate dental pain and are some of the most frequently recommended analgesics by dentists.
Acetaminophen can temporarily relieve mild to moderate pain and fever.
Opioids are a class of painkillers that can reduce pain by binding to opioid receptors. When this occurs, opioids block the body’s pain messages sent through the spinal cord. Dental pain is often the reason for a person’s first encounter with opioids.
These drugs are effective for relieving pain and are generally safe when people use them for a short time, as a doctor prescribes.
However, opioid analgesics can lead to use disorders, overdose incidents, and death. As such, the Centers for Disease Control and Prevention (CDC) suggest that a person only takes this medication in circumstances where the benefits for pain outweigh the risks.
As opioid analgesics require a prescription, a medical professional will advise the dosage that a person requires. Some examples of opioid analgesics that a dentist or doctor may prescribe for dental pain include:
•Codeine: This option is available as a tablet, and people can take 15–60 mg every 4 hours as necessary, but it should not exceed 360 mg in 24 hours. However, research suggests that codeine is less effective for managing dental pain than nonopioid analgesics. People can also use co-codamol, which contains both codeine and acetaminophen.
•Oxycodone: It is advisable to use oxycodone at the lowest effective dosage for the shortest duration. The recommended dosage is 5–15 mg every 4–6 hours as necessary for pain.
If the cause of the tooth pain is a bacterial infection, then a person will likely receive a course of antibiotics to clear the infection.
However, it is important that dentists follow proper guidelines and only prescribe necessary antibiotics to prevent the risk of antibiotic resistance. Some antibiotics that a dentist may commonly prescribe include:
•amoxicillin
•clindamycin
•azithromycin
•doxycycline
Topical anesthetics describe creams or gels that can help reduce pain by numbing a sore area. People can apply them directly to the sore tooth. Traditional topical anesthetics often contain lidocaine or benzocaine as active ingredients.
Benzocaine can help reduce toothache by blocking nerve signals around the painful area. A person can apply benzocaine gels up to 4 times daily or as per the instructions of their dentist or doctor. Lidocaine is another local anesthetic a person can use to relieve oral pain.
A person may want to address their toothache with natural remedies. Some options may include:
•Saline solution: Using salt water as a mouthwash can help loosen debris between the teeth, which may aggravate the sore tooth. As salt is a natural disinfectant, it can help reduce inflammation.
•Cold compress: Wrapping a cold pack in a cloth and then placing it against the side of the face can help to reduce swelling and pain.
•Elevation: Resting with the head propped up on a pillow can help to reduce dental pain when lying down.
•Garlic: This plant contains many compounds, such as allicin, that may possess antibacterial properties. Therefore, using garlic may help with a toothache that occurs due to bacteria.
A person may also consider eating foods that are soft and easy to chew to prevent discomfort with a sore tooth. They may also want to avoid food and drinks at extreme temperatures and try to limit smoking, if applicable.
The best way to prevent toothache is to keep teeth and gums healthy. Good oral hygiene is an important step in maintaining oral health. The American Dental Association recommends the following tips to keep teeth healthy:
•brushing teeth twice a day with a fluoride toothpaste
•cleaning between teeth daily using floss or sticks
•eating a balanced diet that limits sugary beverages and snacks
•visiting a dentist regularly
•avoiding tobacco products
While medications and other remedies can help reduce toothache, it is sensible to seek dental help.
Regular dental appointments are important as they can identify dental problems early. Health experts recommend visiting a dentist at least once a year. However, some individuals may require more regular appointments.
A toothache is a common reason for requiring a dental visit. A dentist can help determine the issue and prevent potential complications. Experts strongly advise people book an appointment with their dentist as soon as possible if they experience any of the following symptoms:
•pain that lasts more than 2 days
•they have additional symptoms, such as:
•fever
What are non opioid analgesic drugs?
Analgesics, or pain relief medication, are classified either as opioids or nonopioids. This term refers to whether they interact with the opioid receptors in the brain. Nonopioid analgesic options include acetaminophen and nonsteroidal anti-inflammatory drugs (NSAIDs).
What are examples of simple nonopioid analgesics?
Simple, non-opioid analgesics is a group of pain relief that includes acetaminophen and nonsteroidal anti-inflammatory drugs (NSAIDs) such as: •ibuprofen •aspirin •naproxen •naproxen sodium •naproxen/esomeprazole •diclofenac •etodolac •indomethacin •nabumetone •oxaprozin
What is the best nonopioid pain relief?
Everyone reacts differently to pain relief. Therefore, it is not possible to categorize one pain relief as ‘best’. However, acetaminophen, also known as paracetamol in many countries, is generally considered a simple and safe nonopioid pain relief.
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