Pain Management For Tooth Extractions: Medications And Home Remedies

Having a tooth extracted can be an unpleasant experience, both during the procedure and afterward when you are recovering. The good news is that many options are available to help manage pain and discomfort following a tooth extraction. Being prepared and knowing what to expect can go a long way towards making the recovery process easier. In this blog post, we’ll explore the common medications used for pain relief after extractions. We’ll also discuss some home remedies and tips to minimize pain and swelling. Read on to learn how to effectively manage pain after having a tooth pulled.

Pain Medications

Over-the-counter medications are usually sufficient for managing pain after simple extractions. Common OTC options include:

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• Ibuprofen: Anti-inflammatory properties reduce pain and swelling. Take according to package instructions.
• Acetaminophen – Relieves pain but not inflammation- Avoid exceeding 4000 mg daily.
• Topical numbing medication – Such as Orajel, can provide localized pain relief.

Your dentist may prescribe stronger pain medications for more complex extractions, including wisdom teeth removal. These may include:

• Opioid medications: Codeine or hydrocodone combinations are commonly prescribed for short-term use after oral surgery. Take only as directed.
• Anti-inflammatory steroids, Such as dexamethasone, are given to prevent severe swelling and inflammation.

Always finish any prescribed antibiotics to prevent infections after the extraction site has begun healing. Let your dentist know if pain is not well-controlled with prescribed medications.

Home Remedies and Lifestyle Tips

• Cold compresses: Apply an ice pack or cold compress to the cheek near the extraction site for 10-20 minutes to reduce swelling and pain. Do this for the first 24 hours.
• Soft foods: Stick to a soft diet like yogurt, smoothies, broths, and mashed potatoes initially to avoid irritating the extraction area.
• Saltwater: rinse gently with warm salt water to keep the area clean. Mix 1/2 teaspoon salt in a cup of warm water.
• Avoid smoking and drinking with a straw: These activities can dislodge the blood clot and delay healing.
• Elevate your head: Use extra pillows while sleeping to reduce swelling.
• Tea bags: Place a damp tea bag against the extraction site to help control bleeding and pain. The tannins in tea promote clotting.
• Clove oil: This natural pain reliever can temporarily numb pain when applied topically.
• Peppermint tea: Sipping peppermint tea can ease inflammation and discomfort.
• Avoid vigorous exercise and activities: Take it easy for at least 24 hours after the extraction.

When to Call the Dentist

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While some pain, swelling, and bleeding are normal after a tooth extraction, contact your dentist in Prince Frederick, MD, right away if you experience any of the following:

Severe throbbing pain not relieved by medication – You may develop a painful condition called dry socket, which happens when the blood clot at the extraction site becomes dislodged. A dry socket exposes the bone and nerves, causing severe pain that typically begins a few days after the extraction.

Prolonged bleeding: Some blood oozing is common for the first 24 hours, but call your dentist if you experience heavy or excessive bleeding that soaks through the gauze or continues beyond the first day.

Fever and chills: An elevated temperature can signal the beginning of an infection. Infection is a risk whenever there is an open wound in the mouth. Other signs of infection include foul odor coming from the extraction site.

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Swelling that worsens after 48 hours – Some swelling and inflammation are normal, but if swelling increases past the second day, develops into large bruising, or spreads into your jaw or neck area, contact your dentist.

Numbness or tingling: The extraction may have impacted a nerve if you experience numbness or tingling that persists for several hours or longer in your lips, chin, tongue, or other facial areas. Inform your dentist.

Difficulty swallowing or opening your mouth: Excessive swelling can sometimes make it hard to open your mouth fully or swallow comfortably. Let your dentist know if swelling limits your ability to eat, drink, or open your mouth.

Reaction to medications: Some people may experience an allergy or adverse reaction to prescribed medications. Discontinue use and notify the dentist immediately if you develop hives, rash, itching, severe nausea, or difficulty breathing after taking medications.

A tooth extraction is very common, with millions done every year. You can minimize discomfort and recover safely with proper preparation, pain management, and aftercare. Work with your dentist to establish an effective pain relief plan using medication and home remedies. Follow all post-operative care instructions carefully to prevent complications. Don’t hesitate to call your dentist with any concerns after the extraction.

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