Here we discuss effective drugs for toothache and who are at risk when taking them. Anti-inflammatory, pain management, or all-in-one, which medicine should you choose? Drugs are taken depending on discomfort origin and degree to provide corresponding efficiency.
The ways dental drugs affect a hotbed of inflammation differ: some create numbing feeling in the area, whereas others work it gradually. It depends on the active ingredients included to target specific cause of tooth pain.
Causes of toothache
Toothache can be sharp or gradual, cutting, piercing, undulating, or nagging. It may hurt even worse when there are mechanical, thermal, and chemical irritators. But, whatever the type, the issue testifies there is something wrong with the affected tooth area. It occurs as a result of:
Medical maneuvers: after prosthodontics, filling, dental extraction, etc.
Nosogenic processes (for the overwhelming majority of cases) that occur in teeth, gums or nearby soft tissues: dental caries, pulpitis, periodontitis, periodontal membrane pathosis, abscess, encapsulation, pericoronitis, root end cyst, phlegmon, osteomyelitis, and others.
Mechanical damage of the tooth or improper treatment.
Too cold, hot, sweet, or spicy foods.
Dental diseases are not always there to cause the feeling. For example, maxillary sinusitis provides pain similar to that of caries. Whatever the reason, it is highly recommended to see your dentist for check, survey, x-ray of the affected tooth, and possible treatment.
Types of pills for odontalgia
Tooth agony (odontalgia) is the most undesirable feeling to fault for ruining a habitual tenor of life for a few days, and, at times, only pills for toothache can help. Dental pain differs in degree:
Severe (often accompanying tissue inflammation)
Tooth socket is so small that, when affected, edema develops to strangulate nearby nerve, thus causing a severe toothache. It may feel more intense at night for the peculiarities of human CNS operation.
By the therapeutic effects on the body, drugs fall into:
Anti-inflammatory ones struggle with inflammation in the mouth, accompanied with increased body temperature, headache, swollen gums, purulence in tooth antrum and gums. Ibuprofen containing medications work the condition successfully. Nurofen is non-hormonal, anti-inflammatory cure that quickly relieves acute symptoms of infection for 7-8 hours. Nimesil (nimesulidium-based) acts similarly to ibuprofen. Actasulid shows few negative side effects.
Combined ones provide analgesic and fight inflammation (Ibuklin or Ibufen). Tempalgin (metamizol-based) removes fever, though it affects liver and kidneys, suppresses blood flow and pressure, causes allergic reactions (not often).
Antibiotics are to quickly relieve gingivitis, contribute to healing of gums, and remove redness, swelling, and fever, though they don’t kill pain. The most common are: Amoksiklav, Ecociphol, Ciprolet, Tarivid, and Metronidazolum. Medications of the group should be taken strictly on doctor’s prescription.
Analgesics are to ease or relieve pain. When a tooth hurts, and you are not able to see your doctor soon, there are inexpensive drugs found in medicine cabinet of almost every home: Citramon, Analgin, No-Spa, Spazmalgon, Aspirin, and Baralgin (for mild and moderate degree). Prescription drugs for toothache (Ketanov, Ketorol, and Ketorolac are ketorolac-based) are ordered for severe agony. With high pain management, 2 pills a day work just fine, but there are many side effects: abdominal cramps, blood in urine, possible stomach and intestines ulcer, worsened hearing, and bronchial tubes spasm. Nise is over the counter remedy. Oxadol is a super potent substance that is in action only after 10-15 minutes following intake. Different types of soreness are tackled with Pentalgin taken as needed, but no more than 3 pills a day for 3 days. You should not take it if you suffer heart rhythm disorder, glaucoma, ulcers.
Note that some people are resistant to individual drug components, so they obtain insufficient effect.
Medications allowed for children and pregnant women
Most pills for toothache are prohibited for would-be mothers and children. When planning a pregnancy, a woman should consider examination by a dentist to cure dental diseases before the conception. As for children, their age dictates the choice of medication. For example, Ketanov is not allowed for patients under 16 years old, Nemisulidum, Nimulid, Nise, and Actasulid – under 12, Nurofen – 6 and Panadol – 3. These are some ways to help child and expectant mother:
Folk medicine, use rinsing with decoction of medicinal herbs.
Ibuprofen- (though not for pregnant women in 1st and 3rd trimester) and paracetamol-based drugs (allowed for women in 2nd trimester if no liver diseases) are presented in different forms: syrups, rectal suppository (excellent option for babies), suspensions, and pills.
Novocaine and propolis mixture is good to be applied to child’s decayed tooth. Remember to brush and rinse mouth before the procedure.
Drotaverine (NO-SPA) for nagging pain in women.
If you experience a toothache you should urgently seek for medical advice, otherwise it is allowed to take described above medications strictly adhering to the age and health recommendations, prescription.