Toothache delivers a huge amount of trouble: it does not allow you to fall asleep and prevents a full meal, spoils the mood and can often be accompanied by other unpleasant manifestations. Often pain is accompanied by a general deterioration in well-being. The only solution is to see a doctor as soon as possible to cure or remove a bad tooth. But if there is no way to visit the dentist in the near future, you can take a pain reliever for toothache. The best tool not only quickly and permanently relieves pain, but also produces an anti-inflammatory effect, preventing complications. Why can a tooth hurt? Which toothache pain relievers are good?
Common Causes of Pain
For toothache, you should take painkillers if you cannot consult a doctor. In other cases, it is advisable to visit the dentist to identify the cause and cure the tooth. Pain can be associated with caries, inflammation of the pulp, intense pain occurs as a result of facial injuries or when teething wisdom. Sensitivity increases significantly with the thinning of tooth enamel or the appearance of cracks, and toothache can also be confused with gum disease.
Caries is the most common cause that causes severe discomfort and requires pain relief. This is a pathological process that is characterized by the destruction of enamel. As a result, a cavity is formed inside the tooth. The cause of caries is bacteria that produce aggressive acids that irritate enamel. Destruction occurs gradually. Caries can be superficial, medium or deep (depending on the stage of the pathology). Moderate pain appears only when the disease is in the middle stage. With deep caries, the pain syndrome becomes very intense. Discomfort appears when eating too hot or cold food, sweet or sour, from pressure on the tooth.
If caries is ignored, complications may arise - peridontitis (inflammation of the tissues that surround the tooth), pulpitis (inflammation of the nerve) or periostitis (inflammatory process in the periosteum). With pulpitis, the pain is prolonged, throbbing, with short intervals. General condition may worsen and body temperature may rise. Tissue inflammation occurs as a complication of pulpitis. The pain becomes acute, bursting, aggravated by pressure and exposure to irritants. With periostitis, swelling of the face occurs on the part of the patient’s tooth, the pain syndrome is intense, but may decrease over time.
With teething wisdom, pain and general deterioration of well-being are characteristic for 90% of patients. The pain syndrome subsides for a while, then returns. In this case, you should always consult a dentist, and if a person is injured, you should contact a traumatologist or maxillofacial surgeon. The reason for visiting a doctor should be any pain, because problems over time only increase. Regardless of complaints, it is recommended that you consult your dentist every six months.
What to do with acute pain
To eliminate toothache, you need to undergo dental treatment, and sometimes tooth extraction is required. Removal is a last resort. Such a radical method is used only in case of serious jaw injuries or during acute periodontitis. In most cases, a damaged tooth can be cured.
The temporary relief comes from the use of folk remedies, acupressure, the use of analgesics and non-steroidal anti-inflammatory drugs (NSAIDs). How to urgently help a person who has a toothache? How to anesthetize? There are many medicines for toothache, but they help temporarily, and also drugs require caution in use, have contraindications. Use tablets and powders with increased individual sensitivity, during pregnancy and lactation, as well as for some diseases, only after a doctor’s recommendation.
Painkillers
Many people are interested in: which pain medication is better for toothache? The most effective are the drugs, which include ketoprofen. This, for example, Ketorol, Ketanov, Ketorolac. What to choose the best painkiller for toothache? Without a prescription, today you can buy a lot of drugs that are effective in relieving pain. You can pay attention to funds containing dexketoprofen (for example, Dexalgin). These drugs eliminate pain for five to six hours and at the same time have an anti-inflammatory effect.
Among the best painkillers (for toothache, fever, general unsatisfactory condition) are drugs with ibuprofen (MIG, Faspik, Nurofen), flurbiprofen (Flugalin), naproxen (Naprios, Sanaprox) ) as active active substances.
Powerful painkillers and anti-inflammatory drugs - based on nimesulide, sulfonamide. What is better to anesthetize? Nise can relieve toothache. Judging by the reviews, this is a very effective tool. According to patients, one of the best painkillers for toothache is medication with indomethacin (the active ingredient is part of several drugs with different trade names), which has a high analgesic effect and anti-inflammatory properties.
The most common and affordable medicines that can get rid of mild toothache are paracetamol and analgin. Most of the above funds are contraindicated in pregnancy (except paracetamol, which is allowed for use from the 12th week), in childhood and old age. Most drugs are acidic, that is, they irritate the gastrointestinal mucosa, so they can be taken only in moderation. Such drugs are contraindicated in case of erosion and stomach ulcers, functional insufficiency of the kidneys and liver, bronchial asthma and some other diseases.
And of course, you should remember: even the best pain reliever for toothache (in tablets, powder, in the form of a syrup or gel) must be approved by the attending physician. Do not self-medicate, because this can only worsen the condition of the patient. If a toothache bothers the child, then the pediatrician's instructions for the use of medicines should be followed.
"Paracetamol" for mild to moderate pain
"Paracetamol" is an antipyretic, an analgesic with a weak anti-inflammatory effect. The medicine begins to act one hour after administration, can be used to relieve pain that is not associated with the inflammatory process. "Paracetamol" does not cure, does not increase immunity, is not intended for prevention and does not eliminate inflammation, but only relieves symptoms.
The main form of release is tablets, but syrup, capsules or suspension (sugar free), rectal suppositories can be found on sale. The drug is used for neuralgia, fever for infectious diseases, pain of various origins, hyperthermia caused by vaccination. Contraindications include chronic alcoholism, pregnancy (first trimester, use with caution in the second and third trimesters), severe disruption of the excretory system, individual intolerance, and the period of breast-feeding.
This is the best pain reliever for toothache of low intensity, because Paracetamol acts only on a source of discomfort. Adults only need to take the drug three or four times a day, 350-500 mg each, the maximum daily dosage is 4 g, the maximum at one time is 1.5 g. It is not recommended to drink Paracetamol immediately after eating, because in this case the process slows down absorption of the substance into the blood, that is, the analgesic effect will come later. The duration of the drug without a break should not exceed one week.
Nimesil: soft action
"Nimesil" helps with various pains, is an effective antipyretic and relieves inflammation. A medicine in the form of a powder has a milder effect on the stomach without causing tissue irritation. But this tool can only be used as an anesthetic before going to the doctor. It will not be possible to cure a tooth with the help of Nimesil (and any other analgesic), therefore it is necessary to consult a dentist with a problem as soon as possible. Before using the drug, you need to read the instructions (there are contraindications).
"Ibuprofen": instructions for use
Which pain medication is better for toothache? With moderate pain, Ibuprofen or its foreign counterparts (Imet, Nurofen) can help. The medicine is included in the group of non-steroidal anti-inflammatory, which means, in addition to the directly analgesic effect, it also has anti-inflammatory. "Ibuprofen" helps with toothache, accompanied by fever and inflammation in the tissues. To relieve aching pain, it is usually sufficient to take a tablet containing 200 mg of the active substance. If necessary, the dosage is increased to a maximum of 400 mg, but it is permissible to consume a total of not more than 800 mg per day.
Citramon, Askofen, and Excedrine
In most cases, there is no need to look for the best painkillers tablets for toothache, because the funds that can be found in a home medicine cabinet can relieve discomfort. For example, the usual "Citramon" will help with toothache. The product contains aspirin and paracetamol, which enhance each other's analgesic effect, as well as caffeine. Caffeine will relieve drowsiness (this is a side effect of analgesics) and will cause blood vessels to tone.
It is recommended to take two Citramon tablets at once. The drug is strictly forbidden to combine with any alcohol-containing tinctures and alcohol, because this can cause gastric bleeding. You can take analogues, for example, Exedrine or Askofen. Which pain medication is better for toothache? These pharmaceutical preparations contain the same active ingredients (but sometimes in different dosages - you need to pay attention to this), so you can choose any remedy.
Fanigan: a combination of two analgesics
Pills will help anesthetize (toothache can be stopped with this remedy as well as other types of discomfort). Fanigan. This is a combination drug that contains paracetamol and diclofenac, which enhances the effectiveness. In addition, Fanigan has a decongestant effect. With toothache, accompanied by swelling of the tissues and swollen lymph nodes, it is enough to drink one tablet. It is advisable to take the medicine after meals, because it has an irritating effect on the mucous membranes due to the content of acids.
Ketanov is a strong painkiller
The best painkillers for toothache eliminate discomfort quickly and for a long time. Ketanov is a powerful remedy - this drug is used during the recovery period after surgical interventions, for injuries and pain of various origins. Pills block the production of pain enzymes, but slow down the excretory system, therefore it is contraindicated in patients who have kidney problems. A single dosage is one tablet (10 mg of the active substance). With severe pain, you can take "Ketanov" every four to six hours, but you can use no more than nine tablets per day (90 mg). Analogues of the drug: “Ketalgin”, “Dolak”, “Toradol”, “Ketorol”.
Flamidez: a combination drug
Which pain medication is better for toothache? An effective drug is Flamidez, which contains paracetamol, diclofenac and serratiopeptidase, a decongestant. The medicine quickly anesthetizes, has an anti-inflammatory effect and relieves swelling. Tablets are prescribed by dentists as part of purulent inflammation therapy, for pain relief after tooth extraction, in the treatment of alveolar abscesses. You need to take one tablet once or twice a day.
"Nimesulide": a powerful remedy for pain
A synthetic drug with pronounced antipyretic, analgesic and anti-inflammatory properties is recommended to be taken only with intense pain, in the period after tooth extraction or in the inflammatory process. With prolonged use, the drug does not have a toxic effect on the body, it is often prescribed for elderly patients. "Nimesulide" is contraindicated in heart failure, functional liver failure and bronchial asthma, children under 15 years of age, expectant and lactating mothers. Analogues of the drug are Nimid, Nise.
Kamistad-Gel N: emergency assistance
Local remedies, such as anesthetic gels, help with toothaches. The active components of the Kamistad gel include trometamol, lidocaine hydrochloride, tincture of chamomile flowers. The drug is available in tubes of 10 g. "Kamistad" is used in the treatment of lesions of the gums and oral mucosa, is used to relieve symptoms of inflammation, hypersensitivity reactions. The gel helps to reduce irritation and discomfort, relieves toothache. You can use the tool for painful teething of the first teeth in babies.
Healing toothpaste
If the pain is caused not by tooth decay and inflammation, but by increased sensitivity of the enamel, then there is no need to take pills. The solution to this problem should be approached in detail. An effective treatment will be recommended by the dentist after examination, and the use of special pastes for sensitive teeth will help ease the condition. The most popular are Mexidol, Sensodyne, Oral-B.
Traditional medicine methods
Above, we have listed the most popular pharmacy painkillers. At home, from toothache, however, many try to get rid of alternative medicine methods that have a milder local effect. A piece of ice attached to a damaged tooth will help to eliminate discomfort for a short time. The effect is comparable to the action of local anesthesia, but disappears very quickly (after 5-20 minutes). Effective rinses with a solution of soda in the following proportion: one teaspoon per glass of warm water. You can add a couple of drops of ordinary iodine and a teaspoon of kitchen salt to the solution.
Judging by numerous reviews, the best painkiller for acute toothache from folk remedies is a decoction of sage for rinsing. For cooking, you need two tablespoons of dry plant material, which must be poured with a glass of boiling water and left in a water bath for twenty minutes. It is necessary to rinse with warm broth, because hot liquids only intensify pain due to the influx of blood to a certain area. A good anti-inflammatory effect is exerted by rinsing the mouth with mint, oregano, chamomile, St. John's wort, and lemon balm.
To relieve moderate intensity toothache, oil applications are used. Essential oils of cloves, tea tree or fir can be used. It is enough to drop a few drops on a cotton swab and apply to a sore spot. Instead of essential oils, you can use tinctures of propolis, valerian, eucalyptus. Some of this can be found in almost any home medicine cabinet.
Acupressure for toothache
Acupressure helps temporarily get rid of intense toothache. A pronounced analgesic effect has a short effect on certain points:
- The point that is on the edge of the index finger from the side of the thumb is 2-3 cm below the base of the finger.
- A point in the indentation between the cheekbone and the lower jaw. Pressing with your thumb for a few seconds will remove or reduce pain in the upper jaw.
- The point between the phalanges of the thumb and forefinger. It is not recommended to massage this point in the third trimester of bearing a child. It is believed that this can cause premature birth.
- Point on the corner of the lower jaw. A gentle massage helps eliminate pain in the teeth of the lower jaw.
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In antenatal clinics, gynecologists, as a rule, recommend that future mothers drink exactly “Paracetamol” for pain. The tool acts only as a source of pain and does not affect other organs. The components of this medication cross the placenta to the fetus, but do not have a negative effect. Paracetamol can not anesthetize an intense pain syndrome for a long time, but tablets will at least temporarily ease the condition. Pregnant women may be allowed “Analgin,” but with prolonged use, the medication can harm the fetus or lead to changes in the composition of the blood. In addition, "Analgin" can not be taken in the early stages and in the third trimester.
"Nurofen" reduces the amount of amniotic fluid, therefore, is strictly contraindicated for use in the third trimester. At earlier dates, the medicine can be used in a small dosage and only after the approval of the doctor. Be sure to pay attention to contraindications when taking any medications. You can take only those medications that the doctor prescribed. Dental treatment during pregnancy is not contraindicated, but there are limitations in the permitted means of anesthesia. Therefore, pregnant women should not hesitate to contact a specialist even if the teeth do not bother or the pain is minor.