Pain After Tooth Extraction You may have been dispensed a
syringe with a gel called Sockit!® This should be used by applying at least 4–6 times a day on the extraction site the first few days. This will provide pain relief and promote healing. With the curved tip attached to the syringe, apply to the extraction site with just enough to cover the area. Keep your tongue away from the area. This gel will help soothe the area and decrease the need for other pain medications. If the pain is severe, not controlled with your medications, or
persists, call our office for further instructions. Oral Hygiene After Tooth Extraction Surgery Diet After Tooth Extraction Nausea and Vomiting After Tooth Extraction Bruising and Discoloration After Tooth Extraction Jaw Tightness or Limited Mouth Opening After Tooth Extraction Dizziness or Light-Headedness After Tooth Extraction Smoking After Tooth Extraction If you have any
questions or concerns following your tooth extraction, please don’t hesitate to call our office. We are on call 24 hours a day.
Review Ibuprofen and/or paracetamol (acetaminophen) for pain relief after surgical removal of lower wisdom teethEdmund Bailey et al. Cochrane Database Syst Rev. 2013. AbstractBackground: Both paracetamol and ibuprofen are commonly used analgesics for the relief of pain following the surgical removal of lower wisdom teeth (third molars). In 2010, a novel analgesic (marketed as Nuromol) containing both paracetamol and ibuprofen in the same tablet was launched in the United Kingdom, this drug has shown promising results to date and we have chosen to also compare the combined drug with the single drugs using this model. In this review we investigated the optimal doses of both paracetamol and ibuprofen via comparison of both and via comparison with the novel combined drug. We have taken into account the side effect profile of the study drugs. This review will help oral surgeons to decide on which analgesic to prescribe following wisdom tooth removal. Objectives: To compare the beneficial and harmful effects of paracetamol, ibuprofen and the novel combination of both in a single tablet for pain relief following the surgical removal of lower wisdom teeth, at different doses and administered postoperatively. Search methods: We searched the Cochrane Oral Health Group'sTrials Register (to 20 May 2013); the Cochrane Central Register of Controlled Trials (CENTRAL) (The Cochrane Library 2013, Issue 4); MEDLINE via OVID (1946 to 20 May 2013); EMBASE via OVID (1980 to 20 May 2013) and the metaRegister of Controlled Trials (to 20 May 2013). We checked the bibliographies of relevant clinical trials and review articles for further studies. We wrote to authors of the identified randomised controlled trials (RCTs), and searched personal references in an attempt to identify unpublished or ongoing RCTs. No language restriction was applied to the searches of the electronic databases. Selection criteria: Only randomised controlled double-blinded clinical trials were included. Cross-over studies were included provided there was a wash out period of at least 14 days. There had to be a direct comparison in the trial of two or more of the trial drugs at any dosage. All trials used the third molar pain model. Data collection and analysis: All trials identified were scanned independently and in duplicate by two review authors, any disagreements were resolved by discussion, or if necessary a third review author was consulted. The proportion of patients with at least 50% pain relief (based on total pain relief (TOTPAR) and summed pain intensity difference (SPID) data) was calculated for all three drugs at both two and six hours postdosing and meta-analysed for comparison. The proportion of participants using rescue medication over both six and eight hours was also collated and compared. The number of patients experiencing adverse events or the total number of adverse events reported or both were analysed for comparison. Main results: Seven studies were included, they were all parallel-group studies, two studies were assessed as at low risk of bias and three at high risk of bias; two were considered to have unclear bias in their methodology. A total of 2241 participants were enrolled in these trials.Ibuprofen was found to be a superior analgesic to paracetamol at several doses with high quality evidence suggesting that ibuprofen 400 mg is superior to 1000 mg paracetamol based on pain relief (estimated from TOTPAR data) and the use of rescue medication meta-analyses. The risk ratio for at least 50% pain relief (based on TOTPAR) at six hours was 1.47 (95% confidence interval (CI) 1.28 to 1.69; five trials) favouring 400 mg ibuprofen over 1000 mg paracetamol, and the risk ratio for not using rescue medication (also favouring ibuprofen) was 1.50 (95% CI 1.25 to 1.79; four trials).The combined drug showed promising results, with a risk ratio for at least 50% of the maximum pain relief over six hours of 1.77 (95% CI 1.32 to 2.39) (paracetamol 1000 mg and ibuprofen 400 mg) (one trial; moderate quality evidence), and risk ratio not using rescue medication 1.60 (95% CI 1.36 to 1.88) (two trials; moderate quality evidence).The information available regarding adverse events from the studies (including nausea, vomiting, headaches and dizziness) indicated that they were comparable between the treatment groups. However, we could not formally analyse the data as it was not possible to work out how many adverse events there were in total. Authors' conclusions: There is high quality evidence that ibuprofen is superior to paracetamol at doses of 200 mg to 512 mg and 600 mg to 1000 mg respectively based on pain relief and use of rescue medication data collected at six hours postoperatively. The majority of this evidence (five out of six trials) compared ibuprofen 400 mg with paracetamol 1000 mg, these are the most frequently prescribed doses in clinical practice. The novel combination drug is showing encouraging results based on the outcomes from two trials when compared to the single drugs. Comment in
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Is Tylenol or ibuprofen better after wisdom teeth removal?We recommend you take a combination of Acetaminophen and Ibuprofen. Recent studies on pain control are indicating that taking a non-steroidal anti-inflammatory drug such as ibuprofen (Advil®, Motrin®) together with acetaminophen (Tylenol®) has more significant post-operative pain relief than taking either drug alone.
Which painkiller is best after wisdom tooth extraction?use painkillers such as paracetamol or ibuprofen (always read and follow the manufacturer's dosage instructions) – there's some evidence to suggest that ibuprofen is the best painkiller to take after having wisdom teeth removed.
Can I take ibuprofen and Tylenol together after wisdom teeth removal?For more severe pain, and if you have no medical contraindication or allergy, you may alternate Tylenol (acetaminophen) with the ibuprofen every four hours, or as prescribed, (take the ibuprofen, then the acetaminophen two hours later and so on).
Is Tylenol OK to take after wisdom teeth removal?Take the prescribed pain medications as soon as you begin to feel discomfort which will likely occur as the local anesthetic wears off. For moderate pain, you may take one or two acetaminophen such as Tylenol or Extra Strength Tylenol. Ibuprofen, such Advil or Motrin may be taken instead of acetaminophen.
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Tylenol or ibuprofen after wisdom tooth extraction
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