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Nov
22nd

How To Ease Tooth Pain Until You Can Get Into The Dentist

Files under Health and Fitness | Posted by admin

It seems with all things good or bad they tend to happen at the most inconvenient times. This is never truer than with tooth pain. The stabbing pain either awakens you in the middle of the night or flairs up on the weekend when even talking to your dentist may be next to impossible. What causes this kind of pain? Tooth decay is the primary cause of toothaches in just about everyone. The bacteria that live in your mouth thrive on the sugars and starches in the food you eat. These bacteria form a sticky plaque that clings to the surface of your teeth. Acids produced by the bacteria in plaque can eat through the hard, white coating on the outside of your teeth (enamel), creating a cavity. The first sign of decay may be a sensation of pain when you eat something sweet, very cold or very hot. A toothache often indicates that your dentist will need to work on your teeth, but this is not always possible at the moment the pain occurs.

As with any emergency it is good to have a plan of what you will do and how to treat the tooth pain when it does flair up. Having some basic knowledge of first aid may enable you to find some relief from tooth pain or help someone you love get through the hours or even days until a dentist can see you. So when that tell tale sign of dental pain suddenly makes its presence known here are a few remedies to try until you can see your dentist.

1. If the pain is being worsened or even caused by something caught between the teeth try flossing. A note of caution here though because the surrounding tissue may be inflamed be sure and floss gently. Try to use the floss to pry out what could be caught without dislodging a loose filling or injuring the surrounding gum line.

2. Take an over the counter pain reliever. Ibuprofen has the added benefit of being an anti inflammatory. Do be sure and follow the package directions carefully to avoid accidentally overdosing. Do not take someone else s prescription painkillers while this may be tempting to ease dental pain this can lead to several other complications. Also don t place aspirin or another painkiller directly against your gums, as it may burn your gum tissue.

3. Apply an over the counter antiseptic containing benzocaine. This is swabbed directly onto the irritated tooth and gum. Many patients report great relief using these types of products. They can be purchased in almost all grocery or drug stores. A direct application of oil of cloves (eugenol) also may help.

4. If the pain is severe or there is swelling using ice may help. An ice pack can be applied to the outside of the face or some patients find relief holding an ice chip next to an irritated tooth or gum. This method does not work for everyone since some people find they have increased cold sensitivity in their teeth when having dental pain.

It is extremely important to know what signs are indications of serious dental problems. Swelling, pain when you bite, a foul tasting discharge and redness often indicate infection. This should be reported to your dentist as soon as possible. If you have severe pain, fever with a toothache or are having trouble breathing or swallowing call your dentist immediately. If you can not reach him or her go directly to the closest emergency room.

By using these first aid measures you can help yourself or someone close to you be more comfortable until they can see their dentist. Have a plan, stock up on needed dental first aid supplies and keep your dentist number handy, then whatever happens you ll be ready!

Dr. Joseph Wilbanks, DDS, is a popular Toccoa, Georgia dentist specializing in Smile Makeovers, Dental Implants and Toccoa Sedation Dentistry. Visit the Northeast Georgia Smile Center or call (706) 886-9439 for more information on how Dr. Wilbanks can help to restore your brilliant smile.

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Nov
22nd

How To Ease Tooth Pain Until You Can Get Into The Dentist

Files under Health and Fitness | Posted by admin

You may find that you have dental pain, but are unable to get to the dentist immediately to relieve the pain. You have options to reduce or ease this pain until your are able to meet with a dentist. You do not have to suffer without relief like our forebears did. However, you may want to take a look at which option is best for your pain.

In general, for the treatment of mild to moderate dental pain, the most appropriate options are:

- Acetaminophen (Tylenol), 650mg every 4-6 hour as needed for dental pain
- Non-steroidal anti-inflammatory drugs, or NSAIDs (Advil, Motrin, Aleve), 400mg every 4-6 hours as needed for dental pain

Acetaminophen
Acetic acid and p-aminophenol, or APAP-commonly known as acetaminophen-is classified as a nonnarcotic pain reliever. Dentists will normally use it for mild to moderate dental pain. The drug acts as both as an agent against pain and fever. Additionally, the drug has rapid painkiller action which you will appreciate when you have dental pain because it can be very acute.

Acetaminophen, unlike nonsteroidal anti-inflammatory drugs, or NSAIDs, has little anti-inflammatory action. It generally is safe for acute dental pain. However, at very high single doses it can cause liver damages. You should be seeing a dentist well before this becomes an issue.

Acetaminophen s dose of 500-650 milligrams is good dental pain-reliever. However, the relief is brief, and will peak one hour after you take the pills. You can get significantly more dental pain relief by acetaminophen s dose of 1,000 mg. This dosage will give you the maximum useful dose of acetaminophen and relief will last up to four hours after you take the pills. Taking a dose higher than 1000 mg will not give you any more relief. Because this is the maximum relief you can achieve with acetaminophen, it becomes a good shot-term reliever for mild dental pain.

NSAIDs
NSAIDs are the traditional treatment for moderate dental pain and inflammation because they treat inflammation unlike acetaminophen. NSAIDs such as ibuprofen, ketorolac, flurbiprofen, ketoprofen, diclofenac, aspirin and aspirin derivatives reduce local dental pain. The disadvantage of NSAIDs is that long-term use can cause gastrointestinal distress, bleeding, kidney damages, and cardiovascular problems. Also, NSAIDs have been shown to interact with several high blood pressure drugs, which may cause problems if you are taking drugs for blood pressure control. However, the most common short-term side effects of NSAID usage are upset stomach, diarrhea and abdominal pain.

NSAIDs usually require a higher dose to achieve maximum anti-inflammatory and anti-pain effect. A dosage of 800 mg three times per day may be needed for dental pain. The FDA-recommended daily dose is 2,400 mg. Studies have indicated that no more dental pain relief is achieved by taking more drugs in one 24 hour time period. Comparing to acetaminophen, NSAID s are better pain killer, but they act slower and last about the same time (about 4 hours).

Acetaminophen and NSAIDs are both available over the counter. You may be able to have your dentist call in a prescription for you in order to get stronger pain medication before you see the dentist. However, you will need to have a relationship with the dentist in order to make this a viable option.

In summary, you may want to take acetaminophen or a NSAID as a pain reliever when you have dental pain and can t see the doctor. They both provide relief for 4-6 hours, but acetaminophen acts faster while NSAIDs are usually a better pain killer. Also, if inflammation is an issue you will want to take a NSAID to control your dental pain.

Dr. George Hoop, DDS, is a leading Fort Myers dentist. Dr. Hoop and the Southwest Florida Smile Center specialize in Smile Makeovers, Dental Implants and Sedation Dentistry. Visit the Southwest Florida Smile Center or call (239) 939-7299 for more information on how Dr. Hoop can build you a brilliant smile.

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