Overview
Risk Factors
Symptoms
Evaluation
Treatment
specialist
Home Care
pain in adults
pain in children
warning signs
Prevention
Complications
Underlying Cause
Anatomy
Dental Pain Home Care
Home care for dental pain includes:
- Gargle with warm saltwater three times per day.
- Maintain good oral hygiene:
- Brush your teeth after meals and at bedtime.
- Floss your teeth every day.
- Gargle with dilute saltwater three times per day.
- See your dentist every 6 months.
- Acetaminophen for pain and fever

- Nonsteroidal anti-inflammatory medications for pain:

- Ibuprofen (Motrin, Advil, Nuprin, NeoProfen)
- Ketoprofen (Actron, Orudis, Oruvail)
- Naproxen (Anaprox, Naprosyn, Aleve)
- Take prescribed medications as directed:
Home care for minor dental injuries includes:
- Apply cold compresses for swelling of the face:
- Apply for 20-30 minutes, every 1-2 hours.
- Eat a soft diet.
- Do not eat foods that you must tear with your teeth, such as pizza crust.
Home care for more serious tooth injuries includes:
- Apply pressure to the injury for 10-15 minutes to control bleeding.
- Cover a broken tooth with foil.
- Save a broken piece of tooth.
- Take the broken piece to your dentist.
- Acetaminophen for pain

- Nonsteroidal anti-inflammatory medications for pain:

Home care for a completely dislodged tooth includes:
- Do not touch the root of the tooth.
- Rinse off the tooth in tap water.
- For adult teeth:
- Determine the normal position of the tooth.
- Place the dislodged tooth back in its socket.
- Bite down gently on gauze to hold the tooth in place.
- Place the tooth in milk if you are unable to place the tooth back into the socket.
- See a dentist immediately.
- Do not place a dislodged baby tooth back into the socket.
For more information:
Dental Pain Pain in Adults
Medications commonly used to control pain and inflammation in adults with dental pain include: ![]()
- Acetaminophen

- Controls pain, but has no anti-inflammatory properties
- Nonsteroidal anti-inflammatory drugs:
- Narcotic pain medications:

Acetaminophen
- Acetaminophen decreases fever and pain, but does not help inflammation.
- Adult dosing is 2 regular strength (325 mg) every 4 hours or 2 extra-strength (500 mg) every 6 hours.
- Maximum dose is 4,000 mg per day.
- Avoid this drug if you have alcoholism, liver disease or an allergy to the drug. See the package instructions.
- Common brand names include Tylenol, Panadol, and many others.
Aspirin
- Aspirin decreases pain, fever and inflammation.
- It is a nonsteroidal anti-inflammatory medication (NSAID).
- Adult dosing is two regular strength (325 mg) every 4 hours with food.
- There are numerous products that contain aspirin.
- Follow the package instructions and NSAID precautions (below).
Ibuprofen
- Ibuprofen decreases pain, fever and inflammation.
- It is a nonsteroidal anti-inflammatory medication (NSAID).
- Adult dosing is 200-400 mg every 4-6 hours.
- Do not exceed 1,200 mg per day without a doctor's recommendation.
- Brand names include Advil, Motrin and Nuprin.
- Follow the package instructions and NSAID precautions (below).
Naproxen
- Naproxen decreases pain, fever and inflammation.
- It is a nonsteroidal anti-inflammatory medication (NSAID).
- Adult dosing is 200 or 220 mg twice a day with food.
- Do not exceed 500 mg per day.
- Its brand name is Aleve.
- Follow the package instructions and NSAID precautions (below).
Ketoprofen
- Ketoprofen decreases pain, fever and inflammation.
- It is a nonsteroidal anti-inflammatory medication (NSAID).
- Adult dosing is 12.5 mg every 4-6 hours with food.
- Do not exceed 75 mg per day.
- Its brand name is Orudis KT.
- Follow the package instructions and NSAID precautions (below).
NSAID Precautions
- Avoid using alcohol when taking any of these medications.
- Do not mix prescription and non-prescription NSAIDS unless directed to do so by your doctor.
- NSAIDS can interact with other blood thinners, such as Coumadin, and cause bleeding complications.
- Ask your doctor before using an NSAID if you are pregnant or breastfeeding.
- Ask your doctor before using an NSAID if you have a history of:
Dental Pain Pain in Children
Common medications used at home for pain in children with dental pain include:
- Acetaminophen
- Ibuprofen
- Naproxen (must be 13 or older)
Aspirin and most of the other nonsteroidal anti-inflammatory drugs (NSAIDS) are not used in children except under a doctor's care.
Acetaminophen
- Acetaminophen decreases fever and pain, but does not help inflammation.
- Dosing is 10-15 mg per kilogram (5-7 mg per pound) of body weight every 4-6 hours, up to the adult dose.

- Do not exceed the maximum daily dose.
- Acetaminophen products come in various strengths. Always follow the package instructions.
- Avoid this drug in children with liver disease or an allergy to acetaminophen.
- Common acetaminophen products include Tylenol, Panadol and many others.
Ibuprofen
- Ibuprofen decreases pain, fever and inflammation.
- It is a nonsteroidal anti-inflammatory medication (NSAID).
- Dosing for children over 6 months of age is 7-10 mg per kilogram (4-5 mg per pound) of body weight every 6 hours, up to the adult dose.

- Do not exceed the maximum daily dose.
- Always follow the package instructions.
- Avoid this drug in children with liver, kidney, stomach or bleeding problems.
- Brand names include Advil, Motrin and Nuprin.
Naproxen
- Naproxen decreases pain, fever and inflammation.
- It is a nonsteroidal anti-inflammatory medication (NSAID).
- Dosing for 13 and older is 200 mg twice a day with food.
- Do not exceed 500 mg per day.
- Always follow the package instructions.
- Avoid this drug in children with liver, kidney, stomach or bleeding problems.
- The brand name for naproxen is Aleve.
Dental Pain Warning Signs
See your dentist right away for dental pain and any of the following:
- A tooth that is completely knocked out
- A tooth that is out of place
- Bleeding from a tooth

- Inability to bite normally

- Inability to talk or swallow
- Severe tooth pain

Notify your dentist for:
- A broken tooth or filling
- Gum pain, swelling or bleeding

- Worsening sensitivity to cold or heat
- Worsening tooth pain when chewing
- Facial swelling

Continue to Dental Pain Prevention
Last Updated: Feb 15, 2011 References
Authors: Stephen J. Schueler, MD; John H. Beckett, MD; D. Scott Gettings, MD
Copyright DSHI Systems, Inc. Powered by: FreeMD - Your Virtual Doctor
PubMed Dental Pain References
- Brook I. Microbiology and management of endodontic infections in children. J Clin Pediatr Dent. 2003 Fall;28(1):13-7. [14604136]
- Douglass AB, Douglass JM. Common dental emergencies. Am Fam Physician. 2003 Feb 1;67(3):511-6. [12588073]
- Preshaw PM. Antibiotics in the treatment of periodontitis. Dent Update. 2004 Oct;31(8):448-50, 453-4, 456. [15554049]
- Roberts A. Bacteria in the mouth. Dent Update. 2005 Apr;32(3):134-6, 139-40, 142. [15881508]
- Wayne DB, Trajtenberg CP, Hyman DJ. Tooth and periodontal disease: a review for the primary-care physician. South Med J. 2001 Sep;94(9):925-32. [11592756]