Stephen J. Schueler, M.D.

Overview Symptoms Evaluation Treatment specialist Home Care pain in adults pain in children warning signs Underlying Cause Types chipped teeth dental fractures tooth avulsion Anatomy

Tooth Pain after Injury Home Care

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 serious tooth injuries includes:

Home care for completely dislodged teeth 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.

Tooth Pain after Injury Pain in Adults

Medications commonly used to control pain and inflammation in adults with a dental injury include:

  • 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.





NSAID Precautions

Tooth Pain after Injury Pain in Children

Common medications used at home for pain in children with a dental injury include:

Aspirin and most of the other nonsteroidal anti-inflammatory drugs (NSAIDS) are not used in children except under a doctor's care.

  • 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.



Tooth Pain after Injury Warning Signs

See a dentist for right away for a dental injury and any of the following:

Notify your dentist for:
  • A tooth that has become sensitive to hot or cold
  • Fever over 101 degrees F (38.3 C)
  • Pus draining from the gums
  • Redness, swelling, or warmth to your gums or cheek
  • Facial swelling around a dental injury

Continue to Tooth Pain after Injury Underlying Cause

Last Updated: Feb 15, 2011 References
Authors: Stephen J. Schueler, MD; John H. Beckett, MD; D. Scott Gettings, MD
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PubMed Tooth Pain after Injury References
  1. Bader JD, Martin JA, Shugars DA. Preliminary estimates of the incidence and consequences of tooth fracture. J Am Dent Assoc. 1995 Dec;126(12):1650-4. [7499666]
  2. Bader JD, Shugars DA, Martin JA. Risk indicators for posterior tooth fracture. J Am Dent Assoc. 2004 Jul;135(7):883-92. [15354899]
  3. Ellis SG, Macfarlane TV, McCord JF. Influence of patient age on the nature of tooth fracture. J Prosthet Dent. 1999 Aug;82(2):226-30. [10424989]
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