Pain Management After Dental Procedures
It is not unusual to experience mild to moderate pain after dental procedures. Our recommendations for pain control after treatment are as follows:
(Examples: simple extractions, routine root canal treatment, fillings, crowns, and deep cleaning)
- Ibuprofen (Advil, Motrin) 200mg – 400mg every 4 – 6 hours
- If you cannot take Ibuprofen then take Acetaminophen (Tylenol) 650mg – 1000mg every 6 hours.
Moderate Pain (Examples: Implant surgery, surgical extractions, periodontal surgery, surgical root canal treatment)
- Ibuprofen (Advil, Motrin) 400mg – 600mg plus Acetaminophen (Tylenol) 325 – 500mg taken at the same time around the clock every 4 - 6 hours for the first 24 hours, then Ibuprofen 400mg as needed for pain every 4 – 6 hours.
- If you cannot take Ibuprofen then Acetaminophen 300mg plus Hydrocodone 5 - 10mg every 6 hours for 24 hours then Acetaminophen 650 mg to 1000mg as needed for pain every 6 hours.
Severe Pain (more complex surgical procedures of root canal treatments)
- Ibuprofen (Advil, Motrin) 400mg – 600mg plus Acetaminophen 650mg with hydrocodone 5 - 10mg around the clock every 6 hours for 48 hours. Then Ibuprofen 400mg as needed for pain every 4 – 6 hours after the first 48 hours.
- If you cannot take ibuprofen then Acetaminophen 300mg plus oxycodone 10mg around the clock every 6 hours for 48 hours, then Acetaminophen 650mg – 1000mg as needed for pain every 6 hours
Additional Considerations: Acetaminophen is the leading cause of acute liver failure in the U. S. today. Daily Ibuprofen dosages should not exceed 2400mg per day. Daily Acetaminophen dosages should not exceed 4000mg.
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