Teeth are composed of an inner core of nerves and blood vessels, surrounded by a protective layer of enamel, calcium etc. In the normal course, the nerves are not exposed to any stimulus. Therefore, you do not experience pain or sensitivity.
Toothache is experienced when the nerves are exposed to the outside. This happens when the enamel is damaged. If the damage is small, normally one only experiences sensitivity. When there is greater damage due to caries, a larger portion of the nerve is exposed and this gives rise to more severe pain. Other causes of toothache are when there is damage or infection in the gums (which exposes the nerves), and due to referred pain from elsewhere.
The only way to completely cure a toothache is to consult your dentist who will examine the tooth to find out if it is just sensitivity or something more severe. The tooth can be filled if there is a cavity or in more severe cases a Root Canal Treatment can be done. In extreme cases the tooth may have to be extracted entirely.
Toothaches are caused by variety of reasons like dental decay, broken or cracked tooth, abscess, inflamed tooth nerve, pericoronitis, sinusitis, acute periodontal disease then on. Treatment can rely on the explanation for the pain and the way serious the injury is. However, regardless of the cause is, you may undoubtedly would like painkillers to alleviate the pain.
1. Acute pulpitis:
here the nerve and blood vessels (PULP) gets affected by the caries/ trauma/ wear etc. - In this case you would usually be able to localize which tooth is causing the trouble; you will have severe pain in lying down position, Lingering sensitivity upon intake of hot or cold food - take a painkiller ( Keterlolac ) and see the dentist ASAP.
2. Acute abscess:
This case is similar to the earlier one except there would be swelling visibly seen externally or internally and there would be mild relief on consumption of hot food stuff. - The abscess need to be drained hence the painkiller will not be much of use- seeing the dentist is the only choice.
3. Acute Apical periodontitis:
The treatment is similar to pulpitis - the only difference is there will be severe pain upon biting on that tooth.
4. Diffuse swelling - cellulitis
this is a rare and extreme case where you cannot localize the pain. This is an emergency case. You will need medical intervention.
In general, painkillers work by deceiving your brain that the pain isn't any longer there through your nerves, or by decreasing the inflammation. After you mix two varieties of painkillers along, you may undoubtedly get the most effective results, however you must decide those who won't offer you outrageous aspect effects. Below are some best painkillers for odontalgia.
1. Ibuprofen or Ketoprofen
This is the most effective medicine for odontalgia that you just will pass though the counter, and it's a medication that contains no steroids. The common version is that the Ibuprofen or Ketoprofen acid, that is either found underneath several complete names or its generic version that's cheaper. Nurofen (UK), NSAID and Ibuprofen or Ketoprofen acid (US) are the foremost common brands. Orudis is sold underneath many trade names or its real name. You’ll be able to raise your pill roller for Orudis. If you're wheezing, however, you must not take it. Ensure you browse the label for the other contradictions.
It is the foremost usually used and best known nonsteroidal anti-inflammatory, and it's conjointly a medication and reduces fever. Pain pill are often thought-about the most effective medicine for odontalgia, however if you're obtaining a tooth removed, it'll cut back activity or blood cutting. For this reason, it's not sensible to require pain pill once you have got had your tooth removed or once surgery.
Though they are doing not act on the inflammation, paracetamols can hinder transmission of pain messages to the brain. They work well for people who aren't able to take pain pill. You’ll be able to mix paracetamol with pain pill or any non-steroid medication medicine, i.e., NSAIDs. During this manner, it'll work well for toothaches. it's rare for toothaches, you'll be able to add opioid to your dose of paracetamol and/or nonsteroidal anti-inflammatory. Generally, a dose of 400-500mg is enough for a odontalgia, however it will go up to 1000mg. However, you must note that excessive use of paracetamols will cause liver injury, additional therefore once it's combined with 2 or 3 painkillers.
4. Over-the-Counter Gels, Pastes or Liquids
OTC dental anesthetic gels, pastes or liquids also can be useful. These merchandise have received positive reviews for re-experiencing toothaches. The sole downside there's with such merchandise is that the pain is relieved just for a brief amount of your time.
This is a narcotic that's extracted from controlled substance and is incredibly robust. AN example of this type of product is morphia. The additional you employ, the additional the pain disappears, however it comes with a collection of dangerous aspect effects. For this reason, they're used for less than a brief amount of your time. For dental downside, they're seldom used.
Apart from the medicine that are mentioned higher than here may be a list of twenty best painkillers for toothaches. Take care to browse the aspect effects and contradictions on the leaflets.