Ibuprofen, a nonsteroidal anti-inflammatory drug (NSAID), is a common over-the-counter medication used to relieve pain, reduce fever, and decrease inflammation. After wisdom tooth extraction, it is frequently recommended to manage the pain and swelling that naturally occur. Discomfort typically arises from tissue trauma and the body’s inflammatory response to the surgical process.
Understanding Pain After Extraction
Pain is a common and expected part of the healing process after wisdom tooth extraction. The most intense discomfort usually occurs within the first 24 to 48 hours as local anesthesia wears off. During this initial period, patients often experience throbbing pain and significant swelling around the jaw and cheeks.
After the first two days, pain levels generally subside gradually over several days to about a week. The extraction’s complexity, such as an impacted tooth or extensive bone removal, can influence the pain’s duration and severity. Individual pain tolerance also plays a role in how discomfort is perceived.
Ibuprofen Use Guidelines
For managing post-extraction pain, ibuprofen is typically taken in doses of 400 to 600 milligrams (mg) per dose, every four to six hours as needed. Do not exceed the maximum daily dose, which for adults is generally 1200 mg for over-the-counter formulations and up to 3200 mg for prescription-strength ibuprofen under medical supervision.
To minimize stomach upset, take ibuprofen with food or a glass of milk. While this might slightly slow absorption, it helps buffer the stomach lining. Always adhere to the specific instructions provided by your oral surgeon or dentist, as their recommendations are tailored to your individual case and medical history.
Duration of Ibuprofen Treatment
The duration of ibuprofen use after wisdom tooth extraction varies, depending on individual pain levels and healing progression. Generally, ibuprofen use is recommended for a few days to about a week. Pain should gradually decrease each day, signaling when to reduce the dosage or discontinue medication. A more involved surgery might necessitate a slightly longer period of pain management. As discomfort lessens, you can often transition to taking ibuprofen only as needed rather than on a strict schedule.
Recognizing Issues and Side Effects
Ibuprofen can cause mild side effects such as stomach pain, heartburn, nausea, or diarrhea. Taking the medication with food can often help mitigate these issues. If side effects become severe or persistent, contact your dental professional.
More concerning signs necessitate immediate contact with your dentist or oral surgeon. These include pain that worsens after the first few days or is not adequately managed by medication. Signs of infection, such as fever, excessive swelling not subsiding after 72 hours, pus draining from the extraction site, or a persistent bad taste or odor, warrant prompt medical attention. If you experience continued bleeding that doesn’t stop with pressure, or new numbness, seek professional advice.