How Long to Take Ibuprofen After Tooth Extraction?

A tooth extraction often leads to discomfort as the mouth heals. Dental professionals commonly recommend ibuprofen, an over-the-counter pain reliever, to manage the pain and inflammation that follows this procedure.

Typical Duration of Ibuprofen Use

Pain after a tooth extraction typically follows a predictable timeline. Discomfort is usually most noticeable within the first 24 to 48 hours, then generally begins to subside. Significant pain decreases considerably within one to three days.

Ibuprofen use should align with this period of acute pain. For many, taking ibuprofen for three to five days is sufficient. The duration can vary with extraction complexity; a more involved procedure might result in pain lasting slightly longer. Continue ibuprofen as needed while pain persists, but do not exceed five days unless instructed otherwise by your dentist.

Ibuprofen Dosage and Administration

For adults, common over-the-counter ibuprofen dosages are 200mg or 400mg per dose. It can be taken every four to six hours to alleviate pain and reduce inflammation. Some dental professionals may recommend a higher initial dose, such as 600mg or 800mg, immediately after the procedure or when pain becomes noticeable.

Do not exceed the maximum daily dose of ibuprofen, which usually ranges from 1200mg to 2400mg over a 24-hour period, depending on the specific product and your dentist’s advice. Taking ibuprofen with food or milk is recommended to prevent stomach upset. Always follow the specific instructions provided by your dentist or on the medication’s packaging.

When to Contact Your Dentist

While some pain and swelling are normal after a tooth extraction, certain symptoms require contacting your dentist. If pain worsens after the initial few days or does not improve with ibuprofen, it could signal a complication. Persistent, severe throbbing pain extending to the ear, especially if developing two to three days post-extraction, might suggest a dry socket, a condition where the blood clot dislodges prematurely.

Other signs requiring contact with your dental professional include excessive or persistent bleeding that does not stop with direct pressure. Signs of infection also require immediate attention, such as:

  • Fever
  • Chills
  • Increasing swelling
  • Pus discharge from the extraction site
  • A foul taste or odor in your mouth

These symptoms suggest the healing process is not progressing as expected and require professional evaluation.