Pain after wisdom teeth removal is a common part of the healing process. Effectively managing this discomfort is important for a smooth recovery. A range of medications, from over-the-counter options to prescription-strength drugs, can help alleviate pain. The specific type and dosage will depend on the individual’s pain level and extraction complexity.
Non-Prescription Pain Relief
Over-the-counter (OTC) pain relievers are often the first choice for managing mild to moderate pain after wisdom teeth removal. Nonsteroidal Anti-Inflammatory Drugs (NSAIDs) like ibuprofen (Advil, Motrin) and naproxen (Aleve) are widely used. These medications reduce inflammation and block prostaglandins, compounds that contribute to pain and swelling. For example, ibuprofen can be taken in doses of 400-600 mg every 6 hours, with a maximum daily dose of 3,200 mg.
Acetaminophen (Tylenol) is another recommended OTC pain reliever. Unlike NSAIDs, acetaminophen primarily acts on pain signals in the brain, not by reducing inflammation. Extra Strength Tylenol, typically 650 mg, can be taken every 4-6 hours, with a maximum daily dose of 3,000 mg to 4,000 mg for adults. Alternating doses of ibuprofen and acetaminophen every three hours is a common strategy for enhanced pain control, often as effective as opioids.
Prescription Pain Medications
For moderate to severe pain after wisdom teeth removal, dentists may prescribe stronger medications. Opioid analgesics, such as hydrocodone with acetaminophen (e.g., Vicodin, Norco), oxycodone with acetaminophen (e.g., Percocet), or codeine with acetaminophen (e.g., Tylenol with Codeine), are often used. These medications bind to opioid receptors in the brain and spinal cord, altering pain perception. Many opioid pain medications contain acetaminophen, so avoid taking additional acetaminophen simultaneously to prevent exceeding the daily limit.
Stronger prescription NSAIDs, like ketorolac, may also be prescribed for intense inflammatory pain. These function similarly to OTC NSAIDs but at higher doses. Opioid medications are prescribed for short-term use, typically less than three days, due to their potency and potential side effects like drowsiness, nausea, vomiting, and constipation. Using these medications strictly as prescribed is important to minimize risks, including dependence.
Guidance for Pain Management
Always follow the dosage and frequency instructions from your dentist or oral surgeon. Never exceed the recommended dose, as this increases the risk of side effects. Common side effects include drowsiness, stomach upset, and constipation, with management strategies varying by medication. Taking pain medication with food can help prevent nausea or stomach irritation.
Avoid consuming alcohol while taking pain medications, especially opioids, as this combination can increase the risk of severe side effects like respiratory depression and excessive drowsiness. You should contact your dentist or oral surgeon if your pain is severe and not controlled by medication, or if it worsens after a few days. Signs of infection, such as a fever higher than 102 degrees Fahrenheit (38.8 degrees Celsius), increased swelling, or pus coming from the surgical site, also warrant immediate professional attention. Applying ice packs to the face can help reduce swelling, and sticking to a soft food diet can aid in a comfortable recovery.