Dental Medications: What Did My Dentist Use for Pain Relief?

Q: Dental Medications: What Did My Dentist Use for Pain Relief?

Hello： Typically, anti-inflammatory and sedative medications are used, including stronger alkaline compounds that inhibit inflammation-induced low pH levels. <br>The taste of Pepto-Bismol may be attributed to organic compounds such as eugenol. <br>Medications placed in the interp

I would like to inquire about the medications that dentists commonly use?

Hello: I went to the dental clinic due to a toothache.
I initially thought it was a cavity, but after taking an X-ray, the dentist said there was no cavity, but I had periodontal disease.
After performing a dental cleaning, I pointed out two areas that I thought were cavities for him to check.
He then took a small piece of cotton, soaked it in a medication, and placed it in the gaps of those two teeth and a few nearby ones.
When I asked him what the medication was, he did not answer and just told me to wait and not rinse my mouth as he wanted to conduct a test.
After a while, he asked if the swelling and pain had decreased, and I did feel less pain at that moment.
The medication had a taste somewhat similar to a menthol product but felt cool.
He emphasized again that I should not rinse my mouth when I got home and to remove the cotton with a toothpick after an hour.
He mentioned that if the pain persisted, I would need to return for a root canal treatment.
I would like to ask if the medication on the cotton could potentially cause the tooth nerve to die, or if placing the cotton soaked in medication into the gaps could lead to nerve damage.
Since it was my first visit to the clinic and I was suddenly given an unknown medication, I am quite uneasy and have these concerns.
Thank you.

Mr. He, 30~39 year old female. Ask Date: 2022/05/30

Dr. Lin Jiayong reply Dentistry

Hello: Typically, anti-inflammatory and sedative medications are used, including stronger alkaline compounds that inhibit inflammation-induced low pH levels.
The taste of Pepto-Bismol may be attributed to organic compounds such as eugenol.
Medications placed in the interproximal spaces cannot cause necrosis of the dental pulp nerves.
This is a response from Dr.
Lin Chia-Yung, Department of Dentistry, Taichung Hospital, Ministry of Health and Welfare.

Reply Date: 2022/05/30

More Info

When you visited the dental clinic and received treatment for your dental pain, it sounds like your dentist used a medicated cotton pellet to address the inflammation or discomfort associated with your periodontal disease. While you mentioned that the dentist did not specify the exact medication, there are common substances used in such treatments that can help alleviate pain and inflammation.

Typically, the medicated cotton may contain substances such as:
1. Antiseptics: These can help reduce bacterial load in the affected area, which is crucial in managing periodontal disease. Common antiseptics include chlorhexidine or iodine-based solutions.

2. Analgesics: These are pain-relieving medications that can provide immediate relief from discomfort. Non-steroidal anti-inflammatory drugs (NSAIDs) like ibuprofen or topical anesthetics like benzocaine may be used.

3. Corticosteroids: In some cases, a dentist may use a corticosteroid to reduce inflammation and swelling in the gums.

4. Calcium Hydroxide: This is often used in endodontic treatments (root canals) and can help in managing pain and inflammation. It has properties that can promote healing and may also have an antibacterial effect.

The cooling sensation you described could be indicative of a topical anesthetic or a substance that has a cooling effect, which is often used to provide immediate relief from pain.

Regarding your concern about whether this medication could cause nerve damage, it is important to note that the substances typically used in dental treatments are designed to be safe and effective when applied correctly. The cotton pellet is likely meant to provide temporary relief and is not intended to cause harm to the dental pulp or nerves. However, if the underlying issue is not resolved, further treatment, such as a root canal, may be necessary to address any deeper issues related to the tooth's nerve.

Your dentist's instruction to avoid rinsing for a certain period is standard practice. This allows the medication to remain in contact with the affected area for a longer time, enhancing its effectiveness. If you experience persistent pain after the treatment, it is essential to follow up with your dentist. They may need to reassess the situation, and if necessary, perform additional procedures to ensure that the underlying cause of your pain is adequately addressed.

In summary, while it is understandable to feel anxious about unknown treatments, the medications used in dental practices are generally safe and aimed at providing relief. If you have ongoing concerns or if the pain persists, do not hesitate to seek a second opinion or further clarification from your dentist. Your comfort and understanding of the treatment process are important aspects of your dental care.

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