Toothache issues?
Hello Dr.
Zhang: My husband has been experiencing tooth pain recently and went to see a dentist.
However, the dentist said that treatment must wait until the pain subsides, so he was prescribed pain relievers and anti-inflammatory medication.
Unfortunately, the pain has worsened after taking the medication.
Why is this happening? Isn't it supposed to alleviate pain? Also, why do we have to wait until the pain is gone before treatment? (I am very afraid of visiting the dentist, so my understanding is still based on outdated beliefs.) If tooth pain arises and we cannot see a dentist immediately, what methods can temporarily relieve the pain? Is rinsing with ice water or warm saline effective?
ruby, 40~49 year old female. Ask Date: 2013/11/11
Dr. Zhang Xiangyuan reply Dentistry
Dear online friend,
Based on your description, if your husband continues to experience pain after treatment and medication, it is advisable to have a dentist conduct an examination to identify the source of the pain.
Addressing the root cause of the pain is more likely to resolve the underlying issue.
Visiting the dentist can indeed be a daunting experience for many people; however, with proper mental preparation, it is generally more beneficial for one's health to seek early treatment rather than to endure ongoing pain or delay care.
Wishing your husband a smooth medical visit and good health.
Thank you for your inquiry.
Reply Date: 2013/11/11
More Info
Tooth pain can be a frustrating and distressing experience, especially when it seems that treatment is delayed or ineffective. Your concerns about your husband's recent dental visit and the prescribed pain relief are quite common among patients. Let's break down the reasons behind the treatment approach and explore some effective ways to manage tooth pain.
Why Wait for Pain Relief Before Treatment?
When a dentist advises waiting until the pain subsides before proceeding with treatment, it is often due to a few key reasons:
1. Diagnosis Accuracy: Pain can sometimes obscure the underlying issue. If a tooth is inflamed or infected, the dentist may want to assess the situation more clearly once the acute pain has diminished. This can help in making a more accurate diagnosis and determining the best course of action.
2. Patient Comfort: Dental procedures can be uncomfortable, and if a patient is in significant pain, it can be challenging to perform the necessary work effectively. Waiting until the pain is manageable can lead to a smoother treatment experience.
3. Inflammation Management: In some cases, acute inflammation can make it difficult to treat a tooth effectively. By allowing the inflammation to subside, the dentist may be able to perform the procedure with less risk of complications.
Why Pain Relief Medications Might Not Work
It's concerning that your husband experienced increased pain after taking the prescribed medications. There are several reasons this might occur:
1. Medication Type: Not all pain medications work the same for everyone. Some individuals may find that certain NSAIDs (non-steroidal anti-inflammatory drugs) do not alleviate their pain effectively.
2. Underlying Condition: If the tooth is severely infected or if there is an abscess, the pain may not respond to standard pain relief methods. In such cases, stronger medications or antibiotics may be necessary.
3. Dosage and Timing: The effectiveness of pain relief can also depend on the dosage and timing of the medication. If the pain is severe, the initial dose may not be sufficient to provide relief.
Temporary Pain Relief Strategies
While waiting for a dental appointment or until the pain subsides, there are several methods you can try to manage tooth pain at home:
1. Salt Water Rinse: Rinsing with warm salt water can help reduce inflammation and cleanse the affected area. Mix about half a teaspoon of salt in a glass of warm water and swish it around your mouth before spitting it out.
2. Cold Compress: Applying a cold compress to the outside of the cheek can help numb the area and reduce swelling. Use a cloth-wrapped ice pack for about 15-20 minutes at a time.
3. Over-the-Counter Pain Relievers: If the prescribed medication isn't effective, consider trying over-the-counter options like ibuprofen or acetaminophen, following the recommended dosages.
4. Clove Oil: Clove oil has natural analgesic properties. Applying a small amount to the affected area can provide temporary relief.
5. Avoid Certain Foods: Stick to soft foods and avoid anything too hot, cold, or sugary, as these can exacerbate the pain.
6. Hydration: Staying hydrated is essential, but avoid very hot or very cold drinks. Room temperature water is best.
Conclusion
Tooth pain can be a complex issue that requires careful management and treatment. While waiting for professional dental care, utilizing home remedies can provide temporary relief. If your husband's pain persists or worsens, it may be worth seeking a second opinion from another dental professional who can offer a different perspective or treatment approach. Remember, effective communication with the dentist about pain levels and concerns is crucial in ensuring appropriate care.
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