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Managing Toothaches


By Joshua Ng (Pharmacist, Caring Pharmacy) | Malaysia | Fri Aug 17, 2018 8:16pm

A toothache can be caused by tooth decay, gingivitis, a dental abscess, a cracked tooth or a broken filling. It is important to visit a dentist, especially if it the pain does not subside in 2 days or if you also develop a fever.  
 
In the mean time however, you may take the following actions to reduce the pain:

Action#1 - Rinse your mouth with salt water or an antiseptic mouth wash

  • Rinsing with either can remove bacteria from the infected area

Action#2 - Watch what you eat

  • Eat soft foods like yoghurt or scrambled eggs to avoid chewing with the sore tooth
  • Avoid eating very hot or very cold foods as it may worsen the pain

Action#3 - Apply an oral gel: Choline salicylate

  • Can be purchased over the counter
  • Classified as an anti-inflammatory gel – can be used to reduce pain and swelling
  • Use a clean finger to apply the gel every 3 hours if necessary
  • Not suitable if for those with a medication allergy to Aspirin

Action#4 - Take an oral painkiller: Paracetamol

  • Can be purchased over the counter
  • Not suitable for those with liver failure
  • Do not exceed the maximum dosage
  • Not suitable if for those with a medication allergy to Paracetamol

Action#5 - Take an oral painkiller: Ibuprofen or Mefenamic Acid

  • Can be purchased through a pharmacist at a pharmacy
  • Ibuprofen is classified as an NSAID (Non-Steroid-Anti-Inflammatory Drug)
  • Not suitable for those with a medication allergy towards Aspirin and NSAIDs
  • Not suitable for those with kidney failure, heart failure, or those with a recent stroke or heart attack
  • Not suitable for those with gastritis – the pharmacist may advice you to take it after food or with an antacid
  •  Not suitable for pregnant or breastfeeding women
 
 
 
 
 
 
References:
1.      Toothache. NHS Choices. (Web accessed August 2018). Web link: https://www.nhs.uk/conditions/toothache/
2.      Product Information “Bonjela”. Mims Malaysia (Web Accessed August 2018). Web link: https://www.mims.com/Malaysia/drug/info/Bonjela/
3.      Product Information “Panadol”. Mims Malaysia (Web Accessed August 2018). Web link: https://www.mims.com/Malaysia/drug/info/Panadol/
4.      Product Information “Ibuprofen”. Mims Malaysia (Web Accessed August 2018). Web link: https://www.mims.com/malaysia/drug/info/ibuprofen/
5.      Product Information “Ponstan”. Mims Malaysia (Web Accessed August 2018). Web link: https://www.mims.com/Malaysia/drug/info/Ponstan/

 

 






 

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