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:
- Toothache. NHS Choices. (Web accessed August 2018). Web link: https://www.nhs.uk/conditions/toothache/
 - Product Information “Bonjela”. Mims Malaysia (Web Accessed August 2018). Web link: https://www.mims.com/Malaysia/drug/info/Bonjela/
 - Product Information “Panadol”. Mims Malaysia (Web Accessed August 2018). Web link: https://www.mims.com/Malaysia/drug/info/Panadol/
 - Product Information “Ibuprofen”. Mims Malaysia (Web Accessed August 2018). Web link: https://www.mims.com/malaysia/drug/info/ibuprofen/
 - Product Information “Ponstan”. Mims Malaysia (Web Accessed August 2018). Web link: https://www.mims.com/Malaysia/drug/info/Ponstan/
 
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