Update: December 2018 When teeth hurt, it reminds a person
that in the oral cavity he has problems with treatment
which should not be delayed. But if the pain finds
napping, and the opportunity to visit the dentist is not. What helps
from debilitating toothache and which medicines can be used,
to relieve your condition before visiting a dentist?
There are a large number of different drugs for dental
the pains. Some of them only slightly alleviate the condition,
others completely stop pain. Force of action
drug depends on which active substance is included in its
composition. ATыделяют две группы лекарственных средств, оказывающих
Nonsteroidal anti-inflammatory drugs
In addition to the painkiller, drugs have
pronounced anti-inflammatory and antipyretic effects.
The drugs are not addictive, and also do not affect
functioning of the central nervous system. Due to the lack of narcotic action
they are widely used in outpatient practice for the treatment
various pathologies, including as an anesthetic for
зубной the pains.
The most extensive group of drugs whose classification
based on the diversity of their chemical structure.
- On the basis of salicylic acid – aspirin, acelisin.
- On the basis of pyrazolone – analgin, butadion, amidopyrine.
- Aniline-based – paracetamol.
- Based on organic acids – ibuprofen, diclofenac.
- From the group oxycam – piroxicam.
Before you try to get rid of dental
pains with the help of the listed medicines, it is necessary
carefully read the annotation.
There are natural (codeine, morphine) and synthetic (promedol,
fentanyl, tramadol). Medicines of natural origin are also
called opiates, and synthetic – opioids. Drugs
оказывают выраженное анальгезирующее действие, при этом в
the process of their use are observed reactions from the central
nervous systems such as euphoria, mental retardation and
perception, drowsiness. AT результате регулярного применения может
develop addictive. With передозировке возможен летальный исход,
as opiates inhibit the work of the CNS respiratory center.
With резкой отмене препарата развивается абстинентный синдром
(“Withdrawal syndrome”), which is expressed by myalgia, nausea, vomiting,
tachycardia, paresthesia and other common disorders
Soие препараты назначаются только по рецепту врача и в тех
cases where there is no effect from taking non-narcotic drugs. AT
home conditions to eliminate pain from teeth apply them strictly
Drugs для устранения зубной боли у детей
With выраженном болезненности для облегчения состояния ребенка до
a visit to the dentist in the absence of contraindications is allowed
give drugs from the group of nonsteroidal anti-inflammatory
means. Tablets are prescribed for children from the age of six.
at a younger age, syrups and suspensions containing
paracetamol or ibuprofen, which quickly reduce pain, as well as
fight inflammation and hyperthermia.
|Title||Release form, analogues, approximate price||Dosage||Withмечание|
Paracetamol – active substance
Paracetamol for children
|solution, 60-70 rubles.||
||Withнимается внутрь после еды. Young children allowed
use from three months. The drug can be added to the bottle with
milk or mixture.
Panadol for children
|Suspension, 90-100 rubles||Withменяют из расчета 15 mg на кг массы тела 3-4 раза в
|Not recommended for use in children before reaching
three months old.
|Rectal suppositories, 60-70 rubles||No more than three candles per day|
|Syrup, 80-90 rubles.||There is a mark on the attached measuring spoon,
indicating the weight of the child.
|Do not give to children under 1 month.|
|Suspension in vials of 70 and 100 ml, as well as 5 ml unidose.
Children up to a year for 2.5 – 5 ml solution;
от года до шести лет – по 5 – 10 мл не более 3 раз в day
|Suitable for the treatment of infants, starting from three months
|Rectal suppositories 50, 100 and 250 mg, 40-50 rubles.||Dosage назначается из расчета 10-15 mg на кг массы тела
child no more than three times a day
|One-time use for children is allowed to lower
temperature and pain relief
Ibuprofen – active ingredient
Ibufen D, Nurofen in syrup
|Syrup with orange or raspberry flavor 200-250 rub.||
Children from three months to a year, 2 ml of a solution not more than 2-3 times a
От года до трех – 5 мл трижды в day;
From three to six – three times a day at 7.5 ml.
|Suitable for children from 3 months to 12 years old|
|Tablets, 100 rubles.||
AT одной таблетке содержится 200 mg действующего вещества.
One capsule not more than four раз в day
Designed to treat children from the age of six
Tablets are used as antipyretic and
|Rectal suppositories, 60 mg. 100 rub.|
|Ibuprofen and paracetamol, capsules, 80 rub.||
Children up to 6 years, 1 tablet three times a day;
From 6 to 12 – up to six tablets per day
Do not give to children under three years old.
Do not take more than five days as an anesthetic.
|Rectal candles, 360-400 rubles.||
With выраженном беспокойстве – по одной суппозитории до 4-5 раз в
После улучшения состояния по одной свечке 2-3 раза в day.
|Recommended as part of a complex treatment against toothache.
in a child, as well as to alleviate the state during the period of eruption
Both among ordinary moms and doctors there are debates about
which drugs are the safest, but at the same time effective in
combat pain. Согласно зарубежным исследованиям и данным ATОЗ, все
medicines based on nimesulide should not be used in children until
достижения 12-тилетнего age. Soие заявления базируются на
possible risk of adverse events, the main ones being
is hepatitis. therefore не нужно рисковать здоровьем своего
child and use to eliminate pain “Nise”,
�”Nimesil” and similar drugs.
The safest antipyretic and analgesic in
paracetamol is recognized as pediatric practice. AT отличие от
nimesulide, it affects only cyclooxygenase-3,
therefore, there are almost no side effects. Main disadvantage
paracetamol is that it does not eliminate inflammatory
phenomena, but only reduces the temperature and eliminates the pain, therefore
considered not as strong as other drugs from the group
Particular attention should also be paid to Panadol, produced
in England. The active ingredient in this syrup is
paracetamol, which, since 1955, is considered the most
purified from all manufactured drugs based on it and
It has the lowest hepatotoxic effect.
Drugs для устранения зубной боли у взрослых
Consider the most effective drugs that
помогают избавиться от дентальной the pains.
|Active substance||Names of drugs, release form, price||Dosage||special instructions|
Effervescent tablets, soluble in water
|1-2 tablets per glass of water for one application. No more than 6
tablets per day
|Not recommended for people suffering from gastrointestinal diseases
(gastritis, ulcer) due to irritant effect on mucous membranes
|Paracetamol, Efferalgan, Таблетки||По 1 таблетки 3 раза в day.||Allowed to take pregnant and lactating mothers.|
|Ketorolac, Кетанов, Кеторол, Кетофрил, Кетокам, Таблетки 50-100
|10 mg every 4-6 hours as needed||Ketorolac от зубной боли рекомендован лишь для
short treatment (no more than five days), as it is considered
the most powerful drug.
Metamizole Sodium (Analgin)
|Analgin, Round flat tablets of white color with
a dividing strip, 10-50 rub
С 10 до 15 лет — по 1 таблетки три раза в day;
С 15 лет – по 1-2 таблетки 2-3 раза в day, но не более 8 в
|Can be used by children from 10 years|
Nimesulide, Найз, Нимесил, Нимулид, таблетки, 120-200 rub.
Nimesil, White-yellow powder, packaged in single doses of 100
1-2 таблетки дважды в day
1 sachet is designed for one application. AT day допустимая доза
Do not take women during pregnancy and lactation, and
Use with caution in pathology of the gastrointestinal tract (under
|Нурофен, Ibuprofen, Круглые таблетки белого цвета
|Children over 12 and adults – 1 tablet 3-4 times a day.
The effect of taking the drug is observed for 8 hours.
It has a pronounced antipyretic effect.
Listed toothache medications help remove only
symptoms of the disease, but do not affect the cause that led to
development of pathology.
AT некоторых случаях народное лечение является единственно
possible way to temporarily soothe a toothache so that
wait for a visit to the dentist. Consider the most effective and
проверенные народные средства от зубной the pains.
- Soda-salt rinses – “classic” fight with many
dental ailments. To prepare the solution, take
150 ml of boiled water and add one teaspoon of salt and
soda, mix thoroughly. Rinse the mouth as needed.
necessary, as well as after meals. This method is especially
effective in apical periodontitis.
- Propolis – due to the content of special substances in bee
�”Glue” is pain relief, as well as the elimination of inflammatory
phenomena. A piece of propolis, the size of a large pea, put in
mouth and chew for at least 15 minutes.
- Aloe and Kalanchoe juice – an extract of these plants has
pronounced anti-inflammatory effect. Cut the sheet into two
parts and fleshy side attach to the tooth or squeeze out
juice on a gauze strip and attach it to the gums for 10 – 15
- Decoctions of herbs – many plants have
analgesic, disinfecting and anti-inflammatory
action, so it should be chosen according to individual
tolerability reactions. For this is suitable sage, calendula flowers
or chamomile pharmacy, as well as St. John’s wort. Tablespoon of dry collection
pour in a thermos, pour boiling water over and put to insist on
4 hours, after which the broth should be drained and can be used
for rinsing or mouth baths 3-4 times a day.
- Broth oak bark – Infusion on oak bark has pronounced
tannic properties, i.e. astringent so after applying on
mucous membranes there is a feeling of tightness that
slightly reduces pain sensitivity. Also a decoction
used to fight inflammation in the mouth. 20 grams of bark pour
одним стаканом кипятка и оставьте на 30 – 60 minutes After cooling
can be used to treat the oral cavity.
- Cold compress – applying to the swollen gums reduces
signs of swelling and swelling of soft tissues.
- Essential oils – healing properties of oils not only
disinfect, but also analgesic problem area. Apply
couple of drops of oil on a cotton ball and attach to the tooth. For this
suitable fir, clove or eucalyptus oil.
- Anesthetic – if you dip a cotton swab in a solution of lidocaine and
to bring into the carious cavity, it will help to quickly and permanently remove
In the case of chronic toothache, you can do without pills,
if the causative tooth does not cause much torment, but only light
Treatment of toothache in pregnant women
The waiting period for the birth of a child for the future mother can be
quite severe if she develops a toothache because
pregnancy can not take many medicines. But:
- Paracetamol – taking it in acceptable dosages will not bring
harm to the child.
- Folk methods — при лечении отварами трав следует также
carefully review the effects they have, so
how some species of plants provoke an increase
uterine tone. If acute pain developed at night and no
the opportunity to get to the doctor urgently is allowed to use
The following ways to deal with the disease.
- Apply a piece to a broken tooth for a quarter of an hour.
- In acute inflammatory process, rinse your mouth with soda-salt.
- Chew the cloves, as the oils produced by this
anesthetic and anti-inflammatory action.
- Make mouth baths with a decoction of sage or calendula.
- Apply a piece to a broken tooth for a quarter of an hour.
If the pain does not go away, and inflammation
are increasing, then you need to soon apply for
Causes of pain
In order to properly cure the pathology, the doctor needs
know what caused the development of such a state, because
depending on the nature of the pain, the prerequisites can be
- Pulp hyperemia – the initial stage of the inflammatory process,
affecting the dental nerve. In this case, the patient suddenly
there is an attack of pain, which after some time
spontaneously subsides. The disease can not develop on absolutely
healthy tooth. Hyperemia is usually preceded by deep caries. So
as partial pulp inflammation is a reversible process, then
with timely treatment to the doctor you can keep the tooth alive.
- Acute serous pulpitis – diffuse irreversible inflammation
neurovascular bundle of the tooth. For this form of pulpitis is characteristic
acute paroxysmal pain, predominantly disturbing at night
time. Discomfort occurs unexpectedly, while
pain attacks are replaced by “bright” intervals. At the initial
stage painless period is long enough, but when
the process is aggravated, the pain becomes unbearable.
- Acute purulent pulpitis is the next stage of pulp inflammation,
starting at the moment of joining a purulent infection. Sensations in
the patient’s causative tooth becomes pulsating, intensifying
from hot. The patient points to a feeling of pain in the tooth,
painless gaps are practically absent.
- Acute apical periodontitis is a disease that
develops when infection from the root canal system penetrates into
the periapical tissues surrounding the tooth root and causes there
inflammation. By type of exudate may be serous or purulent. With
Serious periodontitis in a person has a constant aching
pain increasing when pressing a tooth. When the process goes to
purulent stage, sensations acquire a pulsating and radiating
character Often the patient points to the feeling of a “grown” tooth,
while trying to close the jaws lead to unbearable
- Acute periostitis is an inflammatory process that affects
periosteum. Occurs due to lack of timely treatment
periodontitis. In addition to pain, swelling occurs in
areas of a causative tooth, and often the cheek becomes swollen and the face becomes
Не всегда болевые ощущения носят острый character When
of a person strongly whines a tooth, he tries as soon as possible to get to
to the doctor. Things are different with chronic recurrent
pains. They are rather weak, occur occasionally, or
after exposure to any stimulus, such as a sweet or
- Hyperesthesia of hard tissues – with hypersensitivity
периодически возникает болезненность, которая утихает после
eliminate annoying factor. Externally, the tooth looks absolutely
healthy or has areas of increased abrasion in the neck area
- Enamel cracks – congenital structural damage or
resulting from injuries as well as sudden drops
temperatures of consumed foods lead to the fact that sometimes
there may be a pain reaction in contact with cold air,
hot or cold foods; and sweet foods.
- Medium caries – the destruction of hard tissue is accompanied by
that irritation is freely transmitted through dentinal tubules
into the pulp chamber. Discomfort is aggravated by drinking.
hot, cold or sweet. After removing the stimulus
the pain disappears.
- Post-sealing pains – appear immediately after setting
fillings or a few days later. So зуб может реагировать на
preparation and manipulation of the restoration.
Overdrying, excessive dressing, material shrinkage,
the separation of the gasket layer – all this leads to the fact that the tooth aches. AT
norm these feelings pass within a week, but if
soreness intensifies daily then it is necessary to turn to
a doctor who did therapy.
- Chronic apical periodontitis – the disease proceeds
almost painless. If at the top of the root there is
granuloma, there may be occasional discomfort
when you press a tooth. With снижении иммунной защиты и развитии общего
inflammatory catarrhal disease, tooth response to depression
When it is necessary to see a doctor urgently
Immediate dental care is required for:
- increasing inflammation;
- the addition of purulent infection;
- deterioration of the general condition of the body;
- spreading the process to nearby tissues;
- the occurrence of swelling of the gums or cheeks;
- the formation of a fistula in the projection of the top of the tooth.
None of them, even the most effective pain pills,
help to avoid the occurrence of complications, if not engage
treatment to eliminate the cause that led to
the occurrence of such a state.
- ATоспаление зубного нерва само не пропадет, кариес не исчезнет,
but only vice versa – the course of these pathologies will only increase. therefore
не стоит принимать лекарственные средства от зубной боли или
try to eliminate it at home with the help of various
rinses and hope that visiting dental
the cabinet will not be needed, it will only lead to the development of more
- Timely uncured caries turns into inflammation
dental nerve, in the absence of treatment of pulpitis process
extends to the periapical tissues, which in turn
causes damage to the periosteum.
- Serous process is often complicated by the addition of purulent
infections, when it is no longer necessary to take antibiotics.
The most dangerous consequences of not treating are:
- osteomyelitis is an inflammatory process in the jaw bones,
leading to their destruction;
- abscess and cellulitis – purulent fusion of soft tissues;
- mediastinitis – a condition where the infection penetrates the mediastinum
and causes inflammation there;
- sepsis – blood poisoning.