Mild post-opertive pain or discomfort is to be expected after many types of dental procedures. Occasionally, patients will leave the office feeling worse than when they went in.

Most of these mild post-operative discomforts can be controlled with Aspirin, Anicin, Tylenol or a form of ibuprophen like ; motrin, advil, nuprin and medipren. These known as mild analgesics ( pain relievers).

That said however, most of these pain relievers do have some undesireable side effects which you must be aware of. An Aspirin ( acetylsalicylic acid), is both a antipyretic and analgesic. It reduces fevers and relieves mild forms of pain.

The most serious side effects from using aspirin on a long term basis, are; gastrointestinal ulcerations, stomach bleeding and tinnitis which is a noise in the ears such as a ringing, buzzing, roaring or clicking sound.

Consequently, the use of aspirin is no longer recommended for children or adolecents who might have flu-like or chickenpox symptoms and other viral related illnesses.

It has been well documented that aspirin can be very useful in people who are at high risk for blood-clot formation, thereby helping to prevent strokes and /or heart attacks. An aspirin is a well know ” blood thinner.”

Anicin is a acetaminophen, an over-the-counter pharmaceutical drug,used to treat headaches,backaches,arthritis,toothaches and colds. The word “tylenol” is the brand name for acetaminophen.

Because of the side effects, acetaminophen should not be taken with alcohol because it may cause liver damage over long term usage.. Never take more than the prescribed daily dosage and women should avoid using an anicin or tylenol derivatives when breast feeding, if at all possible.

The very popular so called IBUPROPHENS are anti-inflammatory drugs, used for relief of pain associated with fevers, arthritis, backches and toothaches ect.

Ibuprophens are also known as (NSAID); non-steroidal anti-infammatory drugs, such as, motrin, advil, nuprin and medipren.They should always be taken with food or milk to minimize the
side – effects that may cause patients who are at risk, of having cardiovascular complications and/or a stroke.

The elderly patient who uses an Ibuprophen, is more at risk for gastrointestinal bleeding, ulcerations,or perforation of the stomach wall and /or intestines which could be fatal.

A newly filled tooth with a large and/or very deep filling can be quite sensitive especially to thermal changes like hot and cold stimuli. This sensitivity may last a few days up to a few weeks or so. ………….Depends on the individual circumstance.

You see, the metal filling conducts the temperature change into the pupal tissue of the tooth which causes a minor puplal irritation. Sometimes the pulpal irritation can be much more severe. It all depends on the severity of the situation prior to having the dental work done!

Most dentists when faced with having to do a large, deep restoration, will take the necessary precautions to minimize the thermal sensitivity by placing an insulating cement base material between the exposed tooth structure and the final restoration.

Post operative pain is often encountered after a root canal treatment has been started and /or completed. Usually , a mild analgesic like an aspirn or tylenol will suffice, however if it does not work to your satisfaction, call your dentist ASAP,night or day. A stronger form of analgesic will be required. You might need a prescription type pain reliever like codiene for example.

A competent and caring dentist will not want his or her patient to suffer any uneccessary discomfort needlessly. He or she will want to have the opportunity to alleviate your pain and consider the necessary steps to administer the proper treatment. Let them know and afford them an opportunity to help you!

Traumatic occlusion ( or bite relationship ) is another factor that can cause post dental treatment pain. For example, if a filling is left high and interferes with the “bite relationship” of an opposing tooth, pain can result. When a tooth is subjected to such occlusal trauma, other irritants like hot and cold stimuli will also tend to irritate the tooth involved more readily. Somewhat of  a domino effect if you will.

A tooth that comes into contact prematurely, can be easily rectified by the dentist . All he or she has to do is identify the high spots and polish them down so you cannot feel the high filling anymore. Instant relief of pain is quite noticeable when this situation exists.

Although it may be somewhat inconvenient for you to go back to the dental office for the adjustment, it does not take very long and the dentist should not charge you a fee for such an adjustment. If you are charged a fee, you should consider changing dentists.

You must do your due diligence at all times and become aware of the  content of any medications recommended or prescribed for you.  Most drugs have side effects .Some more undesirable than others. Some may even be life threatening. Ask your Pharmacist for this information if in doubt.

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