Painkillers for a root inflammation

introduction

Tooth root inflammation is the slang term for pulpitis or tooth pulp inflammation.

The innermost part of the tooth, the pulp, which is traversed by vessels and nerves, is inflamed in this case. Since the pulp is surrounded by enamel and dentine, the inflammation has no chance to drain away and pressure builds up, which we perceive as pressure pain. Those affected often feel the tooth pounding.

The nerve dies due to the inflammation process and a purulent secretion forms, which spreads below the tooth and in the soft tissue.

Since there is initially no way to drain, the well-known "thick cheek" (abscess) forms.

The purulent secretion can also find its own drainage path through a fistula.

The inflammation causes a very uncomfortable pain. Which one Painkiller should one therefore take?

General information on tooth root inflammation

In the case of acute pulpitis, nothing conspicuous or even pathological can be seen on the X-ray, the sensitivity to knocking and pressure and the strong reaction to cold are clinically noticeable.

In most cases, initial caries is the cause of pulpitis, which has gradually spread through the individual layers of the tooth (enamel, dentin, cement) to the pulp. The caries bacteria only attack the soft tissue of the pulp and inflame it.

If the tooth is not treated, the inflammation spreads to the surrounding tissue, the tooth becomes loose and an abscess develops. This abscess can spread if the secretion inside is not drained and systemically end up in a life-threatening condition, sepsis.

Read more on the topic: Treatment of root inflammation

What painkillers are there?

The range of pain relievers is almost immeasurable. There are always different trade names from thousands of manufacturers that confuse the buyer. If you look at the active ingredient, the means of choice for tooth root inflammation are limited to a handful.
From acetylsalicylic acid, diclofenac, paracetamol to ibuprofen and Celebrex®, low-dose tablet forms of the drugs are even available in pharmacies without a prescription and people often do not know exactly which painkiller is the right one in the case of a tooth root inflammation. This involves dangers, as some painkillers stimulate bleeding and should therefore not be taken in anticipation of a possible surgical intervention at the dentist due to the acute risk of bleeding (e.g. acetylsalicylic acid, known under trade names such as Ass, Aspirin and Tomapirin).

Read more on the subject at: Pain medication - the basis of drug pain treatment

Acetylsalicylic acid

The active ingredient acetylsalicylic acid, which is known by the trade name aspirin, is like a diclofenac Cox inhibitors, of the blood thinning works and from that therefore generally not advisable for toothache is. If surgery has to be performed because of the pain, the bleeding tendency is a danger and the aspirin often has to be discontinued in order to perform an operation.

The usual single doses in tablet form are 75 mg to a maximum of 325 mg per day. Contraindications for taking acetylsalicylic acid Bleeding disorders, bronchial asthma, Kidney disease and especially the time of last trimester of pregnancy.

Diclofenac

Diclofenac is a Cox2 inhibitors and acts like Celebrex pain reliever and fever lowering. It is considered by many in ointment form Folk healing ointment for all types of muscle and joint pain known and indispensable in almost every German household in the medicine cabinet. Available single doses are 50mg-150mg in Tablet form. 150mg is also the maximum daily dose. The Elimination occurs through the liver, so caution should be exercised with liver disease.

Ibuprofen

Ibuprofen is that most commonly prescribed pain medication in dental offices. It will be in Tablet form recorded and works alongside the Pain relief also anti-inflammatory, which is why it is considered the drug of choice. Available single doses are 400mg- 800mg. The maximum dose is 2400mg for adults and adolescents aged 16 and over. 400mg are available without prescription in the pharmacy available in tablet form, any additional dose is subject to prescription. Ibuprofen will excreted through the liver and is therefore only to be taken in consultation with a doctor in patients with liver disease and is not recommended.

Paracetamol

Paracetamol is primarily the drug of choice for headaches and fever, as it is next to the pain relieving effect also fever lowering works. Hence it will not prescribed in dental officesunless there are intolerances or allergies to other pain medication.
The maximum daily dose is 4000mg, 500mg are prescribed in Tablet form. It becomes like ibuprofen excreted through the liver and is therefore not the drug of choice for patients with liver disease. During pregnancy, paracetamol crosses the placental barrier and enters the child's bloodstream and is therefore contraindicated.

Celebrex

Celebrex is the all-rounder among pain relievers and many are not familiar with it. It belongs to the COX-2 inhibitors, works anti-inflammatory, fever lowering and is mostly at Rheumatic diseases, Joint pain and fever used for flu. There's Celebrex in Tablet form 100mg and 200mg. The normal daily dose is 200mg.
The pain reliever is not suitable for children and not even during pregnancy or breastfeeding.

Side effects

Acetylsalicylic acid can increase the risk of bleeding Bleeding in the stomach cause. Gastritis as well Ulceration of the gastric mucosa are also possible side effects.
Ibuprofen and Diclofenac can irritate the gastric mucosa up to and including the formation of Stomach ulcer. Often times will Stomach and reflux problems felt. Ibuprofen is therefore in high dose only in combination with pantoprazole to recommend what the Inhibits acid build-up in the stomachto protect the mucous membrane. That is recommended Ratio 1: 1; So take one tablet each of ibuprofen and pantoprazole together. Pantoprazole is also prescription only. Paracetamol can damage the liver and in the worst case to the Liver failure to lead. Celebrex can Dizziness and lightheadedness cause and one should therefore Do not drive after ingestion. Also one Increase in blood pressure, skin rash and Stomach discomfort can occur.

What to do if pain relievers don't help with a root inflammation?

If the pain persists despite pain medication, the Visited the dentist , possibly also the dental emergency service, if necessary.
In most cases the dentist will do that Drill out toothto create an access through which the secretion can drain, the tooth is rinsed and disinfected by the bacteria, and a drug can be introduced directly into the pulp.
When a swelling, there is a so-called abscess, it must be relieved by a cut so that the pus can drain away. Otherwise, an abscess can also migrate and at worst to sepsis to lead. This condition, colloquially known as Blood poisoning known to be a generalized inflammatory reaction of the body can be life-threatening. Sepsis can lead to organ failure. Therefore, in this case, waiting is the wrong way and going to the dentist is necessary and inevitable. The dentist often also gives an antibiotic to contain the bacteria in a generalized way.