After placement of an implant
Early pain after treatment or pain around an existing implant.
Prescription optionsEarly pain after treatment
Wound pain can occur after implant placement. Follow the treating clinician's instructions and reassess if pain, bleeding or swelling increases. For patients taking antithrombotics who undergo a procedure that causes bleeding, see When taking antithrombotics.
Pain relief after placement
For mild to moderate wound pain soon after implant placement, paracetamol can be used if compatible with the aftercare regimen. Check what has already been given and avoid duplicate doses.
Pain around an existing implant
Investigate the cause and assess the peri-implant tissues. For inflammation around the implant, KIMO offers a separate treatment path.
Prescription options
Drafts for adults. Check the indication, contraindications and current medicines before prescribing.
Paracetamol aloneWith early wound pain, if this fits the aftercare schedule
First option for acute nociceptive pain. This example applies to adults weighing more than 55 kg without risk factors for hepatotoxicity.
Checks before prescribing
Include all paracetamol from over-the-counter and combination products. Adjust the dose if there are risk factors.
R/ Paracetamol 500 mg tablet
- Per dose
- 1,000 mg by mouth (2 tablets)
- Frequency and interval in this example
- If necessary up to 3 times a day, approximately 8 hours between intakes
- Maximum per 24 hours
- 3,000 mg (6 tablets)
- Quantity in this draft
- Maximum 12 tablets
Duration in this example: 2 days. Stop earlier if the medicine is no longer needed. Reassess if pain relief is inadequate or pain worsens.
Sources for this topic
Reference for dentists on acute dental pain and pain after treatment.
- Radboudumc · Na plaatsing van het implantaat · Napijn en nazorg
- KIMO · Preventie en behandeling van peri-implantaire ontstekingen · Richtlijn 2026 · peri-implantaire mucositis en peri-implantitis
- KIMO · Bloedige ingrepen in de mondzorg bij patiënten die antitrombotica gebruiken · Versie 2025 · uitgangsvraag 5, NSAID-beleid
- Farmacotherapeutisch Kompas · Pijn · Advies en stappenplan bij acute nociceptieve pijn
- NVvE · Richtlijn endodontische diagnostiek en behandeling · Update 2025 v1.0 · hoofdstuk 9, p. 219–222
- Farmacotherapeutisch Kompas · Paracetamol · Doseringen, interacties en waarschuwingen
- CBG · Paracetamol PharmaMatch 500 mg · RVG 109490 · SmPC §4.2–4.5
- KNMG en betrokken beroepsverenigingen · Elektronisch voorschrijven · Artikelen 2 en 3 · medicatiebewaking
