After a filling or crown
Sensitivity or pain on biting.
Prescription optionsAssess the clinical course
A tooth may be temporarily sensitive after a restoration. For pain on biting, check whether the filling or crown feels too high and assess the tooth if pain is persistent, spontaneous or worsening.
Pain relief for expected postoperative pain
Brief stimulus-evoked sensitivity usually requires no analgesic. If assessment confirms mild to moderate expected pain after treatment, paracetamol can be used. If biting pain is caused by a high restoration, check the occlusion.
In case of persistent complaints
See Acute toothache for the endodontic framework and Persistent or worsening pain for re-evaluation.
Prescription options
Drafts for adults. Check the indication, contraindications and current medicines before prescribing.
Paracetamol aloneShort-term use for mild to moderate expected postoperative pain after assessment
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.
- KNMT · Alles over het gebit · Vullingen · Na de behandeling · gevoeligheid en te hoge vulling
- KNMT · Alles over het gebit · Kroon · Na plaatsing · aanhoudende gevoeligheid en occlusie
- NVvE · Richtlijn endodontische diagnostiek en behandeling · Update 2025 v1.0 · hoofdstuk 9, p. 219–222
- Farmacotherapeutisch Kompas · Pijn · Advies en stappenplan bij acute nociceptieve pijn
- 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
