PijnvizierPain relief in dental care
Situations

After a filling or crown

Sensitivity or pain on biting.

Prescription options

Assess 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.