Pain following tooth injury
With a loose, broken or knocked out tooth.
Prescription optionsTime-critical assessment
Urgently assess loose, displaced or avulsed teeth.
Injury-specific care
Use TraumaWijzer and the Dental Trauma Guide for injury-specific management.
Pain relief during initial care
If oral analgesia is appropriate, for mild to moderate pain, paracetamol can be given. For children, use the weight-related advice.
Prescription options
Drafts for adults. Check the indication, contraindications and current medicines before prescribing.
Paracetamol aloneFor mild to moderate pain when oral administration is warranted
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 / KIMO · Organisatie van de zorg rondom tandletsel · Dental Trauma Guide · urgentie en eerste opvang
- KNMT · Opvang tandheelkundige spoedgevallen buiten reguliere openingstijden · Beoordeling van spoed · termijn bij nabloeding, pijn en kinderen
- SDCEP · Injuries to the mouth, face and jaws · Initial management · letselspecifieke beoordeling en pijnstilling
- 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
