PijnvizierPain relief in dental care
EN
Situations

Swelling and infection

Abscess, spread and red flags.

Prescription options

Red flags for infection

Look for spreading infiltration, trismus, difficulty swallowing, fever and general malaise. If the extent or severity is uncertain, KIMO advises consulting or referring to an oral and maxillofacial surgeon.

Treat the cause

Urgently assess the extent and need for local treatment. For fluctuant swelling, the NVvE lists a For a fluctuant swelling, the NVvE lists incision of the abscess..

Pain relief for a localised abscess

For a localised odontogenic abscess, paracetamol can be used alongside local treatment if needed.

When considering antibiotics

Consult AB Kader for the indications.

Prescription options

Drafts for adults. Check the indication, contraindications and current medicines before prescribing.

Paracetamol aloneIn a localized abscess, in addition to assessment and local treatment

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.