Post-op Pain Control

After you have had an operation, you will have approximately 1.5 – 2 hours before the local anæsthetic
wears off.  For effective pain relief, you would want to have taken your painkillers within that time, so that
they have started to work before the anæsthetic has worn off.

Do not take any
ASPIRIN for pain relief as this is likely to make you bleed that much more.

The type of painkiller you should take is dependent on your medical history & the ease with which the
procedure was carried out.


YOU SHOULD ALWAYS READ THE INSTRUCTION LEAFLET THAT COMES WITH THE
PAINKILLERS
.


All these painkillers can be bought Over The Counter.  Brand-name drugs are more expensive than
generic drugs.


MILD PAIN:

Paracetamol    0.5 - 1g taken every 4 - 6 hours
Ibuprofen         200 – 400mg taken every 4 - 6 hours


Brand names include
Nurofen, Cuprofen & Advil.

The '
soluble', 'effervescent', 'liquid' and the 'lysine' variants of these painkillers are absorbed into the
body more quickly and hence work that much faster.


MODERATE PAIN:

Paracetamol + Ibuprofen   0.5 - 1g & 200 – 400mg taken every 4 - 6 hours


Brand names include
Nuromol.

Codeine + Ibuprofen          2 tablets every 8 hours


Brand names include
Nurofen Plus & Solpaflex.

Codeine + Paracetamol     2 tablets every 8 hours


Brand names include
Solpadeine, Paracodol, Solpadol & Kapake.


SEVERE PAIN:

Codeine-Paracetamol + Ibuprofen
Exodontia.Info
Post-Op Pain Control
Last Updated 22nd January 2020
For the painkillers to be effective, they should be taken regularly.  Do not wait for them to wear off.


The painkillers should be taken for at least 2 – 3 days.  After about 3 or so days, the operated area
should be starting to settle down.


You then may be able to take less painkillers and less often.
Useful Articles:

BDJ Advert 2012.  Double Action Dental Pain Relief.  Nuromol

Cochrane Review 2013.  Review.  Ibuprofen ± Paracetamol (Acetaminophen) for pain relief after
surgical removal of lower wisdom teeth

Dental Update 2018.  Prevention and Optimal Management of Peri-Surgical Pain in Dentistry