Toothache pain medication is becoming a very lucrative industry, and it is very commonly prescribed in the dental field. Vicodin is one of the more popularly prescribed pain medications, but there are other effective medications as well. Often times DENTAL PAIN is caused by the build up of inflammation, so an anti-inflammatory drug such as ibuprofen, can be very effective.

On the other hand, there are times when it downright hurts, and a stronger toothache pain medication like vicodin or other narcotic is needed.

The most common question is,


CHILDREN: They almost never need anything stronger than an over the counter medication, such as Tylenol or Advil.

EXTRACTIONS: If an extraction is easy, often times the pain will be manageable with over the counter (OTC) medication. On the other hand, it is not unreasonable to request pain medication for any extraction.

Any difficult or lengthy extractions, will most likely need some sort of pain medication.

ROOT CANALS: These are very unpredictable. Usually you will not need pain medication once the root canal has been started or after it is completed, but there are many instances when pain may arise.

IBUPROFEN is often recommended because it has an anti-inflammatory effect, and it is inflammation which often causes the pain. Thus, but decreasing the inflammation, the pain will decrease.

FILLINGS and CROWNS: While you may have sensitivity to hot or cold stimuli, pain medication is usually not necessary after routine routine fillings or crowns.

PERIODONTAL SURGERY: YES, you will want some pain medication.  In general periodontal surgery involves some level of discomfort after the procedure.

ORTHODONTICS: Your teeth will be sore for a couple days after receiving orthodontic treatment, but it is not usually intense enough to warrant the use of pain medication.


Many people think that orajel is going to solve all of their tooth problems. This is a topical gel that is placed on the sore tooth, and unfortunately, often does not help.  And if it does, it will only be temporary. If you have a toothache that persists, please go see a dentist!

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