A throbbing toothache can be excruciating, and when your usual dose of ibuprofen (like 800 mg) isn't providing relief, it's understandably frustrating. This isn't uncommon; while ibuprofen is a good over-the-counter pain reliever for many conditions, it may not be powerful enough for severe toothaches, especially those stemming from an infection or abscess. Let's explore why your ibuprofen isn't working and what steps you should take.
Why Isn't My Ibuprofen Working for My Toothache?
Several factors could contribute to the ineffectiveness of your 800mg ibuprofen dose:
- Severity of the pain: A severe toothache, often indicative of an infection or significant dental damage, may require stronger pain relief than ibuprofen can provide. The pain may be too intense for ibuprofen to effectively manage.
- Underlying infection: An infected tooth or gum abscess will often cause intense, throbbing pain that's resistant to standard over-the-counter pain relievers. The infection itself needs treatment, not just pain management.
- Incorrect dosage or timing: While you're taking 800mg, ensure you're taking it correctly according to the package instructions and not exceeding the recommended daily dose. Timing also matters; taking it with food can help reduce stomach upset and improve absorption.
- Other medical conditions: Certain medical conditions can affect the effectiveness of medications, including ibuprofen.
- Drug interactions: Other medications you're taking might interact with ibuprofen, reducing its effectiveness.
What Should I Do If 800mg Ibuprofen Isn't Enough?
If your toothache persists despite taking 800mg of ibuprofen, it's crucial to seek professional dental care immediately. Delaying treatment can lead to more severe complications. Here's what you should do:
1. See a Dentist or Oral Surgeon
This is the most important step. A dentist can properly diagnose the cause of your toothache and provide appropriate treatment. They might perform procedures like root canals, extractions, or prescribe stronger pain medication.
2. Consider Stronger Pain Relief (Under Doctor's Supervision)
Your doctor or dentist might prescribe a stronger pain reliever, such as naproxen or a prescription-strength opioid analgesic. Never attempt to self-medicate with stronger pain relievers without a doctor's prescription. This can be dangerous and lead to complications.
3. Use Over-the-Counter Alternatives (Temporarily)
While not a substitute for professional care, you can try other over-the-counter options in conjunction with ibuprofen (but always follow dosage instructions):
- Acetaminophen (Tylenol): This works differently than ibuprofen and can provide additional pain relief when combined with it. However, avoid exceeding the recommended daily dosage for either medication.
- Topical pain relievers: Oral analgesics like Orajel or Anbesol can provide temporary numbing relief for surface pain.
4. Apply Cold Compresses
Applying a cold compress to your cheek near the affected tooth can help reduce swelling and provide some temporary pain relief.
What Causes Severe Toothaches Resistant to Ibuprofen?
Severe toothaches that don't respond to ibuprofen often stem from serious dental issues:
- Abscesses: A pus-filled infection at the root of the tooth.
- Severe cavities: Deep cavities can expose the tooth's nerve, causing intense pain.
- Gum disease (periodontitis): Advanced gum disease can cause significant pain and infection.
- Cracked or broken teeth: This can expose the nerve and cause throbbing pain.
- Impacted wisdom teeth: Impacted wisdom teeth can cause pain and infection.
Can I Take More Than 800mg of Ibuprofen?
Exceeding the recommended dosage of ibuprofen can lead to serious side effects, including stomach upset, kidney damage, and liver problems. Never take more ibuprofen than advised on the packaging or by your doctor. If 800mg isn't providing sufficient relief, consult a doctor or dentist for alternative pain management options.
What Other Home Remedies Can I Try?
While home remedies can offer temporary comfort, they are not a replacement for professional dental care. These are merely temporary measures:
- Saltwater rinse: This can help clean the area and reduce inflammation.
- Clove oil: Some people find that applying clove oil to the affected area provides temporary numbing relief. (Use cautiously, as it can irritate sensitive tissue.)
In conclusion, while ibuprofen can be helpful for mild to moderate toothaches, if 800mg isn't working, it's a clear indication that you need professional dental attention. Delaying treatment can worsen the problem and lead to more extensive (and costly) procedures in the future. Schedule an appointment with your dentist as soon as possible.
