Over the counter medicine for toothache

Toothache comes from inflammation or infection in the pulp, periodontal tissues, or surrounding bone. Ibuprofen can reduce inflammatory pain for suitable adults, while paracetamol can provide analgesia; the correct choice depends on age, pregnancy, allergies, stomach or kidney disease, liver disease, anticoagulants, and other medicines.

Follow the product label and pharmacist advice, never exceed the stated dose, and do not place aspirin or tablets against the gum. Avoid very hot or cold triggers, keep the area clean, and book a dental examination so the cause can be treated.

Seek urgent dental care for facial swelling, fever, pus, difficulty opening the mouth, swallowing or breathing, or pain that is severe or worsening. A toothache that lasts, wakes you, or returns after medicine needs an examination rather than repeated self-medication.

Ask which analgesic is suitable with your medical history and medicines. Ask whether the tooth needs a filling, root canal treatment, drainage, extraction, or treatment of the gum, and what warning signs require emergency care.