Toothache paracetamol and ibuprofen not working

When paracetamol and ibuprofen do not control toothache, the cause needs dental treatment rather than more self-medication.

Pain medicines reduce symptoms but do not remove infected tissue, repair a crack, drain an abscess, or restore lost tooth structure.

Follow the label or prescriber directions and do not exceed the dose or combine products with the same ingredient. Do not place aspirin or crushed tablets on the gum; use gentle cleaning, avoid very hot or cold triggers, and arrange a dental visit.

Seek urgent care for facial swelling, fever, pus, difficulty swallowing or breathing, or inability to open the mouth normally. Arrange prompt dental care when pain persists despite medicine, wakes you, or follows a broken or knocked tooth.

Ask whether the pain comes from the pulp, root, gum, crack, or bite and what tests support that finding. Ask whether treatment needs a filling, root canal, drainage, extraction, bite adjustment, or another procedure.