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i'm 40 years old and just had ALL my teeth extracted in one go. The pain is excruciating. Any tips for pain relief?

EDIT; I can’t reply to everyone individually but thanks for all the suggestions! Opiates are out of the question, doctors here will only prescribe those in terms of absolutely extreme suffering or end of life care. I also don’t particularly feel interested in developing a hard drug habit. Diclofenac and such are available but also only on separate prescriptions, I’d have to visit another doctor for that. I’m well stocked on paracetamol & ibuprofen, and apart from that, lots of ice cream, pudding & soup :)

tarmac ,

When my wisdom tooth were pulled the only thing that seemed to help was to double up on some otc painkillers and take them together - acetaminophen and ibuprofen together worked the best. Look into it, I’m not a doctor etc etc

intensely_human ,

Just gonna keep repeating this PSA everywhere I see this advise:

DO NOT MIX IBUPROFEN AND ACETAMINOPHEN; INSTEAD ALTERNATE THEM

erusuoyera ,

Neat whisky. You don’t need to drink it if you don’t want, just gently swirl it around your mouth for a while and spit it out.

the_post_of_tom_joad ,

Now this sounds like a good antiseptic but wouldn’t that be very very painful?

Kyrgizion OP ,

I was actually warned against this since it can apparently cause actual burns if the liquor is high proof.

the_post_of_tom_joad ,

Lol good, glad you’re getting some good advice. Sorry you are dealing with this op, i dunno what you had to do but i have had a tooth extracted at a dental ‘training facility’ and my body won’t forget that, ever

Carighan ,
@Carighan@lemmy.world avatar

Do not actually do this, if someone is reading this. Alcohol after dental surgery is a risk, as it can mess with wound healing.

intensely_human ,

DO NO DO THIS; IT WILL DISSOLVE THE BLOOD CLOTS WHICH MUST REMAIN IN PLACE

I_Has_A_Hat ,

No one here recommending Orajel? Literally designed specifically for mouth pain.

MelodiousFunk ,

Just empty the whole tube in there and swish it around. I’m sure it’ll be fine.

Poe's LawPlease don’t do this

intensely_human ,

Seriously just don’t even say it. Your Poes Law thing requires an active click to see.

OP is a person in pain, whose head is in a new configuration (which is disorienting, reducing their cognitive capacities until the proprioceptive remapping is complete).

The danger of a misread is just too great.

pigslop ,

I think orajel shouldn’t be put on fresh wounds (not 100% on this but I put it on an open sore in my mouth and the pain was excruciating)

HubertManne ,

ouch. my brother was lucky and the dentist was able to save some including four he said would help a lot with bridge fit.

JoYo ,
@JoYo@lemmy.ml avatar

most people dont develop an addiction to opiods when taken as directed by your doctor.

speaking of, go to urgent care or your PCP if they can fit you in for a perception. a dentist is going to be worthless for anything other than the mouth bones.

TheFriar ,

Weeelllll….

At the end of your bottle, if you’re taking them as prescribed, which is usually every 4-6hrs? Do that for a week and your body would be addicted. A full bottle + a refill, even two? It’s not about taking them recreationally. Your body and brain get addicted when they’re in your system regularly. I would know, got hit by a car, I think I only had one refill, and I was going through withdrawals at the end. I wasn’t even taking them as often as prescribed, mostly “as needed.” That was still regular enough.

intensely_human ,

Dealing with opiate withdrawal can be less damaging than extreme levels of pain.

Pain is not just a feeling. At extreme levels it reprograms the nervous system in ways that are really, really bad long term.

SirArchibald ,

Wash your mouth out with salt water, worked a treat when had my wisdom teeth removed.

intensely_human ,

Just avoid vigorous rinsing, because you don’t want to dislodge the blood clots

medgremlin ,

Alternating the paracetamol and ibuprofen on a schedule is the best recommendation I can give. Severe pain, especially post-operative pain, is best managed by taking the pain meds before the pain sets in. The ibuprofen is also an NSAID and the swelling and inflammation are big contributors to pain.

The schedule that I always recommend is:

  • 0800: 650-1000mg paracetamol (acetaminophen)
  • 1200: 600-800mg ibuprofen
  • 1600: 650-1000mg paracetamol (acetaminophen)
  • 2000: 600-800mg ibuprofen
  • (and in the first day or two after surgery, set alarms to wake up and take pain meds at 0000 and 0400 on the same pattern if the pain is really bad.)

This pattern keeps you covered on pain control, and you can shorten the intervals to every 3 hours if this isn’t enough without exceeding daily dose limits on either medication. If you are an American reading this and you’re also taking something like Norco, make sure to account for the acetaminophen/tylenol/paracetamol that’s in those because exceeding the recommended dose on that one is bad news for your liver.

Like some other folks have said, warm saline (salt water) rinses and soft or liquid foods are going to help as well.

tacosplease ,

If you can’t get pain meds I’d try Kratom.

Start with a low dose and work your way up. If you take too much you will puke which would be awful in your current condition.

Take the right dose and it will significantly relieve the pain. I slowly took increased doses until they started to make me feel a little woozy or get cold sweats. Then I knew my personal dose is a little less than that.

I can’t stress enough though - take less at first and try a little more each time.

Either eat food with it every time or take on an empty stomach every time, but don’t go back and forth unless you know your proper personal dose with and without food. It matters a lot with Kratom.

All that said, do it right and it will bring more relief than anything else I’ve been able to legally acquire. Absolutely do not allow yourself to take it every day once the pain is manageable. Plenty of people do… But don’t do that.

Good luck. No matter what - this is only temporary. You will get through it.

TheFriar ,

Also, CBD.

dharmacurious ,

My mom has chronic pain from disabilities and started taking Kratom a few years back. I tried it first to test things out before she started. We misread the instructions, and steeped about 10x more than we should have in orange juice for several hours.

I have never been so sick. OMG. It was 3 days of pure hell.

But here’s the kicker, doing that with any other medication would’ve killed me. This just made me sick. It’s a weird way to begin saying you swear by something, but I swear by the stuff. It is genuinely helpful, and it has an upper limit, so it’s risk for abuse is low. Stuff is great.

MissJinx ,
@MissJinx@lemmy.world avatar

Dude, meds. Just rejoice in all the medication possible. It wont last long, hang in there

the_post_of_tom_joad ,

Im assuming if op had to get all his teeth removed he also can’t afford the meds or the anti-drysocket paste that dentists should use to help with this pain. I could be wrong

MissJinx ,
@MissJinx@lemmy.world avatar

oh man sorry i forgot about this (not american) but maybe do a donation page? Having pain, in the head nonthe less, is fucking horrible no one deserves it

Kyrgizion OP ,

Flanders, Belgium

ThrowawayPermanente ,

Y’all got any more of them poppies?

ReakDuck ,

I also realize that taking so often or much of some medicaments could harm your liver.

So I would recommend to see if you can reduce the dosage after week or so when the pain finally reduces a bit.

I am also unsure how much liver damage you can get, maybe I am just paranoid and its not that severe.

feannag ,

Ibuprofen (Advil) and acetaminophen/paracetamol (Tylenol). Take max dosage but alternate them. Read the bottle and don’t quote me, but it’s something like 800mg ibuprofen every 8 hours and 1000mg of paracetamol every 6. So take ibuprofen, 3-4 hours later take paracetamol, then back and forth. Do not exceed 2400/4000 or whatever your bottle says.

That’s the method I was taught to get the most/longest pain relief with OTC.

BudgetBandit ,

I don’t know where you are, but if you’re in Europe I’d get my hands on some Novalgin (illegal in the US because it isn’t addictive) other than that there’s some kind of pads for jaw operations that you put in the freezer.

I personally find pain more bearable than the cold, so no ice and a lot of sleep for me

TheWilliamist ,

Word of warning. Novalgin (Dipyrone/metamizole) will completely fuck your white blood cells.

…lww.com/…/is_it_time_to_restrict_the_clinical_us…

Carighan ,
@Carighan@lemmy.world avatar

Yeah but we’re talking about a single-incident use here, the article seems to analyse reports about clinical stay usage, as in, over longer bouts of time.

oxjox ,
@oxjox@lemmy.ml avatar

Did you and your doctor not have this conversation!?

Or are you more inclined to listen to the internet over the person who’s job it is to pull all your teeth out of your head?

Answer: Oxy.

Carighan ,
@Carighan@lemmy.world avatar

Yeah first thing I thought, too. “Have you tried asking somebody who does this professionally? Like, oh I don’t know, THE SURGEON?!”

Poot ,
@Poot@discuss.tchncs.de avatar

Entirely this. Where is your health care provider in this conversation???

You should have been sent home with antibiotics, pain killers, and a ream of after care instructions.

whynotzoidberg ,

It was probably Aspen Dental.

grasshopper_mouse ,
@grasshopper_mouse@lemmy.world avatar

Omg, this sounds awful, you have my deepest sympathy. Didn’t they give you anything for pain management!?

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