11 best remedies for toothache

Review of the best according to the editors. About the selection criteria. The the material is subjective, is not advertising and is not serves as a guide to the purchase. Before purchase is needed consultation with a specialist.

Once an interesting study was conducted. To ordinary people they said that if they had to endure an attack pain, then what kind of pain by localization they chose: headache, pain in joints, in the stomach, in the heart, or toothache? None of 150 the respondents did not choose a toothache, and this despite the fact that the intensity of pain under conditions would be the same. TO Toothache in humans is a special relationship. Fairytale character “Tooth fairy “a clear proof of this, because there is not one another fairy-tale hero dedicated to a part of the body.

The thing is that toothache has specific features. Any pain syndrome may occur either due to injuries, or as a result of inflammation, or with distortion of mechanisms the very perception of pain. In the latter case, we will talk about so called neuropathic pain, and neuralgia can be an example trigeminal nerve. But it is not the subject of consideration.

But traumatic, and especially inflammatory pain is characteristic for diseases of the dentition. Nerves penetrating through canals in the roots of teeth can be compressed very quickly by the inflamed tissues that cannot expand because inflammation occurs in very narrow channels. High pressure swollen tissue leads to a particularly intense and unpleasant pain, which can be either permanent or paroxysmal.

The most acute toothache, or odontalgia, occurs more often with only two diseases. This is pulpitis, or a continuation of caries. With pulpitis, the infectious process spreads to the cavity of the tooth, and the nerve becomes involved in the inflammatory response. Second the cause is periodontitis. Infection spreads already beyond the limits of the tooth, and at the same time, next to its roots are formed closed purulent foci. They are called periodontal abscesses. It is in this case that very painful, pulling and aching sensations, from which the only right The remedy is an urgent visit to the dentist.

Drugs That Have Strong analgesic effect, indicated for relief or relief toothache. Naturally, they do not replace the appointment of a doctor, but can significantly improve the well-being of the patient in anticipation of this admission, as well as after dental procedures. At this rating includes drugs with severe analgesic activity related to anti-inflammatory drugs, both monocomponent and combined, as well as local drugs that are applied directly to bad tooth, in the carious cavity, or on the gum area.

What medicines are undesirable to use?

There are many drugs from different groups, which are used to relieve pain of various origin, but they can’t be suitable for toothache. For example, such drugs include Validol, Papaverine, No-shpa. Validol can reduce pain in the heart due to reflex exposure caused by the cooling effect of menthol. No-shpa, or drotaverine is an antispasmodic of myotropic action, and reduces pain syndrome associated with smooth muscle spasm. therefore No-spa can help with renal colic, with exacerbation of cholecystitis and pancreatitis, with spastic colitis, and with other similar conditions where there is musculature of the internal organs. Also can be said about such a serious drug as I took it.

To use these medicines to stop toothache will be unreasonable, because there is no muscle in the teeth. Therefore, the most The main drugs for relieving toothache are nonsteroidal anti-inflammatory drugs (NSAIDs) that help reduce inflammation symptoms and swelling. The greatest drugs based on ibuprofen have analgesic activity, ketoprofen, and ketorolac. Therefore, we’ll start the rating of funds from them toothache. Average retail prices for all products are for the end of 2018.

Rating of the best remedies for toothache

Nomination a place Name of product price
The best monocomponent anti-inflammatory drugs 1 Ketanov – Ketorolac (Dolak, Ketokam, Ketorol, Ketofril) 49 rub
2 Ketonal – Ketoprofen (Flamax) 101 rub
3 Nurofen (ibuprofen) 87 rub
4 Nimesil – Nimesulide (Nise, Nemulex) 268 rub
5 Dexalgin 217 rub
The best combined NSAIDs for toothache 1 Tempalgin 112 rub
2 Ibuklin 119 rub
3 Askofen-P (caffeine, paracetamol, acetylsalicylic acid) 28 rub
Best Topical Toothache Relievers 1 Lidocaine 23 rub
2 Kamistad – gel 259 rub
3 Metrogil – denta 216 rub

The best monocomponent anti-inflammatory drugs

Any inflammation, including in the soft tissues surrounding the tooth, develops at certain stages. Medications from this groups suppress inflammation at the stage of exudation, and possess a combination of three types of therapeutic effect. It’s antipyretic, anti-inflammatory and analgesic. Drugs to reduce fever and fever such as aspirin and other derivatives acetylsalicylic acid is unlikely to help here, since need to reduce pain as quickly as possible. Anti-inflammatory the effect is a good thing, because ultimately it will be help reduce edema, and, consequently, reduce pathological pain impulse. But anti-inflammatory effect does not develop immediately, but after a few hours, or even after day. Therefore, you must first consider those medicinal funds in which painkillers come first Effect.

Ketanov – Ketorolac (Dolak, Ketokam, Ketorol, Ketofril)

Rating: 4.9


The undisputed leader of analgesics sold everywhere, is ketorolac. It is currently being sold by prescription, but in in some cases, it can be purchased just like that, although this will be a clear violation by the pharmacy. Ketanov refers to a derivative of acetic acid, has a strong analgesic activity. In some cases, it can be compared even with opioid analgesics, for example with tramadol. But he doesn’t is an opiate receptor agonist, does not impair function central respiration, does not cause drowsiness, euphoria and drug dependence.

Ketanov is available in tablets and ampoules for intramuscular administration. introduction. It is necessary to apply it one tablet at a time pain, the reception can be repeated if, within 2 hours, severity pain has not decreased. In this case, four tablets per day for an adult human is the maximum dose, and under no circumstances Ketanov should not be taken for longer than 5 days. In the event that no tablets, you can purchase a package of ampoules one milliliter. If you drink the contents of one ampoule, diluted in water, then the analgesic effect will be the same. Produces Ketanov Indian Sun company, and a small pack of 10 tablets costs a lot inexpensively – around 60 rubles.

Advantages and disadvantages

The advantage of Ketanov is his pronounced analgesic Effect. In almost any case, there is significant relief toothache, and sometimes after an hour or less, it is completely passes. Unfortunately, it is high activity that is its disadvantage, especially in males. It is known that men are most often afraid to go to the dentist, and after toothache completely disappears, then the desire to visit the dental office begins to weaken.

The next day, there is a great temptation to take pills again, and then this situation continues for a week. Tooth ceases to hurt, but the inflammatory process progresses without pain. In addition, Ketanov has many side effects. and contraindications. It is not used in children, in pregnant women and lactating women, it is able to reduce blood coagulation, and increase vascular permeability. Therefore, in the event that you signed up to the dentist surgeon, but the next day for a reason they didn’t get better, and continued to take Ketanov, then in a few days the doctor may have to deal with bleeding. Taking Ketanov for more than 5 days is not recommended. due to its hepatotoxicity, that is, a negative effect on liver. But still, being taken according to testimony and short course, he will render you invaluable service, and toothache, perhaps completely disappear.

Ketonal – Ketoprofen (Flamax)

Rating: 4.8


The next drug from this group will be ketoprofen. He has consonant with the previous name, but Ketonal should not be confused Ketanov. These are two different means. Unlike ketorolac, ketoprofen activity is slightly shifted to the side anti-inflammatory effect. Therefore he anesthetizes a little less than Ketanov, but at the same time it reduces the severity inflammation and relieves painful swelling and swelling. It is prescribed not only for the treatment of toothache, but also with postoperative pains that can be quite severe with various rheumatic diseases and lesions of the connective tissue for acute arthritis.

Ketonal is available in 100 mg capsules, in each capsule contains 60 mg of active ingredient. Take Ketonal you need one capsule 3 times a day, but not more than 6 capsules per day. The ketone is produced in capsules by the Slovak company Lek. A package containing 25 capsules is inexpensive, around 105 rubles. In addition, the drug is available in coated tablets, and also in solution for intramuscular and intravenous administration and in rectal suppositories, and the cost of packaging in 12 suppositories is the same dosage is 267 rubles.

Advantages and disadvantages

The advantage of Ketonal is its high European quality, low price and complex action of both pain medication and anti-inflammatory drugs. It is also convenient that, unlike Ketanova, Ketoprofen is not only available in capsules and tablets, but also by candlelight. On the other hand, it is contraindicated for use in exacerbation of peptic ulcer of the stomach and duodenum, with bleeding, with bronchial asthma, in pregnant and lactating women women, as well as in children and adolescents under 18 years of age. From side action sometimes there is nausea, bloating, decreased appetite, abdominal discomfort. It should not be used with other means from the same group.

Nurofen (ibuprofen)

Rating: 4.7


This drug, like other ibuprofen analogues, acts more gently, and therefore is indicated for relief of moderate pain syndrome in dental practice. Nurofen also renders not only anesthetic, but also anti-inflammatory act. The agent relates to derivatives of propionic acid, and It is also widely used in neurology and therapy. In addition to toothache, it can be used for migraine, for musculoskeletal pathology apparatus, as well as in febrile conditions, since ibuprofen able to have a slight antipyretic effect. He is shown even with painful periods.

Nurofen is available in the form of coated tablets, so and in the form of effervescent tablets that dissolve in a glass of water and act faster. Therefore, in acute pain syndrome, this form drug preferable. Apply to adults you need 1 effervescent tablet in 200 mg, from 3 to 4 times a day. The maximum allowable daily dose for adults is 800 mg per day, that is, 2 tablets four times a day. Releases Nurofen in the form of effervescent tablets Italian company Rekitt Benziker, and the cost of one package of 10 tablets on average is 100 rubles.

Advantages and disadvantages

A great plus of Nurofen will be the abundance of indications for use, and therefore, the packaging of this product will never be superfluous at home first-aid kit. At the same time, it must be borne in mind that he contraindicated in case of intolerance to aspirin, with bronchial asthma in combination with nasal polyposis, with exacerbation of peptic ulcer stomach, and with severe damage to the liver and kidneys. It is impossible use in pregnant women, as well as in children under the age of six age. But in the event that a toothache is combined with edema, facial asymmetry, then Nurofen is a good remedy choices that can reduce the severity of pain.

Nimesil – Nimesulide (Nise, Nemulex)

Rating: 4.7

Nimesil - Nimesulide

Nimesil is another good painkiller an anti-inflammatory drug that acts mildly and is capable of deliver comfort to a patient with slightly pronounced toothache. This the drug also belongs to the group of non-steroidal anti-inflammatory drugs in pharmacies sold in bags, by 100 mg of active substance, and the balance between painkillers, antipyretic and anti-inflammatory effect it is uniform. Therefore, it can be successfully applied if due to an inflammatory process, such as exacerbation chronic periodontitis, the patient has common manifestations: malaise, mild subfebrile temperature, headache pain.

In addition to toothache, Nimesil will also be useful in defeating musculoskeletal system, back pain, muscle pain, and with painful periods. The contents of the package are dissolved in half glasses of warm water, and drink after meals. It should not be taken more than 2 sachets per day, and the maximum course of treatment should not exceed 2 weeks. But usually in case of toothache literally about one or two days of admission. Releases Nimesil famous German company Berlin Chemie (Menarini group), and one small a package of 9 packages costs, on average, 320 rubles.

Advantages and disadvantages

Nimesulide acts quickly because it is not taken in tableted form, and in solution. Also a big plus is the opportunity to purchase separately in certain pharmacies one at a time or two bags, and the price of each fluctuates within no more than 40 rubles. But at the same time, Nimesil and its analogues have common contraindications, like and all NSAIDs. This is an aspirin intolerance, increased sensitivity, inflammatory diseases of the gastrointestinal a path, peptic ulcer of a stomach and a duodenum, an exacerbation chronic gastritis, especially in erosive form. Also Nimesil contraindicated in severe liver damage, as well as in violation blood coagulability with a tendency to hemorrhage and bleeding. It can not be used in children under the age of 12 years, as well as pregnant and lactating women. Of the side effects most often symptoms such as allergic itching and rash occur, but not more often, than in one percent of cases: most often occurs nausea, loose stools, abdominal discomfort. But usually these side effects are associated with large dosages. In that case, if Nimesil is taken according to indications and in dosage, do not exceeding 2 packets per day, and the course of admission is not longer than 3 days, then usually no unpleasant symptoms occur.


Rating: 4.6


Dexketoprofen is a modified ketoprofen molecule, that is ketonal. Dexalgin’s virtue is its powerful an analgesic effect that lasts short, but it comes very fast. Already 30 minutes after administration, a significant reduction of toothache, and this effect lasts, on average, 4-6 hours, maximum – 8. Highly recommended Dexalgin immediately before with a dentist (in 30 minutes).

Dexalgin is available in granules that serve to solution preparation. In one bag is 25 mg of the drug. The average dosage for severe toothache is one sachet 3 times a day every 8 hours, but not more than 3 sachets daily. The duration of admission should not exceed 5 days without doctor’s prescription. Produced by Dexalgin Company Berlin-Chemie Menarini, and a package of 10 sachets, designed for a three-day Reception, costs an average of 385 rubles.

Advantages and disadvantages

The advantage of Dexalgin will be the ability to quickly reduce pain syndrome, and protect yourself from painful unpleasant sensations in the event that you decide to go to the dentist. The disadvantage of the drug is a continuation of its advantage – short act. In the event that you want to protect yourself from dental pain at night, then you should not take Dexalgin, because he, Of course, it will help to fall asleep, but its action will weaken by the morning. Also the drug has common contraindications characteristic of ketoprofen and all NSAIDs. This is increased bleeding, ulcerative gastritis, aspirin asthma, severe liver and kidney damage, pregnancy, children’s age and the period of breastfeeding.

The best combined NSAIDs for toothache

In addition to monocomponent preparations that contain only one active substance, used in the treatment of toothache multicomponent drugs. In them except anesthetic base additional ingredients have been introduced, which have one or another effect. In some cases, it’s tonic effect, in some – soothing, in some – antiallergic. Consider the most commonly used drugs that can reduce the severity of pain in dentistry.


Rating: 4.9


Tempalgin is often prescribed by dentists after various manipulations, and its basis is metamizole sodium, or Analgin. But a component is added to the analgin that has anxiolytic effect. Anxiolytics are drugs that reduce anxiety, relax, provide tranquilizing act. In the event that the patient is going to visit the dentist doctor, this effect is often necessary. Anxiolytic the component enhances the analgesic effect of analgin because it changes the mental perception of pain. Tempalgin issued in tablets, each containing 500 mg of metamizole sodium and 20 mg anxiolytic component with the complex name 3-acetone aminotoluene sulfonate.

Apply Tempalgin with moderate pain you need one tablet from 1 to 3 times a day, but not more than 4 times per day. It is also recommended that you take one tablet half an hour before visit to the dentist. This will calm down and focus. Tempalgin is released by the Bulgarian company Sopharma, and one small a pack of 10 tablets costs, on average, 120 rubles.

Advantages and disadvantages

Anxiolytic effect is the main advantage of this facilities. Analgin alone is pretty weak pain medication, but if toothache is not strong, then Tempalgin is able to reduce her perception intensity and reassure the patient. Also, this tool has a very reasonable price and good portability. The only thing you need remember – this is the presence of general contraindications to the use of NSAIDs. TO these include renal and liver failure, depression hematopoiesis. Analgin can cause deterioration white blood during its prolonged use in large doses (induction agranulocytosis). Tempalgin is contraindicated in children. IN if it is used in a short course for one or two days before a dentist’s appointment, then he usually rescheduled well.


Rating: 4.8


Ibuklin is a combination of two active components, which, individually, also work very well. It is ibuprofen and paracetamol that are in one capsule almost equal ratios: ibuprofen 400 mg, and paracetamol 325 mg. Such The ratio allows them to mutually reinforce each other. Ibuklin successfully prescribed not only for toothache, but also for others a variety of pain syndromes, ranging from injuries, headaches, joint pain, and ending with aches throughout the body with flu.

Ibuklin is prescribed before or after a meal, one tablet three times in a day. It is not recommended to exceed this dosage: three tablets is the maximum daily dose. Official instruction imposes a limitation on the duration of use as anesthetic no more than 5 days. But in the dental practice with acute toothache for a long course of treatment and not required. Ibuklin is produced by the Indian company Dr. Reddis, and one pack of 10 tablets has a low price – 160 rubles.

Advantages and disadvantages

Ibuklin has a quick effect (45 minutes after reception), it can be used in many pain conditions. However Ibuklin is intended only for the relief of symptoms. He doesn’t affects the course of the disease, is not able to cope with microbial infection, and in the presence of pus, it will not help, since not has an antimicrobial effect. Actually the exact same the situation with all other anti-inflammatory drugs, reviewed above. But it is in the official instructions to Ibuklin this is indicated especially.

Ibuklin has exactly the same contraindications as in other cases: erosive gastritis, decreased blood clotting, peptic ulcer, aspirin intolerance, severe lesions liver and kidney, pregnancy and age up to 18 years. But usually alone or two days of taking this drug significantly improves quality life, and allow you to safely go to the dentist’s appointment.

Askofen-P (caffeine, paracetamol, acetylsalicylic acid)

Rating: 4.8


Finally, in conclusion, a review of combination drugs from the group NSAIDs, of which there are a great many, can be called simple Askofen-P. It contains aspirin, i.e. acetylsalicylic acid, caffeine and paracetamol. It anesthetizes, but it is indicated for weak severe pain syndrome. This situation may occur when scheduled visits to the dentist, as well as during the day after carried out manipulation. Also, the drug is indicated for other syndromes and pains of another etiology, for example, with neuralgia, muscle pain, sprains, pain in the lower back.

Askofen-P is available in tablets, and for toothache apply it is necessary one or two tablets two or three times a day, but not more than 6 tablets. Taking pills after meals is recommended, and you need to drink them with mineral water or milk. This requirement reduces the irritating effect of caffeine on gastrointestinal tract. Issues Askofen-P domestic Pharmstandard manufacturer, one pack of 10 tablets costs only only 35 rubles. This is the lowest price in the rating of funds for dental pains.

Advantages and disadvantages

The big advantage of Askofen-P will be low cost, prevalence in pharmacies of any form of ownership, as well as tonic effect due to caffeine. But on the other hand, his can not be used for general contraindications to the appointment of NSAIDs, which you can read above from the description of any drug. There may also be side effects associated with the effect. components. This is abdominal discomfort, diarrhea, nausea reduction appetite or skin rash.

In some cases, overdose symptoms are possible, which will be manifested by sweating, pallor of the skin, frequent contractions of the heart and ringing in the ears. It is necessary to accept activated carbon and call an ambulance for flushing the stomach. But such symptoms are very rare, exceptionally if used incorrectly. After all, Askofen is a drug that acts comfortable only with mild pain, and if a person there is a strong toothache, then he needs another remedy: for example, Ketanov or Dexalgin.

Best Topical Toothache Relievers

You can achieve an analgesic effect much faster, if you combine taking tablets with by local means. The simplest one that can be considered popular and very inexpensive – this is a mouthwash several times in day salt solution. Sodium draws water from the tissue, and therefore hypertonic saline helps reduce swelling, reduces pressure on the nerve and lowers pain. But there are others local drugs that act directly on receptors, or with antimicrobial activity.


Rating: 4.9


Everyone knows the magical effects of local anesthetics. If you if you hurt your finger, then you should spray it with novocaine solution lidocaine, then the finger as if freezes, and the pain disappears completely. You can do the same with a bad tooth. The only condition in which lidocaine can help is the presence of a cavity in the tooth, so that lidocaine reaches nerve endings and soft receptors tissues. To do this, moisten gauze turunda with a solution of 2% lidocaine, and carefully place it in the tooth cavity. For this purpose it is not recommended to take cotton balls, since a cotton ball is sometimes removed with great difficulty, and partially remain in the cavity of the tooth. To do this, you can successfully apply lidocaine, which is sold in ampoules, at a concentration of 2%. Its cost is only 40 rubles. for a package of 10 ampoules, and domestic Lidocaine is produced Grotex company.

Advantages and disadvantages

This method significantly reduces the severity of toothache, but not always working. If there is no cavity in the tooth, it is not applicable. Plus is the availability of lidocaine, its cheapness, but it is very bitter, and this is a minus, it can freeze the cheek, and as a result the tongue can often be bitten. Those side effects and contraindications, which are described in detail in the instructions, relate to parenteral administration, for example, intravenous. Exactly then side effects such as central oppression may develop nervous system, conduction disturbance of the heart nausea, sensation fever and other side effects. In the case when lidocaine it is applied in very small doses locally, as a rule, no side effects do not occur.

Kamistad – gel

Rating: 4.8

Kamistad - gel

Kamistad is also a local drug containing lidocaine. But besides this, it includes an antiseptic in the form of an extract of flowers pharmacy chamomile. Kamistad is made in the form of a gel. This the consistency allows it to penetrate deeply into the tissue, being applied to the oral mucosa or gums. Unlike a simple lidocaine solution that can only be used in a case of a tooth surface defect to penetrate, Kamistad – gel is successfully prescribed in case of toothache combined with gingivitis, stomatitis, as well as with teething in children. To apply it is necessary to squeeze a strip 5 mm long, and apply to the painful areas of the gums, which are next to a bad tooth. After that easy with massaging movements, this gel is rubbed into the desired place. Kamistad-gel is produced by the German company Stad, and the cost of one a tube of 10 grams is 310 rubles.

Advantages and disadvantages

The advantage of Kamistad will be the ability to influence inflammatory processes of superficially lying soft tissues, but in if the source of pain is deep-lying structures molars, it is unlikely to help. But in case if the patient has gum disease, there are symptoms of stomatitis, or toothache due to primary dental fit dentures, then this gel will be indispensable.

Metrogil – denta

Rating: 4.7

Metrogil - denta

Another very popular dental gel is Metrogil. Dent. This is the only drug from the rating of funds for dental pain, which contains an antimicrobial component – metronidazole. The second active substance is the antiseptic chlorhexidine. Metronidazole especially effective against anaerobic flora, chlorhexidine helps against microbes, both gram-positive and gram negative. This gel is indicated in complex therapy. various diseases of the oral cavity. Direct pain medication he does not have an effect, but if the patient has any infectious process of soft tissues, then it can prevent its spread to the gingival pockets of neighboring teeth, and stop the further development of the infection.

It is necessary to apply it, spread with a thin layer on the affected gum area, followed by gentle rubbing of the fingers. Apply Metrogil gel is needed 2 times a day. Also this tool applied after tooth extraction. In this case, the patient usually experiences moderate pain, but this does not hinder the treatment of the tooth hole with gel 3 once a day for a week. He is safe, but swallow it all not worth it, as metronidazole may cause toxic symptoms such as nausea and vomiting. One tube weighing 20 g costs 270 rubles, and produces Indian Metrogil Denta company Unique.

Advantages and disadvantages

The disadvantage of this gel is the inability to relieve pain in patient if there is a deep lying focus inflammation not related to gums and mucous membranes the oral cavity. But even in this case, this remedy will be wonderful. the ability to prevent the development of infection. In case if the patient uses Metrogil Dent in anticipation of the initial appointment with dentist, this risk is greatly reduced. Besides, Metrogil Denta has a very pleasant, refreshing taste.

Attention! This rating is subjective, not advertising and does not serve as a guide to the purchase. Before the purchase consultation with a specialist is necessary.

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