Researchers analyzed five reviews of studies of medication and medication combinations for pain relief. They included only reviews of high or moderate methodological quality.
The data included several randomized trials on the use of oral medication for the most severe kinds of postoperative dental pain. More than three dozen drugs and drug combinations were tested in various dosages and applications. The study was published in The Journal of the American Dental Association.
The researchers conclude that the most effective pain relief with the fewest side effects resulted from a combination of 400 milligrams of ibuprofen (Advil) with 1,000 milligrams of acetaminophen (Tylenol). No opioid-containing medicine or any other combination of drugs was more effective than common over the counter pain pills.
We have a conservative approach and rarely prescribe more than 7 opioid pills at a time. Generally, we prescribe the common over the counter pain pills like the study indicates.
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Novy Scheinfeld, DDS, PC
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