Wichita Falls Texas Oral Surgeon – Dr. Richard Urbanek, DDS, MS, PA


5 Eureka Circle, Suite B
Wichita Falls, TX 76308

Post-Operative Pain Control

Pain can be controlled at the site and in the brainCombinations of medicines work better.

Site Control

NSAIDs (nonsteroidal anti-inflammatory drugs)-Advil, Motrin (ibuprofen); Aleve, Naprosyn (naproxen); Celebrex (celecoxib), Voltaren (diclofenac); Mobic (meloxicam); Toradol (ketorolac); and Aspirin are examples.

Work against both pain and swelling.

Can cause kidney damage and stomach ulcers.  They can also increase bleeding. This is usually not an issue with oral surgery; local measures can be used to control this.

Brand names are better than generic.

Dosages:  Advil 200mg x 3, 3x a day; max 800mg 4x a day.  Aleve 220mg 2x a day; max 1500mg a day.  Max doses are for short periods of time only.


Central Control

Tylenol  500mg x2 up to 4x a day, max 4g (8 extra strength 500mg or 12 regular 325mg tablets).  Tylenol in large quantities can cause massive liver damage.

Ultram (tramadol) is a synthetic narcotic that works well by itself.  Typical dosage is 50mg every 4 hours.  Maximum is 8 per day.  Advil (or another NSAID) and/or Tylenol can be taken with this.

Tylenol with codeine is a preparation that works well for dental pain.  Advil or another NSAID can be taken with this.  Tylenol with codeine, take 1-2 every 4 hours.  Rate limiting factor is the Tylenol.  These have 300mg of Tylenol each.


Strategy for Pain Control

Combinations of medicines are safer, you have less chance of side effects.   They frequently help one another work better.

If not contraindicated, use your NSAID of choice plus Tylenol, may add Ultram.    OR    Take NSAID plus Tylenol with codeine.

Take Advil (or other NSAID) first regularly, add Tylenol regularly or as needed, add Ultram as needed.  Remove in reverse order when feeling better:  Stop narcotic first, then stop Tylenol, then stop NSAID.

Advil 600mg + Tylenol 500-650mg 3x a day works very well for dental pain.  Max dose is Advil 800mg + Tylenol 1000mg 4x a day.

Advil 600 mg 3x a day + Tylenol with codeine 1-2 every 4 hrs ONLY WHEN NEEDED.

Do not use any of these medications if you have allergies or reactions to them.  Talk to us if you have questions.