Toothache

Question 1

Does toothache require a counselling room?

Answer 1

No

Question 2

What are 7 red flags for referral with toothache?

Answer 2

1. Tooth decay
2. Trauma to tooth
3. Chipped tooth
4. Dental abscess
5. Loose or broken filling
6. Infection
7. Problems with braces

Question 3

Does toothache have a PSA self-care card?

Answer 3

No

Question 4

What is the preferred over-the-counter treatment option for toothache?

Answer 4

Paracetamol

Question 5

What are the directions for paracetamol in toothache?

Answer 5

15 mg/kg (up to 1,000 mg) every FOUR to SIX hours. Maximum of 60 mg/kg (up to 4,000 mg) in 24 hours.

Question 6

What are 2 non-preferred over-the-counter options for toothache and why?

Answer 6

1. NSAIDs: increased risk of adverse effects
2. Seda 2.5% Lotion (Lignocaine 2.5%): disrupts eating and drinking

Question 7

Is paracetamol safe in pregnancy?

Answer 7

Yes

Question 8

Is paracetamol safe in breastfeeding?

Answer 8

Yes

Question 9

What is the age range for paracetamol?

Answer 9

Safe in infants over 1 month

Question 10

What are 2 pieces of non-pharmacological advice for toothache?

Answer 10

1. Dental therapy is best option for pain relief: provide symptomatic relief and refer
2. Ask about dental hygiene to how frequently brush teeth, types of mouthwashes used, last time saw dentist