For severe dental pain, one of the recommended protocols is Motrin (ibuprofen) 600mg every six hours, in combination with two tablets of Percocet Endo (5mg oxycodone and 325mg acetaminophen per tablet) every 6 hours. This multimodal approach affects a number of pain pathways and mediators. As always, close examination of the patient's individual medical history is needed and the use of percocet should be limited due to its street desirability and addictive properties.
Source: Frydman W, Effective Post-Surgical Pain Management, Oral Health, June 2010, Vol 100, No 6, pg 27-38.
Hans Skariah, B.Sc., DMD
Promenade Court Dental Health Group in Mississauga
2233 Hurontario St., Mississauga, ON, Canada
(1/2 km north of the QEW in the Dome Building)