It is an old home remedy: crush an aspirin or tuck a tablet against the sore tooth. Unfortunately, it does not work the way people hope, and it can make things worse. Aspirin relieves pain only after it is swallowed and absorbed. Placed directly on the gum, it can burn the tissue.
Why shouldn't you put aspirin on your gum?
Aspirin is acidic. When a tablet sits against the soft tissue of the mouth, it can cause a chemical burn, sometimes called an aspirin burn. The area typically turns white, wrinkled or peeling and becomes painful and raw. Now you have two problems: the original toothache and a burned gum. MedlinePlus specifically advises not to put aspirin on the tooth or gums.
What actually helps tooth pain?
- Swallowed pain relievers. For adults who can take them safely, the American Dental Association recommends nonsteroidal anti-inflammatory drugs such as ibuprofen or naproxen, with or without acetaminophen, as the first choice for dental pain. Follow the label directions and ask a pharmacist if you take other medications or have a medical condition.
- A warm salt water rinse to keep the area clean. See how to make one.
- A cold compress on the outside of the cheek for swelling.
- Soft foods and chewing on the other side.
Is aspirin safe to swallow for a toothache?
For many adults, swallowed aspirin taken as directed is an option, but it is not right for everyone. Aspirin should not be given to children or teenagers because of the risk of Reye's syndrome. It also affects blood clotting, so it may not be appropriate before a dental procedure, for people taking blood thinners or for those with certain medical conditions. Check with your physician or pharmacist.
What if I already put aspirin on my gum?
- Remove any remaining tablet and rinse your mouth with water.
- Avoid spicy, acidic, crunchy or very hot foods while it heals.
- Keep brushing gently around the area.
- Most minor aspirin burns heal on their own within one to two weeks.
See a dentist if the area is not improving, is very painful or you cannot tell whether a sore is a burn or something else.
Pain relievers only buy time
A toothache is a symptom. Medication can make you comfortable, but it does not fix decay, a crack or an infected nerve. Toothache that lasts more than two days, pain with biting, swelling or a toothache with a fever all need an examination. Treatment may be as simple as a filling or may involve root canal treatment.
Toothache care in Palo Alto
If you have tooth pain in Palo Alto, Menlo Park, Los Altos or Stanford, Palo Alto Oral Health can find the cause and get you comfortable. Call (650) 321-9693, visit our urgent dental care page or request an appointment.
Sources
ADA News: Guideline on Managing Dental Pain
This article provides general education and does not replace advice from your dentist, physician or pharmacist.
