Ibuprofen (Advil) and acetaminophen/paracetamol (Tylenol). Take max dosage but alternate them. Read the bottle and don’t quote me, but it’s something like 800mg ibuprofen every 8 hours and 1000mg of paracetamol every 6. So take ibuprofen, 3-4 hours later take paracetamol, then back and forth. Do not exceed 2400/4000 or whatever your bottle says.

That’s the method I was taught to get the most/longest pain relief with OTC.

If you can get your hands on some old viox that would help. It was amazing for tooth pain.

Cocaine. Seriously.

Holy shit… When I got my wisdom teeth out, I literally broke down in tears after being awake for 20 minutes without Percocet

Friend, it’s ok to take opiates sometimes…

Kratom could be an option. You make it into tea, the first cup is a weak stimulant, the second (on an empty stomach) will start to work as a weak opiate. The third or fourth might give you stronger relief. The red strains are supposedly better for pain relief

You can’t OD on it, it’s commonly available in head shops or online. The addiction potential is very low, you’ll make yourself nauseous before getting what you’d get out of normal opiates. It’s most closely related to the coffee plant - the toxicity concerns are all about contamination, the plant itself is pretty innocuous

I can give brewing instructions if anyone wants to go down that path, I drink it for anxiety but others say it helps with pain management

Combined Tylenol and ibuprofen is probably your best bet otc.

Like Motrin.

When my wisdom tooth were pulled the only thing that seemed to help was to double up on some otc painkillers and take them together - acetaminophen and ibuprofen together worked the best. Look into it, I’m not a doctor etc etc

oxycodone

Clove oil. You can get it in a tiny vial at the chemist. You pick off small bits of cotton, roll them into little balls, and dip into the clove oil. Wring out most of it against the side of the bottle, then place directly on the site of pain and bite.

In your case you might want to make strips of cotton or something.

It tastes absolutely horrible and will make your whole mouth numb, but it is antiseptic and will give you enough relief to sleep.

I had a friend do this. It was utter misery for over a year. Most of his teeth were shattered, so he had to wait for a lot of fragments to expel naturally.

Do not discount pain management that involves opioids. Not saying to use them for weeks nor do I know your personality for bad habits, but if it gets bad please don’t suffer for no reason. Getting ibuprofen or acetaminophen with low dose codine may be a good middle ground and is even available over the counter in some countries. Extended pain is mentally exhausting and isn’t worth the hit on your mental health.

f you are struggling taking pills, get liquid ibuprofen. Sometimes you can get a chemist to make a suspension for you, otherwise get childrens. I do that if my throat gets too infected and I am unable to swallow. Honestly, it works far better than the pills and I needed a lot less.

Best thing is to be honest with your doctors, even if you do not want anything stronger. Be sure to communicate any discomfort due to ill fitting dentures. Ask questions if anything unexpected comes up. My friend’s doctor was super shitty and didn’t even tell him about all of the left over fragments that still had to come out on their own.

Damn, man, with all your teeth gone, I guess the universe is telling you it’s time to switch to IV, huh? No more chomping down on the pipe—now you’ve got the perfect excuse to go straight to the veins. On the bright side, at least you don’t have to worry about your teeth falling out anymore—they’re already gone! Looks like it’s all about that gum game now, right?

Omigod you poor thing.

Hi. You’ve gotten a lot of comments already. I hope this one is not lost in the pile.

When I was 39 I had all my remaining teeth extracted in one go. There were somewhere between 12 and 18, since many were remnants and not whole teeth.

Due to the fact that previously in my life I had addictions of many kinds, mostly alcohol and meth related, I was not prescribed opiates. When the procedure was done, I was awake and given only a local anesthetic.

After they were removed, I was given Amoxicillin (antibiotic) and Prednisone (steriod). They recommended I take Ibuprofen and to avoid acetaminophen (same as paracetamol i think). The latter due to many over the counter versions of it have caffiene. That brings me to my first advice.

Avoid caffeine at all costs. It will increase your pain, make you edgier and you may grind your gums in your sleep. Check your paracetamol packaging, make sure it does not have caffeine. You might want to avoid it regardless because it can irritate your stomach lining and you’ll be swallowing a lot of blood which increases your chance of vomiting.

If you vomit, you will almost certainly get dry socket.

You do not want dry socket.

Ice cream is painful. Anything too cold or too hot is painful. Soup should be room temperature.

Bouillon cubes aren’t bad, if you can get liquid soup stock or broth, it works better.

Do not eat breads for at least a week or two. It sticks to you clots. That can easily lead to dry socket.

You do not want dry socket.

Same thing with (american) bananas. They might seem perfect but they can cause dry socket potentially from their stickiness.

I have had dry socket. Once from smoking cigarettes. Once from being clumsy with a spoon. It was the worst pain of my life until I had to pass a few kidney stones.

Avoid foods that require cooking. You don’t want to cook.

One a day shakes should be your new best friend. Meal replacement shakes. Here in the states they come in chocolate and vanilla and don’t taste terrible. Brands include Ensure, Boost, Slimfast and a ton of others. They are packed with protein. They often have vitamins in them too. You can just pour the shake right into the back of your gullet. Bypass your gums and tongue entirely.

Another medication to consider is sleeping pills. I’m spelling them wrong but see if you can get Amitryptaline or Tramadol. Sleep as much as you can while your body heals.

Water, water, water.

Drink at least 2 liters a day. Never drink more than 1 liter in an 8 hour period because water poisoning is very uncomfortable. If your pee is clear, you don’t need to drink water for awhile. The better hydrated you are, the faster you will heal. Drink a lot of water after drinking one of those meal replacement shakes if you can find them. Your body will absorb the water better. Same applies to the soup stock.

On that note, shower. If it is too painful, take a bath. Again, this helps you stay hydrated, plus is will improve your mood possibly, which in itself can ease the pain.

Move. Walk around the block if you can. You want to get your heart rate up and keep it up for about 15 minutes, twice a day. Again, this helps your body heal faster. Walking is great unless you are a daily runner, in which case run. Walking is enough for most people.

A perfect routine would be:

1. Wake up. Drink some water.
2. Drink a protein shake and some water. Take your medications with them.
3. Walk around the block. Or if unsafe or to pained, walk in place. Get that heart rate up.
4. Shower or bath.
5. Go back to sleep.
6. Repeat 3-4x per day, depending on how much you can sleep. It gets harder to sleep the more your do it. The exercise helps a lot.

I am not a dentist or medical professional.

I am not a professional of any kind.

This advice is all from personal experience.

Here’s some useless personal information that can be skipped:

December of 2021 when my teeth were all removed. Since then I have gotten dentures. They didn’t fit and hurt to wear and needed adjustments, but the dentist that made them quit the business a week after I got them. Other dentists would not take my insurance or work on them for liability purposes. Sucks being in america. I opted to get implants instead. I’m supposed to have a full set of teeth in about a month, at age 42, for the first time in my entire adult life.

Good luck. May dry socket never happen to you.

Edit after reading a few of the comments here.

Fuck these naysayers that think you’re making this up. Even if you are, fuck 'em. Trying to shit on a person while they are already down. No benefit at all, just cynics, they’re disgusting.

I’m going to add that my teeth were in terrible shape long before I had addiction problems. My dental problems were due to braces getting fucked up and mangled beyond belief by a scammy dentist/ortho.

Medicaid and Medicare can be free healthcare in the states. While I don’t think OP is in the states, it is a thing that the poorest of people can receive and the care is exactly what you pay for. All the questions about speaking to a doctor or the dentist about pain management are laughable, knowing that for the poor in the states, that simply doesn’t happen in many areas.

People saying OP deserved it from not brushing or questions about how one could need a full extraction at age 40 are ignorant and can’t summon even the smallest bit of empathy. These types along with the naysayers can go fuck off back to reddit or 4chan or whereever they came from. They are not adding to the conversation.

If you have read all this, anyone not just OP, I hope you have a nice day.

Just had mine yeeted 3 weeks ago… and the pain was a relief compared to the pain I was in before… I got by the first couple of days with the oxcodone the doc prescribed in addition to 800mg ibuprofen. After 2 days or so I stopped taking the oxy and took the ibuprofen only for the next week until the big pills were gone and then periodically just taking 400mg as needed for pain. 3 weeks later and there’s no more pain at all and I have started eating things a little more solid woth the dentures I got…

Flanders, Belgium

Sorry about that dude! This doesn’t help with the pain right now, but they’ve just started human trials on a new therapy that re-enables your tooth buds, allowing you to grow a new set of adult teeth. Maybe it’ll be available soonish 🤞

https://www.newsnationnow.com/health/tooth-regrow-drug-dental-health/