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Chill out ... and then warm up. "Timing is very important in order to relieve the pain of a pulled tooth. For the first 24 hours after the extraction, place an ice pack (wrapped in a towel) on the area outside the mouth where the tooth was pulled in order to prevent swelling--20 minutes on and 20 minutes off in order to minimize the swelling and pain," says Nabil Abaza, D.M.D., Ph.D., professor of dental medicine and oral and maxillofacial surgery at the Medical College of Pennsylvania Hospitals, Main Clinical Campus, in Philadelphia. "But after the first 24 hours, switch to gargling gently with warm salt water. The heat soothes, and the salt water helps prevent infection and remove any food particles." Swallow that pain reliever. Forget about placing aspirin directly on the socket to bring quick relief. "It's okay to swallow aspirin for the pain, but placing it directly on the gums causes a terrible irritation on the tissues," says Dr. Paist. If you're sensitive to aspirin, try swallowing ibuprofen (Advil) or acetaminophen (Tylenol). Also, don't give aspirin to children because of the risk of Reye's syndrome. Don't wait too long to get help. The longer you wait before getting a painful tooth pulled, the longer your pain will continue after its pulled. "Don't wait until you can no longer stand it before you see your dentist, because you will pay for it with more pain and infection," says Dr. Abaza. "The quicker a damaged tooth is removed, the easier it is to extract--and the less pain you will have in recovery."
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