From the Research
Ketorolac (Toradol) is not the preferred first-line treatment for dental abscess pain due to its potential side effects and the availability of safer alternatives. For dental abscesses, the primary treatment should focus on addressing the infection through dental procedures (like drainage, root canal, or extraction) and antibiotics when indicated. The most recent and highest quality study 1 recommends nonopioid medications, such as nonsteroidal anti-inflammatory drugs (NSAIDs) alone or in combination with acetaminophen, as the first-line therapy for managing acute dental pain. This approach is supported by the American Dental Association Science and Research Institute, which suggests that NSAIDs and acetaminophen provide superior pain relief with a more favorable safety profile compared to opioids. Some key points to consider when managing dental abscess pain include:
- The use of ibuprofen (400-600mg every 6 hours) and acetaminophen (500-1000mg every 6 hours, not exceeding 4000mg daily) as a safer alternative to ketorolac for pain management.
- The potential risks associated with ketorolac, including gastrointestinal bleeding, kidney damage, and cardiovascular events, particularly in elderly patients or those with certain medical conditions.
- The importance of avoiding the routine use of opioids and exercising caution when prescribing them to adolescents and young adults. It is essential to prioritize the patient's safety and well-being when selecting a treatment option for dental abscess pain, and to consider the most recent and highest quality evidence available 1.