How do I use lidocaine (local anesthetic) spray for toothache pain relief?

Medical Advisory BoardAll articles are reviewed for accuracy by our Medical Advisory Board
Educational purpose only • Exercise caution as content is pending human review
Article Review Status
Submitted
Under Review
Approved

Last updated: July 13, 2025View editorial policy

Personalize

Help us tailor your experience

Which best describes you? Your choice helps us use language that's most understandable for you.

How to Use Lidocaine Spray for Toothache

Lidocaine spray should be applied directly to the painful area of the gum or tooth for 3-5 seconds, waiting 4-5 minutes for maximum effect, and should not be used more than 4 times daily to avoid toxicity. While lidocaine spray can provide temporary relief for toothache pain, it's important to use it correctly to ensure safety and effectiveness.

Proper Application Technique

  1. Before application:

    • Rinse your mouth with water to clean the area
    • Dry the painful area with a clean tissue or cotton swab
    • Check the product label for specific concentration (typically 4-5%)
  2. Application method:

    • Spray directly onto the painful area (tooth/surrounding gum)
    • Apply for 3-5 seconds only
    • Avoid spraying toward the back of the throat
    • Do not swallow the medication
  3. Timing considerations:

    • Maximum pain relief occurs 4-5 minutes after application 1
    • Pain relief typically lasts for about 15-30 minutes
    • The optimal window for pain relief is between 3-8 minutes after application 1

Safety Precautions

  • Maximum frequency: Do not use more than 4 times daily
  • Maximum duration: Do not use continuously for more than 7 days
  • Avoid combining with other local anesthetics including:
    • Other lidocaine products (gels, patches)
    • Benzocaine products
    • Topical anesthetics 2

Warning Signs of Toxicity

Stop using and seek medical attention if you experience:

  • Dizziness or lightheadedness
  • Confusion or drowsiness
  • Numbness around the mouth or tongue that spreads beyond the application area
  • Visual disturbances
  • Ringing in the ears
  • Metallic taste 2

Special Considerations

  • Not for intact skin: Lidocaine spray is effective on mucous membranes (like gums) but ineffective on intact skin 2
  • Temporary solution only: Lidocaine provides symptomatic relief but doesn't treat the underlying cause of toothache
  • Avoid in certain conditions:
    • Known allergy to lidocaine or similar anesthetics
    • Severe heart disease
    • Liver disease
    • Open wounds or severely traumatized tissue in the mouth 2

Remember that while lidocaine spray can provide temporary relief, it's important to seek dental care for proper diagnosis and treatment of the underlying cause of your toothache.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

Have a follow-up question?

Our Medical A.I. is used by practicing medical doctors at top research institutions around the world. Ask any follow up question and get world-class guideline-backed answers instantly.