Disclaimer
Texas Oral and Facial Surgery, P. A.
To relieve pain:

You should take 600 mg to 800 mg of Ibuprophen (Advil, Motrin)
prior to the local anesthesia wearing off.  Than take 600 mg
every 6 to 8 hours after that for at least 2 to 3 days. Ibuprophen
in these dosages is a great antiinflammatory and has been shown
to reduce pain better than Vicodin for oral and maxillofacial
surgery procedures. You may take the prescribed pain medicine
as needed
in addition to ibuprophen.
For mild discomfort take over the counter doses of Tylenol and/or
Ibuprofen every three to four hours.
When taking the prescribed pain medication, you should take it
with food. Otherwise you are likely to become nauseated.  
Another way to treat severe pain is to take Tylenol 650 mg as
often as every 4 hours
AND ibuprophen 600 mg every 6 hours
(or 800 mg every 8 hours).
Do not take Tylenol and the prescribed pain medication within 4
hours of each other, because the prescribed pain medication has
Tylenol in it.
Reduce your activity as much as possible for the day of surgery
and at least 2 days after. Then slowly return to your normal
routine over 2 to 4 days.
 If you are active too soon, you will
have much more pain.
Use Ice packs as directed only for the first 24 to 36 hours.
Keep your head elevated.
DO NOT TAKE THE PRESCRIBED PAIN MEDICATION FOR
HEADACHES.
If you are experiencing headaches, they are often
rebound headaches from the Tylenol (acetaminophen) and
narcotics in the prescribed pain medication.  The headache may
go away for a short time but return as bad or worse shortly after
that. Consider using Ibuprophen (Motrin, Advil) rather than the
prescribed medication if you are experiencing headaches.
If you are experiencing pain that is not relieved by Ibuprophen or
the prescribed pain medication it may be dry socket.  If you have
tried Ibuprophen and the prescribed pain medications as noted
above and this is not working, call our office.