Dental Analgesia — ORE Part 1 MCQ
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Correct answer: C — Ibuprofen 400 mg or paracetamol 1 g
**A is correct.** For an adult with moderate dental pain and no relevant contraindications, SDCEP recommends either ibuprofen 400 mg or paracetamol 1 g, taken at appropriate intervals without exceeding maximum daily doses. Ibuprofen and paracetamol may also be used together when clinically appropriate, but the decisive first-line choices are these simple non-opioid analgesics. Codeine and tramadol are opioid analgesics and are not routine first-line management for uncomplicated dental pain. Diclofenac is an NSAID, but it is not the SDCEP first-line regimen specified for moderate dental pain; aspirin is also unsuitable as a routine choice, particularly where bleeding is relevant. Definitive dental treatment remains necessary because analgesia does not treat the cause of dental pain.
Reference: Scottish Dental Clinical Effectiveness Programme (SDCEP). Emergency Dental Care: Analgesic advice, 2021. https://www.sdcep.org.uk/media/wfrjkqax/edc-guidance.pdf