Aspirin next to your tooth helps your heart and not your toothache

Since publishing Dental MythBuster #5 – Placing aspirin on a tooth cures a toothache, the post has racked up over 47,000 views and averages approximately 100 per day (as of March 2016). No wonder. People are always looking for home remedies and a do-it-yourself solution for a toothache is searched upon quite often.

low_dose_aspirin

Placing this next to your tooth might give you an unexpected reaction

Many have posted comments claiming I am wrong.  But the only piece of evidence offered by the posters is simply a summary of their own personal experience(s). It goes something like this:

I did it – and the pain went away – so it works – so you’re wrong.

Making broad generalizations based upon one single experience does not prove anything. What if I wrote this:

I smoked 2 packs a day for fifty years and I don’t have lung cancer. So cigarettes must not cause lung cancer then.

Would you agree with that person? Or would you say – everyone knows smoking will cause lung cancer – you can’t generalize based on one experience.

A Home Remedy for a Heart Attack

No, this is not a joke. I am bringing up this specific example to show that placing an aspirin next to a broken tooth will do more for your heart than the tooth!

Many readers know that if/when a heart attack is suspected, one of the first things you are supposed to do (besides calling 911) is to chew on an aspirin. Note that we said chew and not swallow. There are literally hundreds of sources for this, including the Red Cross and the American Heart Association. In fact, it is a critical part of the BLS/CPR algorithm (here is a link from the New York Times).

broken tooth showing where you should NOT put an aspirin

Placing aspirin next to this broken tooth will result in burned gums and a healthy heart but no toothache relief.

Why should you chew and not swallow the aspirin?

Simple. Because the thin mucous membrane of the mouth – especially under the tongue – allows for the aspirin to be absorbed into the bloodstream quickly. In this study, chewed aspirin exerted its desired effect almost two and half times faster than aspirin that was swallowed.

So, to summarize, when you place an aspirin in most areas of the mouth, it goes into the bloodstream quickly and goes to exert its effects on the heart and other organs – all far away from the mouth.

But What about the Tooth?

So if the asprin is absorbed and enters the bloodstream, how does it help the tooth? It doesn’t. Or more accurately, for toothache relief, it doesn’t matter whether you swallow, chew, or place the aspirin next to the tooth.

aspirin for a toothache

For a toothache, it doesn’t matter if you chew or swallow.

To those who are still claiming that placement of an aspirin next to the tooth will cure a toothache, I’ll ask this question:

How does the aspirin know to leave the mouth and go to the coronary arteries of a heart attack victim but to stay next to a throbbing tooth?

It doesn’t. This is why placement of an aspirin next a tooth won’t work any more effectively for toothache than swallowing it. The only difference is that you can get a nasty chemical burn of your gums (as seen in the first post).

Comments

  1. I only wish I would of read this sooner I put aspirin next to my tooth exactly two times now it hurts much much more, I burned the hell out of my gum and tissue next to tooth. My mother in law gave me that bright idea

  2. It’s not completely illogical to assume that local/”topical” application of an anti-inflammatory will help with tooth pain. Afterall, people say that topical anbesol will numb their tooth pain. Why does the anti-inflammatory need to reach the bloodstream?

    • Dave,

      The post is not trying to claim that placing aspirin directly next to your tooth will not help. Rather, the article is showing that, if the aspirin is placed intraorally, the vast majority of the medication will be absorbed into the bloodstream and be taken AWAY from the source of the pain. The classic example of this is when you chew an aspirin when there is a suspected heart attack. On chewing it, much of the aspirin is taken away from the oral cavity where it can then travel to the heart and hopefully break up a clot.

      Other medications – such as anbesol – are formulated differently than an aspirin pill and may provide more relief. There are many pharmacological factors at play here – lipid solubility, protein binding, etc – which impact the degree of absorption through the oral mucosa. Those types of medications are more likely to help and are less likely to damage the gums.

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