New guidelines concerning treating short-team dental pain in children were released by the American Dental Association (ADA) after being developed by the ADA Science & Research Institute in Chicago, the University of Pittsburgh School of Dental Medicine, and the Center for Integrative Global Oral Health at the University of Pennsylvania School of Dental Medicine. Children having short-term dental pain from extractions or toothache should not be prescribed opioids but rather manage those aches with over-the-counter ibuprofen and/or acetaminophen.
The guidelines align with U.S. Food and Drug Administration recommendations from 2017, which advised against the use of codeine and tramadol in children under age 12.