Hi..
Can understand your concern..
As per your complain stress have a deleterious effect on the body and the oral cavity.
Gum diseases caused by stress have a damaging effect on teeth as the hormones released due to stress leads to destruction to the gums as well as underlying bone.
Tramadol can be taken to control
severe pain but only for short duration as it is NARCOTIC DRUG and long term usage can lead to addiction.
So it should be taken after consultation with your
dentist who known your complete medical and dental history.
Other painkillers which you can take in place of
paracetamol are Ibuprofen
Diclofenac Potassium, etc. which are safer and does not cause addiction.
Maintain a good
oral hygiene and practice stress relieving methods like meditation and yoga for improvement of oral heath and overall health.
Hope your query is solved..
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Thanks and regards..
Dr.Honey Nandwani Arora.