For extreme pain, which typically arises from extra intensive procedures, such as bone removing, taking an opioid can provide additional aid if OTC pain medicines usually are not enough, Dionne says. In that case, your dentist should prescribe only sufficient to cowl the first two or three days after your procedure. After that, you need to have the power to comfortably transition to different forms of ache aid. Tramadol is a narcotic-like pain reliever.Tramadol is used to deal with moderate to severe ache.The extended-release form of tramadol is for around-the-clock treatment of pain. This form of tramadol just isn't for use on an as-needed basis for ache.