D.C.
I would rub motrin/tylenol directly into the gums. It was suggested by my doctor (who says orajel only works for less than a few minutes.) It worked wonderfully and I gave my kids most of their dose and then took the remainder and rubbed it directly into the gums and it help quite a lot. I also have a fabulous pediatric dentist if you feel the need to go and would gladly pass on his information if you want to go that route.