Well, as trivial as it may seem to some, we have successfully identified that Acetaminophen and Ibuprofen handle pain in different ways. For whatever reason, Acetaminophen is taking care of Sam's teething pain to the degree beyond what Ibuprofen was helping him. He slept with Aimee in our bed this morning for 3 hours after waking up at 6:45 this morning, screaming. Aimee sat with him for awhile, after giving him the Acetaminophen, thinking he may want to nurse but when he didn't and just wanted to lay his head down on her shoulder, she laid down in the bed with him on her chest and he zonked out. (Wow that was a run on). Anywho, after about 20 minutes he was so out that she rolled him over and he slept there until 10am.

He had a low grade fever of around 101.5 when he woke up screaming, so there may be something else he is fighting cold wise. I doubt that the teething is causing all of that. I haven't felt too good the past couple days either, so we may be sharing something in that manner.
Luckily we got this game plan last night after 3 days of dealing with him and us just being desperate for relief. We decided we needed to go get some other Acetaminophen, since the Tylenol suspension we had was in the recent recall, and try it to see if it may help more than the Ibuprofen. Thank you fiends of other babies with teething issues for suggesting this in general; I just wish it would have dawned on us that it was his teeth that were the real issue and the Ibuprofen was just not relieving it.
Evidently his teeth are really bothering him, cuz this cut the pain, allowing him to sleep long this morning, have a cordial morning with Aimee, take an hour nap this afternoon, and did ok tonight when we went to the Birth to Three class that is kinda late for his normal bed time. You could still tell he wasn't feeling all that well, but he played in the other room for the first half hour of the class. He ended up sitting the last part of the class in my lap, very relaxed and content since I gave him another dose of Acetaminophen, instead of playing in the other room with the other kids. He felt quite warm, so figured his temp was on the rise again.
He ended up the evening with another 101.6 temp before bed and hopefully the Acetaminophen will keep it down overnight so he can fight whatever it is without having the dangerous high temp that would require intervention on our part. He was asleep on my lap almost as soon as the light went out tonight and he didn't even barely stir when I laid him in bed.
Sick babies are not fun; I hate not getting it right at first and needing to work through the options until something works... I guess you try your best and the rest is up to God to guide the way. Thanks for all the prayers and well wishes while we figured this out.
BTW, I don't like typing Acetaminophen.