Antibiotics are used to combat a wide range of infections.
Drugs of choice for dental infections are Penicillin or Amoxicillin.
Dentists have used these drugs for years as first line defense medications.
I render emergency dental care in Kansas City.
Patients enter the offices of dentists with infections of the mouth and jaw structures each and every day.
We respond quickly with antibiotics to reduce pain and suffering.
After a patient has been placed on these first line defense drugs, re-evaluation is a good idea to monitor their effectiveness.
If there is no response in 48-72 hours the best choice is Clindamycin, Cephalexin or Dicloxacillin.
Some dentist elect to use the combination Metronidazole along with Amoxicillin.
Metronidazole is also known as Flagyl used to treat a variety of infections. It works by stopping the growth of bacteria and protozoal infections.
Unnecessary use or abuse of any antibiotic can lead to its decreased affectiveness.
Abscess formation deep within oral tissues have the potential to harbor protozoa organisms that respond to the proper dose of Metronidazole.
If no response to Cephalexin, Dicloxacillin or the combination Metronidazole and Amoxicillin in 24-48 hours, a dentist can use Clindamycin along with incision and drainage when necessary.
Patients allergic to Penicillin will be given Clindamycin as the drug of first choice.
If there is no response in 48-72 hours, Azithromycin (Zithromax) is given.
With no response to the above protocol, refer to or consult with an oral surgeon, endodontist, or an infectious disease physician.
If the infection persists and the patient is taking medication for the preservation of brittle bones called bisphosphonates, consider the possibility of bisphosphonate associated bone destruction known as osteo-necrosis.
Bacterial infections are treated with Amoxicillin, Augmentin, Cephalexin, Clindamycin, Dicloxacillin, Erythromycin, Metronidazole, Penicillin, and Zithromax.
Augmentin is Amoxicillin protected from the enzyme penicillinase by clavulanate.
All antibiotics have the risk of pseudo-membranous colitis, especially clindamycin.
Erythromycin has a high risk for drug-drug interactions and stomach upset. There is also the risk here of cardiac problems.
During and after the treatment of antibiotics some patients experience yeast infections.
The anti-fungal drug Diflucan can be given to treat the yeast infection.
Use this information to communicate with your dentist as you are taking antibiotics for the treatment of bacterial infections.
From the Diary of my enlightenment,
Artis L. Clark, D.D. S. https://dentist4you.biz
Reference: The Little Dental Drug Booklet