Facial Swelling With Infection
For children with dental infections, antibiotics from the penicillin class are the most popular choice.
Your dentist may decide that additional supplemental antibiotics such as metronidazole may be needed if the infection is caused by anaerobic bacteriabacteria that don’t require oxygen and are most commonly found in the gastrointestinal tract.
Signs Your Tooth Is Infected
If youve ever experienced a tooth infection, you know it can be very uncomfortable. A tooth infection is typically accompanied with a pocket of pus caused by a bacterial infection. The abscess can be found anywhere in the mouth.
There are two types of abscesses. A periapical abscess occurs at the tip of the root, whereas a periodontal abscess occurs in the gums, usually near the side of the tooth.
A periapical tooth abscess usually occurs as a result of an untreated dental cavity. If the interior of your tooth , encounters any unknown substance, it can inflame the blood vessels and nerves, impacting the tooth enamel. Endodontic treatment helps treat tooth decay and other infected materials to help seal and fight future infections.
Rick Davis, DDS, and Rick Schwartz, DDS, are experts in endodontics at Endodontic Consultants of San Antonio. If you are experiencing severe tooth pain, visit a specialist who can diagnose and help treat it.
Can You Treat A Tooth Infection Without Antibiotics
There are ways to relieve the pain and swelling associated with your infected tooth. Saltwater rinses with or without baking soda, hydrogen peroxide rinses, and cold compresses can all help with these symptoms. See a dentist right away if you have any symptoms, because an infection is unlikely to go away without treatment.
A cavity can be filled, and pulpitis can also be treated with a dental procedure. You may not need antibiotics. But depending on how bad the infection is, you might need a root canal or removal of the tooth.
If you have an abscess, it needs to be drained. Your dentist will probably also prescribe antibiotics to get rid of any bacteria that are still in the area.
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Treatment For A Gum Abscess
Keep in mind that a gum abscess will not completely heal on its own. Its important that you see a dentist to begin treatment.
Treatment for a gum abscess involves draining the abscess and removing any debris in your periodontal pocket. Your dentist may suggest a deep cleaning procedure called scaling and root planning. This procedure removes plaque and tartar from above and beneath the gum line.
Draining the abscess is necessary to remove the infection and prevent complications. This procedure involves cutting an incision in the abscess. Your dentist may apply numbing cream to the area before beginning the procedure.
Your doctor can use your dental X-ray to determine whether your gum abscess has resulted in bone loss. Depending on the extent of bone loss, your dentist may choose to extract a tooth. They may also recommend a procedure to regenerate lost bone or gum tissue.
A gum abscess can sometimes affect the pulp, which is the center of the tooth. The pulp is made up of blood vessels, nerves, and connective tissue. If the pulp is affected, you may need a root canal to remove the damaged section of the tooth.
Which Antibiotics Work Best For Tooth Infections:
To reach a conclusion we first need to understand a few things.
Firstly, the severity of a tooth infections depends on the individual, and it needs to be addressed by your dentist. When you go for the check-up, make sure that you get to know about the type of abscess/infection you are suffering from. Which antibiotic to use depends upon the final diagnosis. It is critical to analyze which antibiotic will suit a particular infection. Also, misuse of antibiotics can put a patient to risk. Drug resistance by a particular bacteria is a major drawback. Therefore, analyzing the diagnosis and prescribing the antibiotic accordingly is the first step.
Some indications for the dosage of different antibiotics are as follows:
Doxycycline 100 mg once daily. It is the lowest dosage of all antibiotics.
Amoxycillin 500 mg thrice daily.
Penicillin VK 300-600 mg four times/day.
Cephalexin 250-500 mg four times/day.
Erythromycin 250-500 mg four times/day.
Metronidazole 250-500 mg thrice/day.
Tetracycline 250-500 mg four times/day.
Clindamycin 150-300 mg four times/day.
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For The Treatment Of A Bacterial Infection You May Be Prescribed:
- Topical antibiotics
- Oral antibiotics
- Injectable antibiotics
The composition of antibiotics may include one or several active ingredients, the dosage of which is indicated in milligrams. If you can not find the antibiotic that was prescribed for you, ask your questions about the available antibiotics by phone, or get your questions answered by an email.
What You Should Know About Antibiotics
Antibiotics are drugs that especially treat bacterial infection. You may wonder your doctor will never prescribe any antibiotic until he gets to see you first. He first needs to check whether what youre suffering is bacterial or viral infection. This is because viruses dont respond to antibiotics. If you have a simple flu, the doctor never gives you antibiotics.
Basic knowledge in the difference between bacterial and viral illness may enlighten you, save yourself from worsening, infection, money and time. Here are four tips to guide you in identifying if your infection is bacterial or viral. Take this advice only if you cant see a doctor.
- A bacterial illness causes fever. A viral infection doesnt cause fever.
- Bacterial infection lasts longer than 10 days while viral infection lasts 2 to 10 days.
- Bacteria usually cause site-specific symptoms such as those in sinuses, chest or throat. Viral infection normally causes wide-spread symptoms.
- A bacterial illness typically produces phlegm . Viral infection may only produce clear or cloudy mucus.
Typical antibiotic treatment last for 10-14 days. If symptoms persist such as neck pain, severe headache and persistent nausea, its best to see a doctor. This would be the worst thing to happen. However, if you are alert enough to see some symptoms, you become eager to get some antibiotics. Unfortunately, you cant buy antibiotics in US without the doctors prescription. You would like to stockpile as an emergency medicine supply.
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Relieving Pain From A Dental Abscess
While you’re waiting to see a dentist, painkillers can help control your pain.
Aspirin should not be given to children under 16.
If 1 painkiller does not relieve the pain, taking both paracetamol and ibuprofen at the doses shown in the medicine leaflet may help.
This is safe for adults, but not for children under 16.
It may also help to:
- avoid hot or cold food and drink if it makes the pain worse
- try eating cool, soft foods if possible, using the opposite side of your mouth
- use a soft toothbrush and temporarily avoid flossing around the affected tooth
These measures can help relieve your symptoms temporarily, but you should not use them to delay getting help from a dentist.
What Are The Common Side Effects Of Medicine For A Dental Abscess
Different classes of medications have different side effects. However, this is not a complete list, and you should consult with a healthcare professional for possible side effects and drug interactions based on your specific situation.
Oral antibiotics typically can cause upset stomach, intestinal problems, and loss of appetite. Allergic reactions are a concern. Allergies to various types of antibiotics are common and could be severe. About 1 in 15 people are allergic to antibiotics.
NSAIDs are the pain relief medication of choice for dental abscesses. They are widely available, inexpensive, and safe. The major possible issues with NSAIDs are gastrointestinal side effects including stomach problems, ulcers, gastrointestinal bleeding, and stomach pain. NSAIDs are known to cause kidney failure and can precipitate heart disease in elderly patients. All NSAIDs interfere with the bloods ability to form blood clots, so bleeding and bruising are common problems.
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When To Prescribe Antibiotics In Dentistry
Dentists prescribe antibiotics also for precautionary purposes, as pre or post-operative prophylaxis. A particular case of antibiotic prophylaxis in dentistry concerns cardiac patients, those with congenital heart defects and those with an artificial valve. In these cases, the dentist prescribes antibiotic therapy to prevent bacterial endocarditis which can occur following a simple tartar ablation.
The selection of the antibiotic mainly depends on the type of bacterium that caused the infection. It also depends on infection severity, on the presence of pathologies or allergies and any pregnancy.
How Is Trench Mouth Diagnosed
A dentist can usually diagnose trench mouth during an examination. Your dentist may gently prod your gums to see how easily they bleed when poked. They may also order X-rays to see if the infection has spread to the bone beneath your gums.
Your doctor may check for other symptoms, such as fever or fatigue. They might also draw your blood to check for other, possibly undiagnosed conditions. HIV infection and other immune problems can promote the growth of bacteria in your mouth.
Trench mouth can typically be cured in a matter of weeks with treatment. Treatment will include:
- antibiotics to stop the infection from spreading further
- pain relievers
- professional cleaning from a dental hygienist
- proper ongoing oral hygiene
Brushing and flossing your teeth thoroughly twice a day are important for controlling the symptoms of trench mouth. Warm salt water rinses and rinsing with hydrogen peroxide can ease the pain of inflamed gums and also help remove dead tissue.
Its also recommended that you avoid smoking and eating hot or spicy foods while your gums heal.
Regular and effective dental care is crucial for preventing trench mouth from returning. While the condition rarely has serious side effects, ignoring symptoms can lead to potentially serious complications. These can include:
- tooth loss
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Are There Any Over
You should always see your dentist if you have a tooth infection. Your teeth are very close to your brain and a tooth infection can quickly spread to nearby areas and organs.
Antibiotics arent available without a prescription, but there are a few things you can do at home for relief before your appointment, such as:
- taking over-the-counter pain relievers, such as ibuprofen or acetaminophen
- gently rinsing your mouth with warm salt water
- avoiding hot or cold foods whenever possible
- trying to chew with the opposite side of your mouth
- brushing with a soft toothbrush around the affected tooth
The Difference Between An Abscess And An Infection
A tooth infection can take the form of a cavity, pulpitis, or an abscess. Yes, a dental cavity is an infection. It causes the enamel, or hard surface, of the tooth to begin to break down. This can be painful, if it happens quickly, but many cavities dont cause symptoms.
If the infection extends into the middle of the tooth the pulp it causes pulpitis. This usually causes a toothache, which can be aggravated by hot and cold foods and liquids.
Finally, if the infection is not treated and continues to spread, it can form an abscess. After the infection has spread through the middle of the tooth and has nowhere else to go, it forms a pocket of pus, which is an abscess.
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Some Natural Remedies Can Help You Control Tooth Pain And Help Stop Tooth Infections From Getting Worse
The only way to truly get rid of an infection is with antibiotics. However, home remedies for tooth infection can help manage the symptoms and alleviate some of the pain. If you have a tooth infection you need to see a dentist to assess whether or not you need a root canal and to get prescription antibiotics to make sure that the infection goes away and doesnt cause any more pain or damage to your teeth.
There are some natural remedies that you can use to both help control the pain and help stop the infection from getting worse or spreading while you wait for the infection to die off. Not all of these remedies will work for every person but if youre in pain from an infected tooth they can bring you some relief.
Self Care Advice For A Dental Abscess
Food and Drink
You can reduce the pressure and pain of a dental abscess by avoiding food and drink that is too hot or too cold. We also recommend that you consume soft foods.
You should try eating on the side of your mouth not affected by the abscess.
Use of Analgesia
We would encourage the use of over the counter pain management medications but these should not be used to delay getting treatment. It is essential that you see a dentist as soon as possible. If you are having problems finding an emergency dentist then you can try the NHS 111 service.
When using any form of painkiller it is important not to exceed the recommended dosage. Please also bear in mind that many over the counter preparations contain the same active ingredients so it is better not to use combinations of painkillers without first checking with a healthcare professional.
You should use a soft toothbrush and avoid flossing the affected tooth.
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Some Things To Take Into The Consideration Are:
*What are the signs and symptoms?
*Is it a diagnoses that a dentist sees regularly, as some conditions that he/she sees do not need antibiotics, and then some others do need to be treated under the antibiotic coverage.
The dentist might simply drain the infected area, remove the infected area of the tooth, or simply fix it by the root canal treatment. Dentists generally avoid recommending antibiotics, unless the spreading nature of the infection is severe, or if the person suffering has a weakened immune system.
Some examples explaining the need for antibiotics in tooth infections:
In case of spontaneous pain, the diagnosis is often related to the pulpal inflammation. This pulpal inflammation does not necessarily have bacteria. Hence, antibiotics are of no use in such cases.
In the other cases, where the pain is of a chronic type and the sensitivity test comes back negative, there is a possibility that the pulp is dead, and this area of necrosis has become home to some bacteria. Here, even though the bacteria is present causing the infection in the pulp area, the source of infection in most cases is the tooth itself. As the pulp is dead, there is no blood supply, hence the infection is not systemic. In such cases too, the antibiotics are of no use, as the drug cant reach systemically to the area of infection where there is no blood supply.
So then question arises: When should someone use an antibiotic?
Amoxicillin For Dental Infections
Amoxicillin 500mg is still the first-line drug of choice for dental infections. It is given to people who have abscesses, infections around their wisdom teeth or infections that develop after dental surgery. The typical adult dose for dental infections is 500 milligrams 3 times a day for 7 days.
Although amoxicillin can treat a number of infections, we will only prescribe amoxicillin for emergency dental problems such as dental abscess and gum disease where the gums become swollen, sore or infected.
Amoxicillin 500mg can make birth control pills less effective. Therefore, you should discuss this issue with your prescribing doctor.
People taking blood-thinning drugs , such as warfarin may be more likely to bleed while taking amoxicillin. Therefore, patients already taking warfarin must inform their GP or anticoagulation clinic so they can be monitored.
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What Risk Factors Can Lead To Complications From An Abscess
There are several risk factors that can increase your chances of having complications from a dental abscess, including:
- older age
- It can potentially take several months for a dental abscess to develop.
- Once an abscess has formed, noticeable pain and swelling around the affected tooth usually occur.
- If left untreated, it may take a few more weeks or months for the infection to spread to other tissues and cause complications. However, once this has happened, death can occur quickly.
- Factors like older age, having diabetes, or being immunocompromised can increase your risk of complications from a dental abscess.
Overall, these facts underline the importance of seeking prompt medical care if youre experiencing persistent pain or swelling around a tooth. When treated early, most tooth infections can be resolved without serious complications.
Precaution: Probiotics And Lactic Acid Bacteria
Antibiotics are serious drugs so when the dentist or the doctor prescribe them, it is not recommended to stop the round even if symptoms disappear. In addition, these type of medication are well known for causing changes within the intestinal flora. Clinicians often suggest to add probiotics while the antibiotic therapy and lactic acid bacteria after it. The scope is to restore the correct intestinal ecosystem.
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What Is A Dental Abscess
A dental abscess is a swelling filled with pus in or around a tooth that is caused by a bacterial infection. There are various types of abscesses.
- Tooth infection: The infection and swelling can begin inside a tooth.
- Periapical abscess: The infection spreads to the tissue below the tooth.
- Periodontal abscess: The infection builds up in a tooth’s surrounding tissues.
- Pericoronal abscess: The infection builds up in the gum tissues covering a tooth that hasn’t fully emerged.
- Gingival abscess : The infection spreads to the gums themselves.
No matter what the type, an abscess usually hurts. The pain can come on quickly and become unbearable in a day or two. In most cases, tooth pain is what drives a patient to seek treatment.
A tooth abscess can range from a minor infection to a severe and even life-threatening infection that has spread to other parts of the face or body. While most tooth abscess treatments are outpatient, some end up in an emergency room. More than half of dental-related emergency room visits are due to dental abscesses. The most severe infections may require hospitalization.
At this stage, the infection is not an abscess. The infection will gradually make its way through the root canal, eventually killing the tissue, and emerging from the bottom, or apex, of the tooth. From there, it infects the bone and tissue at the apex of the root, causing a periapical abscess.