Antibiotic Therapy In Dentistry
1Student Research Committee, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran
2Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran
3School of Pharmacy, Shiraz University of Medical Sciences, Shiraz, Iran
Orofacial infections are commonly categorized as odontogenic and nonodontogenic. The conditions that originate within a tooth and dental supporting structures are called odontogenic infections. On the other hand, teeth structures are not involved in nonodontogenic infections . Dental caries, pulpal necrosis, dental trauma, and periodontal diseases can result in dental infections which could have severe consequences that affect both soft and hard tissues of the oral cavity. According to a previous study, Gram-positive cocci are responsible for about 65% of orofacial infections, and Gram-negative bacilli could be found in 25% of patients oral specimens . Orofacial infections mostly occur during the age of 2140 besides, the prevalence of the disease is not gender-related .
In this review, we aim to provide some applicable data for dentists to prescribe appropriate types of antibiotics. At first, common types of antibiotics that are considered safe during pregnancy and childhood are mentioned. Then, the common cases that need antibiotic therapy or prophylaxis and the most useful and commonly used antibiotics in dentistry are reviewed .
2. Indications of Antibiotics
If You Forget To Take It
If you forget to take a dose, take it as soon as you remember, unless it’s nearly time for your next dose. In this case, just leave out the missed dose and take your next dose at the usual time.
Never take 2 doses at the same time. Never take an extra dose to make up for a forgotten one.
If you forget doses often, it may help to set an alarm to remind you. You could also ask your pharmacist for advice on other ways to remember your medicines.
What Should Be The Effective Dose Of The Antibiotics
Although it is not very clear, according to the literature in most cases, 2-3 days of medication is adequate. However, when the treatment is not done properly, the antibiotic coverage may be needed for up to 7 days.
According to the International Dental Journal study notes, most acute infections resolve in 3-7 days.
Always take the entire dosage regimen of antibiotics prescribed by your dentist . This is mainly because if you dont take the entire course, some bacteria may survive and can result in the re-infection. This reoccurring infection becomes harder to treat at the later stage.
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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.
When Is A Tooth Infection An Emergency
A dental abscess infection is always considered a dental emergency. Any visible gum swelling can be life-threatening if not treated quickly.
During emergency treatment for a dental abscess, the surgeon will open up the abscess and drain it. This will relieve pressure and reduce any pain associated with the infection.
You will also receive prescription antibiotics to help clear the infection.
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Who Needs Antibiotics Before Dental Work
Most patients don’t require antibiotics before dental work. Immune systems are more than capable of handling these bacteria, but there are some people who may need antibiotics after oral surgery. This may include those have had or have:
- Heart conditions, including congenital heart defects and disease
- An artificial heart valve
- Knee or hip replacement surgery
- Infective endocarditis
Always make sure to share your full medical history with your doctor before surgery or dental work, even if you think it’s not relevant, so they know if they need to prescribe antibiotics before or after dental work.
Natural Remedies For Tooth Infection
When you get a tooth infection, its necessary to pay a visit to your dentist. But what if you are allergic to the prescribed medicines? Sometimes tooth pain is worse after antibiotics.
In that case, you can look for natural remedies. Weve made a list that can be beneficial for you, so check it out!
Dont forget to try these out:
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Important Information About All Medicines
Never take more than the prescribed dose. If you suspect that you or someone else might have taken an overdose of this medicine, go to the accident and emergency department of your local hospital at once. Take the container with you, even if it is empty.
This medicine is for you. Never give it to other people even if their condition appears to be the same as yours.
If you buy any medicines, check with a pharmacist that they are safe to take with your other medicines.
If you are having an operation or any dental treatment, tell the person carrying out the treatment which medicines you are taking.
Do not keep out-of-date or unwanted medicines. Take them to your local pharmacy which will dispose of them for you.
If you have any questions about this medicine ask your pharmacist.
Is Ampicillin A Strong Antibiotic
Ampicillin can be effective against a variety of bacteria that cause certain infections. However, it is not prescribed as much as it used to be, because of the issue of resistance when used alone as ampicillin. It is often used in the hospital setting as Unasyn, which contains sulbactam in addition to ampicillin, to help prevent bacterial resistance.
How Should I Take Penicillin
Take penicillin V exactly as it was prescribed for you. Do not take the medication in larger amounts, or take it for longer than recommended by your doctor. Follow the directions on your prescription label.
You may take penicillin V with or without food.
To be sure penicillin V is helping your condition, your blood may need to be tested on a regular basis. Your kidney or liver function may also need to be tested. Do not miss any scheduled visits to your doctor.
Shake the oral suspension well just before you measure a dose. To be sure you get the correct dose, measure the liquid with a marked measuring spoon or medicine cup, not with a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist for one.
Take penicillin V for the entire length of time prescribed by your doctor. Your symptoms may get better before the infection is completely treated. Penicillin V will not treat a viral infection such as the common cold or flu. Do not give this medicine to another person, even if they have the same symptoms you do.
Penicillin V can cause you to have unusual results with certain medical tests. Tell any doctor who treats you that you are using penicillin V.
Store penicillin V tablets at room temperature away from moisture, heat, and light. Store liquid penicillin V in a refrigerator but do not allow it to freeze. Throw away any liquid that has not been used within 14 days after it was mixed at the pharmacy.
Is Ampicillin Safe To Use During Pregnancy Or While Breastfeeding
Ampicillin is considered safe duringpregnancy.
Ampicillin is excreted inbreast milkand may cause diarrheaor allergic responses in nursing infants. If ampicillin is used during pregnancy, the potential benefit of ampicillin for the mother should be weighed against the potential risk of side effects in the infant. Ampicillin is used for treating infants.
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How To Deal With Tooth Infections: With Or Without Antibiotic Dosages
Having a toothache can be one of the most significant issues in your life. And a tooth infection will make it worst. The word infection may freak you out, but I can assure you there is nothing to worry about.
Your dentist will examine your teeth, and chances are, you will be prescribed an antibiotic if there is an infection. Antibiotics heal the wound fast. And theyll be helpful if you maintain the dosage.
Do you need to know everything about antibiotics for a toothache? Or how different antibiotics work? Or, particularly, how long does amoxicillin take to work for tooth infection? If yes, then keep reading!
Table of Content
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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Conditions Treated By Ampicillin And Amoxicillin
Ampicillin is used to treat bacterial infections including:
- Genitourinary tract infections, including gonorrhea, caused by coli, P. mirabilis, enterococci, Shigella, S. typhosa and other Salmonella and non penicillinase-producing N. gonorrhoeae
- Respiratory tract infections caused by non penicillinase-producing influenzae and staphylococci, and streptococci including Streptococcus pneumoniae
- Gastrointestinal tract infections caused by Shigella, S. typhosa and other Salmonella, E. coli, P. mirabilis, and enterococci
- Meningitis caused by Meningitidis
Amoxicillin is used to treat a variety of bacterial infections:
- Ear infections , nose infections, or throat infections caused by certain strains of Streptococcus, pneumoniae, Staphylococcus spp., or Haemophilus influenzae
- Urinary tract infections caused by Escherichia coli, P. mirabilis, or Enterococcus faecalis
- Skin infections or skin structure infections caused by certain strains of Streptococcus, Staphylococcus , or E. coli
- Lower respiratory tract infections caused by certain strains of Streptococcus, Streptococcus pneumoniae, Staphylococcus, or H. influenzae
- Acute uncomplicated gonorrhea in males and females caused by Neisseria gonorrhoeae
- Eradication of pylori to reduce the risk of duodenal ulcer recurrence
- Amoxicillin is also used as triple therapy with lansoprazole and clarithromycin in patients with pylori infection and duodenal ulcer
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.
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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
Recommended Antibiotics For Tooth Infection
Your dentist will prescribe antibiotics based on the type of infection-causing bacteria. Antibiotics are classified according to their mode of action. And the dentist will select one that can completely eradicate the infection.
The most widely used class is erythromycin. It includes all three serotypes: enteric-coated, Gram-positive, and Gram-negative. Additionally, gentamicin-CASD and tetracycline are also included. Thus, if youre experiencing a runny nose or a headache, your dentist may recommend this.
Erythromycin is a penicillin substitute. Your dentist can prescribe it instead of penicillin. The local pharmacist will provide you with all the detailed instructions on the drug. And make sure you dont stop it earlier.
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Treating Gum Disease With Antibiotics
For those of our patients at Champlin Family Dental who suffer from periodontal disease, we proudly offer topical or oral antibiotics to help reduce or entirely eliminate disease-causing bacteria. It can also help fight the bacterial infection causing gingivitis, a mild form of periodontal disease that is characterized by reddening, swelling, and bleeding of the gums.
Doctors Bauer, Lawrenz, and Stark may recommend systemic or topical antibiotics in conjuncture with scaling and root planing, as well as other procedures. These antibiotics include:
Most forms of gum disease can be treated without antibiotics, but the biggest advantage of using topical antibiotics to help treat the disease is that they are directed to their specific target areas, thus the entire body is not affected. The other advantages of topical antibiotics include reduced dosage and reduced side effects. Doctors Bauer, Lawrenz, and Stark can discuss with you the advantages, as well as side effects, of each antibiotic during your visit.
To learn more, or to schedule your next visit at Champlin Family Dental, please give us a call today at our convenient Champlin, MN office!
Amoxicillin 500mg Tooth Infection
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Dangers Of An Unresolved Dental Abscesses
Leaving an abscess untreated will lead to serious medical complications in addition to severe pain. The infection will spread to other parts of your body, including your brain and nearby organs.
A dental abscess infection that travels to the brain is very difficult to treat because of the blood-brain barrier. Its also common for infections to spread into the sinuses.
An infection in your teeth or gums might indicate that you have heart health problems. Researchers believe gum disease is linked to heart disease and heart attack risk.
The infection can also spread to the surrounding bones. Facial bones are especially intolerant to infection. There is a high risk that bone removal will be needed to stop the further spread of the infection.
Even if you have a mild abscess, it can spread and weaken the bones, which creates problems in the future for your teeth.
An untreated abscess also poses a risk for tooth loss. Usually, a root canal and crown are enough to save the affected tooth. However, left untreated, theres a high likelihood your dentist will need to pull the tooth.
One of the most serious issues linked to untreated dental abscesses is . This is an infection in the bloodstream and it puts your entire body at risk.
If the abscess is not treated in time and it ruptures, the infection can spill into your blood and circulate throughout your body. and requires IV antibiotic treatment and long-term hospitalization.
Amoxicillin For Dogs Usage Guidelines
Amoxicillin is a fast-acting medication that starts to work within 1 to 2 hours of administration. Although this fast kick-in is not visible on the outside, you should expect an improvement in your dogs symptoms within several days.
As with most medications, drug interactions with Amoxicillin are possible. This antibiotic usually interacts with:
- Bacteriostatic antimicrobials
- Probenecid and allopurinol
Additionally, like all antibiotics, Amoxicillin kills bacteria in general it does not differentiate between good and bad bacteria. Therefore, you should use this med in conjunction with a probiotic. We recommend the Honest Paws Pre + Probiotic supplement for dogs as it checks all boxes for safety, efficacy, and quality.
We should note that Amoxicillin is not safe for all pets. Never share this medication with small pets such as rabbits, guinea pigs, chinchillas, and hamsters.
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Benefits Of Taking Amoxicillin For A Tooth Infection
All antibiotics work by stopping the growth of bacteria that cause an infection, which can also alleviate your pain.
Amoxicillin, a type of antibiotic known as a penicillin class antibiotic, is one of the most common antibiotics prescribed by doctors for that reason, its considered a front-line antibiotic.
Along with treating pneumonia, bronchitis, urinary tract infections, and ear infections, amoxicillin also works well for tooth infections.
While a mild abscessed tooth may resolve on its own, dentists often prescribe amoxicillin if theyre concerned the infection could spread, or when a patient has a weakened immune system.
Compared to other antibiotics, amoxicillin also generally causes fewer major side effects, making it a great first option for treating an abscessed tooth.
Is Amoxicillin Good For Gum Infection
Metronidazole works best when used in a combination with amoxicillin or tetracycline.
Amoxicillin: Only intended to fight bacteria and bacterial infections, amoxicillin does not kill bacteria but prevents microbes from forming walls that surround them, which is how bacteria reproduces and survives.
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