Antibiotics belonging to the Penicillin group are most commonly used to treat a dental abscess. The most common antibiotic used is Amoxicillin. For severe infection, Metronidazole is given along with Amoxicillin. For patients with Penicillin allergy, Clindamycin is prescribed.
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Kindly advise if I should get my tooth extracted.
Query: Hi doctor, I had a lump approximately 3 cm away from the bottom of the tooth on the outer portion of the jaw. It was approximately 2 cm in diameter. After cleaning with salt solution, my doctor prescribed Lincomycin 500 capsules thrice daily for five days. As there was swelling on some portions of ... Read Full »
Answer: Hello, Welcome to icliniq.com. It will help if you ask the dentist to extract the tooth as soon as possible. Due to so much infection and pus, the tooth cannot be saved now. Also, the swelling may not subside without removing that tooth. Amoxicillin and Clavulanic acid combination is required fo... Read Full »
Can I die from a tooth infection?
Query: Hello doctor, I have an abscessed tooth. The tooth is almost gone. I will have to get surgically removed and do not have the money. I was wondering. Can I die from the infection? I have been on antibiotics from Penicillin to Amoxicillin to Tramadol. At about 1 AM, I felt the same pain I had before.... Read Full »
Answer: Hello, Welcome to icliniq.com. We are here to help you. After going through your complaint and looking at your X-ray, it sounds like a 'chronic periapical abscess,' which is the presence of pus and infection in the affected tooth due to a cavity left untreated. You cannot die due to an acute i... Read Full »
How to manage a decayed tooth presenting with swollen cheeks?
Query: Hello doctor, Yesterday I visited my dentist for a decayed tooth and infected gums. The dentist failed to extract the tooth, as Novocaine did not work because of the infection. Now my cheek is swollen and painful. I was prescribed Amoxicillin and Vicodin. Read Full »
Answer: Hi, Welcome to icliniq.com. The swelling of your cheek is due to infection extending from your tooth and root apex into the underlying bone and the facial surface and has reached the soft tissues (muscle and fat). This infection can spread further to the adjacent areas and cause bacteremia (bacteri... Read Full »
Re-treatment with root canal vs. extraction. Which is better?
Query: Hi doctor, I have infection on tooth number 14. I have been thinking about extraction versus retreatment. It is an 11 years old root canal treated tooth. A crown was placed on it 2 years ago. After that, once in a while it happened to become sore. Two months ago, another crown was placed on my low... Read Full »
Answer: Hi, Welcome to icliniq.com. Thank you for sending across the x-ray (attachment removed to protect patient identity). One of the roots has a huge abscess. The reason is that, it is only half filled. Half of the infected pulp is still inside. This actually can be retreated. But, it might require more ... Read Full »
Can Ciprofloxacin be taken for a dental abscess?
Query: Hello doctor, I have a patient with a fresh knee replacement, and of course takes premedication Amoxicillin 2g, one-hour pretreatment. She now has a tooth abscess, and I want to give her antibiotics. My thought is, since she has to always use Penicillin as a pre-medication, I would change the antibi... Read Full »
Answer: Hello, Welcome to icliniq.com.I have read through your query in detail. Please find my observations below. Amoxicillin is still a better antibiotic for a dental abscess as compared to other medicines. It is the first choice of medicine even for a dental abscess. It is better to continue with am... Read Full »
I am getting swelling over my face followed by toothache. Why?
Query: Hi doctor, I had toothache for the past 48 hours. It made the right side of my face to completely swell. The toothache has now gone, but the swelling is increasing and started affecting the eye area. I have applied heat and ice to the swollen area, but neither have worked. Please give me some advice... Read Full »
Answer: Hi, Welcome to icliniq.com. The swelling that you have seems to be an abscess or pus due to infection. This infection is most likely due to your tooth decay over a long period of time, which has spread to bone and around your soft tissues like muscles. In the face region, swelling increases rapidly ... Read Full »