Is it safe to go antibiotic-free before my dental surgery?

Question

Hello doctor,

I have one molar tooth that never grew out fully, and I did not take care of it properly. As a result, it has decayed. Recently, I experienced a lot of pain and noticed swollen gums that now cover half of the tooth. There is also a large hole in the middle. I visited a dental surgeon who prescribed the tablet Amoxicillin to treat the infection. However, the prescription is only for nine days, and I still have to wait for five days until my surgery. I am concerned that the infection may return during this time. Is it safe to proceed with the surgery after going five days without antibiotics, or could bacteria enter my bloodstream? This situation does not feel right. Please share your valuable advice.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I went through your query and understood your concern.

It is generally recommended to take antibiotics a few days before and after surgery. For example, taking them four days before and three days after the surgery is often preferred. This approach helps prevent bacteria from entering your bloodstream. Even if some bacteria manage to pass, continuing the antibiotic course will help eliminate them. In dental infections, I often suggest taking one tablet of Augmentin (Amoxicillin and Potassium clavulanate) every 12 hours. It has an excellent effect in treating such infections. Kindly consult a specialist, talk with them, and take the medications with their consent.

I wish you a speedy recovery.

Thanks and regards.