Dr. Achanta Krishna Swaroop
Dentistry
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hi doctor,
I have had problems with my wisdom tooth on the lower right side in the past. I have taken antibiotics once and other times, it cleared up by itself using salt water and mouthwash. However, the gum around the wisdom tooth on the lower left side is now red, inflamed, and painful. You can see the image attached. Does this look like antibiotics are needed to clear? Would salt water and mouthwash be sufficient? And if so, how long should this take?
Hi,
Welcome to iciniq.com.
I am an oral surgeon and will be answering your query shortly.
Patient's Query
Hi doctor,
Thanks for your reply. The image I have attached in this reply shows the lower right-hand side from last year (the image removed to protect the patient's identity). This cleared up by itself using salt water and mouthwash. Do you think the flare-up I have at the minute looks worse than the image here?
Thank you.
Glad to have you back!
I am here to help you get the best medical advice.
Thank you for the clear image. But, it is deeply impacted even now. So there is not only a risk of the infection spreading to the nerves or lower lymph nodes, but also an imminent risk in the oral cavity. At the end of the day, antiseptic mouthwashes can only be a temporary remedy. The antibiotic prophylaxis which I am going to prescribe now can be continued for three days whenever you get a flare-up or an infection. It would really help control the infection every time it tends to restart.
Please confirm your age and if you have any other medical issues or any medication history for the antibiotic prophylaxis prescription. It is much needed for your tooth.
Patient's Query
Hi doctor,
I am 23 years old, and the only medication I take is combined contraceptive pill. How long should I take this antibiotic for?
Hi,
Once more, thank you for allowing us to be of service to you.
We value the high level of confidence you have in us!
You can take the antibiotic and painkiller in combination which is much needed for symptomatic relief usually for three days. You can repeat this ideally whenever there is a flare-up or inflammation issue with that tooth. Note that both antibiotic and painkiller combinations whether there is pain or not should be taken for symptomatic relief. Removal of the affected tooth is advisable ideally. Consult your physician and take the medication accordingly. Keep using the mouthwash. If you have any doubts or apprehension about getting the extraction done, you can always revert.
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Dentistry
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