Why does the inflammation around the dental implant persist?

Hello doctor,

Seven days ago, I had two dental implants placed. Two days after the surgery, the tissue around one of them became red, and I had severe pain. I took oral antibiotics and went to the doctor, who did an X-ray of the implants and said everything was fine with the implants. However, the inflammation did not resolve even after three days of antibiotics. Now, there is pus discharge from the wound.

I have been taking the tablet Clindamycin 600 mg for three days. After my surgery, for the first four days, I took the tablet Clindamycin 300 mg.

Please help.

Thank you.

Hi doctor,

Thank you for the reply.

Should I do anything else for this inflammation besides taking the oral antibiotics?

Please help.

Thank you.

Hi doctor,

Thank you for the reply.

I do not have an X-ray. It’s with my dentist, but I revisited him yesterday. He said that the inflammation is not present near the implant, the nerves are delicate, and the bone is healthy. He advised me to continue with the antibiotics and said that it would be completely fine.

The antibiotics you suggested, do they need to be injected, or can I take them orally as well?

Please help.

Thank you.

Hi doctor,

Thank you for the reply.

What if I continue with tablet Clindamycin and add Amoxicillin injections?

I already have them at home, and I can start them right now.

Please help.

Thank you.

Hi doctor,

Thank you for the reply.

I cannot go to the dentist for the next seven days, so I am asking again. Here we have only three antibiotics available: tablet Azithromycin 500 mg, tablet Cephalexin 500 mg, and tablet Augmentin (Amoxicillin+Clavulanate). Therefore, I cannot get the tablet Metronidazole that you suggested for the next five days.

Can I make any combination of the above-mentioned drugs?

Please help.

Thank you.

Hi doctor,

Thank you for the reply.

Here, the available antibiotics are tablet Azithromycin 500 mg, tablet Cephalexin 500 mg, and tablet Augmentin. Therefore, I cannot get Metronidazole in tablet form as you suggested.

Can I combine any of the antibiotics I mentioned above?

I have been taking Clindamycin tablets for the last seven days.

Please help.

Thank you.

Hi doctor,

Thank you for all your help.

Hi doctor,

Thank you.

Hi doctor,

Thank you for the reply.

It is becoming better, but my day does not pass without taking a painkiller. I take tablets of Diclofenac, Ketoprofen, or Ibuprofen. I found tablet Ketoprofen to be the strongest. The pain started bothering me last week, which was the ninth day of my antibiotic therapy, and I became scared. It is worse at night. There is a fear of pain, and I am not able to sleep until morning. It has been like this for the last seven days.

Every day, I hope the night will be better, but it is not. I have never experienced anything similar before, so I am concerned, but the X-ray looks fine. I started taking the tablet containing Amoxycillin and Clavulanic Acid yesterday, and I hope that it will help me.

Please help.

Thank you.