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How Long Should Antibiotics Be Taken For Tooth Infection?

Posted on Tue, 30 Sep 2014

Question: Hi,
I have problem in one of my wisdom tooth which is horizontally laid down and obstructing the side tooth, now the problem is that there is bit pain in the wisdom tooth for which filling was done some time back and it seems that infection is started in that tooth and extraction is advised for the tooth, could you please help with the following:
1)How long the antibiotics are required to have the infection fixed
2)Is extraction the only option or RCT can be considered?
3)Why the wisdom tooth is like that i mean is it the common issue, need details along with the remedy.
Thanks.

Answered by Dr. Neha Sumra (40 minutes later)

Brief Answer:
It can be taken for 5 days.

Detailed Answer:
Hi

Thanks for writing in.

Impaction of wisdom tooth is very common & it occurs due to lack of space.
Wisdom tooth is vestigeal organ so its not of much use & should be extracted if cause any problem.
Antibiotic should be taken for 5 days to subside infection.
Do not worry & go for extraction.
Consult your dentist for further treatment plan.

Hope I answered your query

Wishing you good health

Regards
Dr. Neha Sumra

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju

Follow up: Dr. Neha Sumra (4 minutes later)

Thanks for the reply, i heard that there might be swelling on face if extraction is not done properly could you please advise and also let me know that in case there is gum attached to the tooth then also minor surgery may involve, so what must be the correct line of treatment along with right steps to start.

Please provide steps with details.
Thanks.

Answered by Dr. Neha Sumra (9 minutes later)

Brief Answer:
Yes slight swelling occurs post extraction

Detailed Answer:
Hi

Impaction is surgical procedure & slight swelling post extraction is very common.
In this surgery, firstly anaesthesia is give & then flap is removed then tooth is divided into sections & removed.
Lastly sutures are given for 1 week.
Post extraction instructions are very important.
You should take cold food stuff that day.
Do not spit whole day.
Do warm saline rinses 3-4 times a day 24 hrs after extraction.
Analgesic & antibiotic should be taken for 5 days.
Avoid smoking & alcohol for a week after extraction.

If extraction is done with minimum trauma & post extraction guidelines are followed then very rarely any complication occurs.

Regards
Dr. Neha Sumra

Above answer was peer-reviewed by : Dr. Ashwin Bhandari

Follow up: Dr. Neha Sumra (35 minutes later)

Pl advise in case of side effects using the following medicines for 3 days:

Metrogyl -----3 times daily
Rezimox-C --3 times daily
Canete-SP--SOS

In your opinion are these medicines good to start or do you want to change in case issues?

Answered by Dr. Neha Sumra (8 minutes later)

Brief Answer:
Yes you may start with these.

Detailed Answer:
As such there they have no such side effects. Metrogyl may cause metallic taste.
Your oral surgeon will recommend you other medicines post extraction.

Regards
Dr. Neha Sumra

Above answer was peer-reviewed by : Dr. Ashwin Bhandari

Follow up: Dr. Neha Sumra (2 days later)

As there is relief only when ever i take the medicines so not much relief after taking for 2-3 days, therefore i have consulted with second opinion and advised the following medicines for 2 days:

1)NASOPEP-D
2)VEGACLOX
3)FLEXON

I need your advice and answers for the following:

1)What is the difference in medicines that were given earlier as compare to these one
2)Can i avoid the extraction and go for RCT[if successfull]
3)Wisdom tooth is half in the nerve and half tilted therefore there are complications if extracted as surgery might be involved therefore need more details about the same with correct line of treatment.

Could you please provide your opinion with details.

Thanks.

Answered by Dr. Neha Sumra (31 minutes later)

Brief Answer:
Medicines will provide temporary relief

Detailed Answer:
Hi

These medicines contain muscle relaxant & different antibiotic as compared to earlier.
In my opinion its better to go for extraction than RCT.Still if you want to pursue for RCT consult endodontist & show me the x-ray of tooth.

Regards
Dr. Neha Sumra

Above answer was peer-reviewed by : Dr. Shanthi.E

Follow up: Dr. Neha Sumra (6 minutes later)

I will upload the X-RAY on monday therefore please keep this discussion open until next week. Also let me know the side effects for the prescribed new medicines / Are they also antibiotics?

Answered by Dr. Neha Sumra (37 minutes later)

Brief Answer:
Yes you upload & no such side-effects.

Detailed Answer:
Hi

You upload the x-ray as soon as possible.
It includes antibiotic but do not has such side effect.

Regards
Dr. Neha Sumra

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju

Follow up: Dr. Neha Sumra (18 minutes later)

Please donot close the discussion till i upload the x-ray.

Answered by Dr. Neha Sumra (45 minutes later)

Brief Answer:
You upload it as early as possible.

Detailed Answer:
Hi
No need to worry.
I will try to extend it as maximum as i can.
You also try to upload it as early as possible.

Regards
Dr. Neha Sumra

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju

Follow up: Dr. Neha Sumra (18 hours later)

As per dental x-ray,there is pus in nerves therefore could u pls advise whether to go for extraction or dry pus using medicines? Pls advise how 2 send x-ray film of the above.
regards.

Answered by Dr. Neha Sumra (1 hour later)

Brief Answer:
Go for extraction after completing antibiotics

Detailed Answer:
Hi

If there is abscess in that tooth then its better to go for extraction after completing course of antubiotic.
For uploading x- ray you may upload it in attachment on right side of your dashboard or You can take high resolution image with your XXXXXXX or scan copy and send it to YYYY@YYYY and as sub ATTN: Dr. Nehasharma.

Regards
Dr. Neha Sumra

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju

Follow up: Dr. Neha Sumra (25 hours later)

Thanks for the reply, i have uploaded x ray for further line of treatment, kindly advice with details whether extraction at this stage is advisable or taking medicines will help it to cure. Please also let me know how long can i avoid the extraction after stopping medicines as feeling much better now after taking medicines:
1)NASOPEP-D
2)VEGACLOX
3)FLEXON----SOS only
Thanks.

Answered by Dr. Neha Sumra (30 minutes later)

Brief Answer:
Go for extraction as soon as possible.

Detailed Answer:
Hi

I saw your x-ray & I would suggest you to go for extraction as early as possible.
Medicines will provide only temporary relief.
Do not worry.
Consult oral surgeon & get it extracted as soon as possible.

Regards
Dr. Neha Sumra

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Neha Sumra (22 minutes later)

As advised by surgeon that infection will subside and extraction is not read at this stage. Therefore pls provide your opinion a d xray analysis.

Answered by Dr. Neha Sumra (5 minutes later)

Brief Answer:
Get it extracted after taking 5 days medication

Detailed Answer:
Hi

I saw your x-ray & suggest you to go for extraction after completing your medication.This is the only permanent cure.

Regards
Dr. Neha Sumra

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Neha Sumra (51 minutes later)

Thanks for the reply,could you pls let me know details about the xray?

Answered by Dr. Neha Sumra (6 minutes later)

Brief Answer:
Deep caries involving pulp

Detailed Answer:
Hi

You x-ray reveals deeply carious tooth involving with abscess.
Nothing more than that.

Regards
Dr. Neha sumra

Note: Find out which dental treatment will work best for your teeth. Ask here.

Above answer was peer-reviewed by : Dr. Vaishalee Punj