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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can A Tooth Abscess Be Treated?

What should I do? I m afraid to become antibiotic resistant and afraid this infection might spread {I m assuming I have a tooth abscess? That has spread to a few teeth because again I waited a week to go see her due to personal reasons} . I ll be seeing my dentist this Wednesday she wasn t in when I called Saturday and Sunday nor Today she works in certain days. Anyways my mother threw away my antibiotics because my doctor diagnose me with an allergic reaction to Amoxicillin based on asking me questions and checking my outer cheek. I believe it s from Listerine ZERO Total Care which cause me to have slouging inner cheeks but the doctor wouldn t let me speak. Then again I told him it can also be the antibiotics since one side my face was swollen and my neck on the same side felt a bit swollen up as well. After I stop taking my antibiotics which I was force to since I have no authority over my parents on my 6th day {had to take them for 7 days} and I had 4 pills left. As I said I miss most of my doses now and the swelling of my cheek had slowly started to go down and now I might be suspecting it could have been the antibiotics but I m not sure so that s the reason why I m going Wednesday which is the day she works, the reason why I don t have her phone number is because the receptionist didn t even have it. The swelling had subside before I even took my methylprednisolone which I have started today. I also wonder if I get another course of antibiotics which I assume is shorter. Which antibiotics are fine to take with methylprednisolone?
posted on Thu, 29 Jun 2017
Twitter Wed, 7 Mar 2018 Answered on
Twitter Mon, 12 Mar 2018 Last reviewed on
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Dentist 's  Response
Hello,

First of all, if the swelling is subsided after stopping antibiotic then it was probably an Allergic reaction to Amoxicillin only. So, if the swelling is subsided now then you need not to take Methylprednisolone for the swelling.

As far as another antibiotic is concerned then you should consult an Oral Physician and get checked and take the antibiotic according to the need as you have already taking sufficient dose.

If you are allergic to Amoxicillin, then you can take other group of antibiotics like Cephalexin, Clindamycin et cetera. So, once consult an Emergency room or Dentist and get a prescription of antibiotics.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Honey Arora
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Dentist Dr. Harry Maheshwari's  Response
Hello,

As per your query, you have highly infected tooth which is leading to formation of dental abscess formation as there is swelling along facial spaces which is due to which there is pus formation below the root tips of the tooth and near bone. Maintain complete hygiene.

You cannot cure the infection completely by taking antibiotics alone, you need to consult an Oral Physician and get evaluated and he can advise you to get an IOPAR [x-ray] done to rule out the exact cause of the swelling.

In case of deep infection in tooth either root canal treatment or extraction of tooth followed by antibiotics and painkillers will help.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Harry Maheshwari
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How Can A Tooth Abscess Be Treated?

Hello, First of all, if the swelling is subsided after stopping antibiotic then it was probably an Allergic reaction to Amoxicillin only. So, if the swelling is subsided now then you need not to take Methylprednisolone for the swelling. As far as another antibiotic is concerned then you should consult an Oral Physician and get checked and take the antibiotic according to the need as you have already taking sufficient dose. If you are allergic to Amoxicillin, then you can take other group of antibiotics like Cephalexin, Clindamycin et cetera. So, once consult an Emergency room or Dentist and get a prescription of antibiotics. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Honey Arora