Dental Antibiotics used in Dentistry


Antibiotic Use in Dentistry 

Antibiotic Use in Dentistry

Should I take antibiotics when I visit the dentist? 

Many times, dental patients will be given dental antibiotics either before or after various dental treatments. This can include after having a tooth extracted or maybe during root canal treatment. Most times, people with a tooth abscess, will need dental treatment such as root canal treatment and perhaps some form of dental antibiotics, which may include Amoxicillin (if not allergic to it)? There are several common dental antibiotics used in dentistry. We will discuss this in this local dentist antibiotics information blog. Antibiotics and dental treatment can help people.

If you have a tooth abscess, antibiotics by itself - can not treat the tooth abscess. It can to only a certain degree, control it - the patient must seek dental care and dental treatment. We will be Clindamycin Information Dental Blogging - clindamycin antibiotics are used by dentists for people who are allergic to amoxicillin or penicillin. 

Antibiotics are not used indiscriminately in dentistry (or medicine) because each antibiotic has a finite number of times it may be used effectively. Each time a certain type of antibiotic is used, bacteria can develop resistance to it. After it is prescribed a given number of times, an antibiotic becomes less useful, and new and better medications must be developed to replace it. Research is expensive, so dentists and physicians have a responsibility to limit the use of antibiotics only to cases in which they are strictly necessary. We will be discussing various dental antibiotics such as Amoxicillin and other antibiotics that dentists use to fight against dental infections. In this Dental Antibiotics Blog, we will be discussing this and more. 

Why do some patients need antibiotics before their dental appointments? 

Previously several different minor heart conditions, including almost any heart murmur, were considered indications for prophylactic use of antibiotics before any dental procedure, including routine cleaning. This was to prevent endocarditis, or infection inside the heart, from disturbing bacteria in the mouth and turning them loose in the bloodstream. Now, with the help of the American Heart Association, dentists limit prophylactic antibiotic prescriptions to four types of patients: those with a previous history of endocarditis, those with artificial heart valves, patients with heart transplants, and patients with certain serious heart defects causing leaks or poor oxygen delivery, or 

repaired with artificial materials. 

Should antibiotics be used for tooth or gum infections? 

Another reason one might expect a dentist to prescribe an antibiotic would, obviously, be for a bacterial infection. Even in this case, antibiotics are not needed as a rule. The first treatment of choice is a thorough cleaning, as deeply as indicated by the site of the infection. Descaling and deplaning are methods used for cleaning areas of teeth under the gums. When a gum abscess, or pocket of pus, forms drainage of the pus or root canal may be the solution. Hydrogen peroxide is another weapon against bacterial infection. The molecule is made up of two hydrogens and two oxygens. When it gives up one of its oxygens it kills bacteria. If an infection does not respond to other methods, an antibiotic may be considered. 

 Which antibiotics are prescribed by dentists? 

Antibiotics commonly used in dentistry are usually chosen from the penicillin class. Amoxicillin is the most popular. If you have a tooth infection or wisdom tooth problem, most likely will get amoxicillin antibiotics. Though some people are allergic to amoxicillin. Like all penicillins, amoxicillin works by preventing bacteria from reproducing by inhibiting them from forming cell walls. This antibiotic works best on what are called gram-positive bacteria, named for a test of their cell walls, but it can also kill populations of some gram-negative bacteria. It is effective against the following bacteria: 

● Streptococcus 

● Enterococcus 

● Listeria monocytogenes 

● Staphylococcus aureus 

● Haemophilus influenzae 

● Klebsiella pneumoniae 

● Salmonella 

● Shigella 

● Borrelia 

● Escheria coli 

Amoxicillin can be combined with clavulanic acid to make it more effective in the form of the drug Augmentin. The addition of clavulanic acid makes it more difficult for bacteria to develop resistance to Augmentin than to amoxicillin alone. 

How can I tell if I have a penicillin allergy? 

Patients who are allergic to penicillin usually notice the following signs and symptoms within an hour of taking the drug: 

● Rash 

● Hives 

● Itchy skin 

● Fever 

● Swelling 

● Shortness of breath 

● Runny nose 

● Itchy eyes 

● Watery eyes 

● Nausea or cramps 

● Vomiting or diarrhea 

● Lightheadedness or dizziness 

● Fast, weak pulse 

● Low blood pressure 

● Seizures 

● Loss of consciousness 

What antibiotic can I take if I am allergic to penicillin? 

For patients who are allergic to penicillin, dentists frequently prescribe erythromycin, which belongs to the class of antibiotics known as macrolides. Erythromycin works by inhibiting bacterial ribonucleic acid (RNA), preventing bacterial cells from making a protein needed for growth and reproduction. Like the penicillins, it is effective against 

most gram-positive and some gram-negative bacteria. It is used to fight the following types: 

● Staphylococcus aureus 

● Streptococcus pyogenes 

● Neisseria gonorrhoeae 

● Corynebacteria 

● Clostridia 

 What are some other antibiotics used in dentistry? 

Clindamycin is a good choice of antibiotic for fighting bacteria that are resistant to amoxicillin or for patients with penicillin allergy. This drug is a member of the lincosamide family. Lincosamides work by inhibiting the production of bacterial proteins, in much the same way as macrolides. Some bacteria susceptible to Clindamycin are: 


● Bacteroidesfragilis 

● Staphylococcusaureus 

● Streptococcus pyogenes 

● Clostridium(some strains) 

● Fusobacterium(some strains) 

● Peptococcus 

An antibiotic called Unasyn, a combination of ampicillin (a type of penicillin) and sulbactam, can also be used. Unasyn has shown its effectiveness against the following: 

● Neisseria 

● Eikenella 

● Prevotella 

● Peptostreptococcus 

Timentin is composed of ticarcillin (a member of the penicillin family of antibiotics) and 

clavulanate). It has proven effective against: 

● Staphylococci 

● Pseudomonas aeruginosa 

● Enterobacteriaceae Metronidazole is reserved for unusual cases. It is sometimes used alongside amoxicillin for severe abscesses. 

Do antibiotics cause side effects? 

Any medications can cause side effects. The US FDA only allows those it deems are reasonably safe, as well as effective. Patients should discuss their concerns with their dentists before taking prescribed medications and always tell their dentists about any medications or supplements they may already be taking, as well as any drug reactions they might have had in the past. 

Can antibiotics kill good bacteria as well as bad ones? 

Antibiotics can affect the good bacteria that help us digest our food, maintain a healthy digestive system, and keep a good balance of bacterial species in our intestines. After treatment with antibiotics, many patients like to consume probiotic food such as yogurt, kefir, kombucha tea, sauerkraut, kimchi, tempeh, or miso. Probiotic supplements are also available without a prescription.

Prebiotic fiber, which we cannot digest, but which the good bacteria consume, is found in several foods, including dandelion greens, asparagus, and onions, to name just a few. Lactobacillus, Bacteroides, and Bifidobacteria are common probiotic bacteria. It is possible to overdo and get an overgrowth of even good bacteria, so consult your physician before supplementing with probiotics or any other kind of supplements. 

Dentists from time to time, have to use dental antibiotics to fight oral care disease and dental infections. Many times, dental treatment and dental antibiotics are used together. 

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