Tooth infection?

Question

Hello, last week I went to the doctor because I was having bad tooth pain with drainage, so I knew that It was an infection. The doctor prescribed clindamycin(antibiotic) and lortab(pain pill). I have been taking the antibiotic's for a total of 5 day's and my teeth still hurt...all day long. The pain pill's bring me no relief. I'm am so tired of crying and hurting. However it is my understanding that I must complete these antibiotic's before any dental work can be done. Understandable, but the thing is, it feel's as if the infection is not leaving. Why else would I still be in pain? If there is anybody out there who has and knowledge in the dental field, I would like to know is this normal, for my teeth to still be hurting a great deal after 5 day's of antibiotic's? I still have 5 day's to go, but usually the pain would have subsided a bit. Thank's in advance for your help.

Answer 1

I don't know how long you are supposed to be on the antibiotic for but if it's 10 or 14 days the medication may be getting ready to start kicking in now.

I would recommend getting back in touch with the dentist to let them know that you still aren't feeling any better and want to find out from them what else they can suggest for this infection.

Answer 2

Toothache is usually because of the inflammation of the pulp of the tooth (pulpitis). Sometimes a toothache may be due to non-dental reasons like infection of the ears and sinus. If a tooth is affected home remedies like clove oil can provide temporary relief, but it is advisable to visit a dentist for a long term solution. More information available at http://www.aches.in/toothache.html

Answer 3

Tooth infection
Usual Organisms Therapy (Alternatives) - Usual adult dosages listed.
Oral microflora (stept, oral anaerobes) Penicillin VK: 250-500 mg PO q6-8h

or
Amoxicillin: 250-500 mg PO q6-8h.

or
Erythromycin (EES, E-Mycin): estolate /stearate /base formulations: 250 mg PO q6h or 500 mg PO q12h. Ethylsuccinate salt (EES): 400-800mg q6-12 hours.

or
Clindamycin (Cleocin): 150-300 mg PO q6h

Resistant strains (beta-lactamase producing): Augmentin 875mg orally twice daily or 250-500 mg three times daily

If the infection is comig back very often the best thing to do is have them removed. It can be done by your regular dentist or you may be referred to an oral surgeon, a specialist who does it in a daily basis. You can have done it with just a local freezing, a nitrous oxide ( laughing gas ), or general anaesthesia. If your teeth are impacted ( still in the bone), the last one is the best. Easier for you ( you are sleeping), easier for the doctor.You will recover in a nick of time, just make sure that somebody will get you home.

Answer 4

Are you following the right direction.Are you taking them the way you are spose to?If yes,then it is not the right antibiotic for you.You may need a different one ,stronger one.Give you dentist a call and let him know.He may need to start working on the tooth.Within 48 hours of antibiotics,the dentist can work on the tooth.I mean if you are in pain,give the dentist a call.

Answer 5

It is important that you take all your medications. Whilst it is not possible to provide an exhaustive
explanation of the use of all of the medications provided, the following is a brief description of the
medications that may have been prescribed to you, and of some of their benefits and potential side effects.
1. Amoxicillin 875mg and clavulanate 125mg combined, one tablet morning and night, for 5 days. Total
10 capsules. (You may have either this drug OR Clindamycin)
a. This is a standard antibiotic provided to all adults over 60kg in weight. It prevents jaw infection.
b. Brand names include Augmentin DuoForte or Clavulin DuoForte
c. In children under 14 years, a formula of ~15mg amoxicillin per kilo of body weight is used in two daily
divided doses. For example, if your child weighs 45kg, then he/she would likely take 4mL of Clavulin
duo suspension (with 400mg amoxicillin, and 57mg clavulanate in 5mL) twice daily. For 55kg adults,
Clavulin Duo tablets of amoxicillin 500mg and 125mg clavulanate would be taken twice daily. The
pharmacist will direct you with the appropriate level of medication.
d. People with known anaphylactic allergies to amoxicillin, penicillin or to the β-lactam group of antibiotics
should not generally take this drug. If an itchy rash occurs, discontinue the drug and call your medical
GP, the surgeon’s office, or the Public Hospital emergency office for advice.
e. Rarely the drug combination can cause cholestatic jaundice (yellowing of the eye sclera and skin). It
rarely causes diarrhoea, and will not normally cause nausea or vomiting. It can lead to vaginal thrush in
the susceptible, and in such people a preventative anti-fungal pessary can be provided.
f. The drug is taken immediately before or with the first mouthful of food.
g. In those on the birth control pill, the drug can increase oestrogen metabolism, rendering the patient
susceptible to pregnancy during the 28 day cycle.
h. People may get a rash if they have a concurrent infection of Glandular Fever (Epstein Barr Virus).
2. Piroxicam dispersible 20mg, one in the evening, for ten days only.
a. This is a standard anti-inflammatory drug, and it reduces swelling and pain from the first 24 hours after
the first dose is ingested. It is designed to be dissolved in 50mL of water and then drunk.
b. It is important that you fully take the course for 10 days. Not more or less.
c. Brand names include Feldene-D, Mobilis-D, Pirohexal-D and Rosig-D. It is designed to be taken once
daily, in the evening, and it can be taken with or without food.
d. It should not be taken by people who are chronically taking other anti-inflammatory drugs (NSAIDs),
and in those who have known gastritis or peptic ulcer disease. It should not be taken by people with
aspirin sensitive asthma, and with those who have a general sensitivity to aspirin or other NSAIDs.
e. Piroxicam can interact with thiazide diuretics, β-blockers and with serum protein bound drugs such as
warfarin.
f. It should not be taken by those under 14 years. In people less than 55kg, half the dosage (10mg/day)
need only be taken.
g. It is advised that you DO NOT engage in moderate to heavy exercise and in particular to not become
dehydrated whilst on this drug. Prolonged dehydration may lead to renal/kidney failure.
3. Paracetamol 500mg combined with codeine 30mg. Take two tablets every six hours for the first 24
hours following surgery, and then taken as needed no less than six hourly thereafter. Twenty tablets are
provided.
a. Brand names include Panadeine Forte and Codalgin Forte. Plain paracetamol (acetaminophen) has a
number of brand names including Panadol, Dymadon, Chemists Own Paracetamol, Herron
Paracetamol, Paracetamol, Parahexal, Paralgin, Setamol and Tylenol. Panadol reduces fever and
pain, and with codeine adds a powerful combination to the control of immediate post-operative pain.
b. The first dose should be begun before the local anaesthetic wears off. It is then used regularly, six
hourly, and for the first twenty four hours. Thereafter, use as needed, and do not take the next dose
before six hours has expired. In an adult, no more than 8 tablets can be taken in a 24 hour day.
c. The six hourly dose is calculated safely as ~15mg/kg of body weight. For a 70kg person, this is
approximately 1000mg of acetaminophen (Panadol/Paracetamol), or two 500mg tablets. For a 35kg
child, a safe dose would be 500mg, or one 500mg tablet (or equivalent in syrup). Only take what is
directed.
d. In adults, a single dose of 10-15 tablets of Panadol can lead to acute liver failure. Over-doses of
Panadol/Paracetamol/acetaminophen should be immediately reported to your local Public Hospital
Emergency Department.
e. You may cease Panadeine use in favour of plain paracetamol in the event of nausea or vomiting
f. Codeine can lead to a histamine release with general itchiness and rash. It commonly causes nausea,
and which is poorly relieved with vomiting. If nausea occurs, cease your Panadeine Forte first, and
maintain your medication using plain Panadol/Paracetamol/acetaminophen.
g. Codeine also can cause constipation, especially if over used. Prunes are a natural remedy for this.
h. The inactive codeine molecule is metabolised by the liver cytochrome P450 CYP2D6 iso-enzyme
system to the active morphine moiety. This metabolism is poor in those who have a genetic deficiency
of the relevant enzyme, or in those taking drugs which block the enzyme such as fluoxetine (Prozac). In
such patients, pain relief with codeine preparations may be poor.
i. Codeine will interact with other opioid drugs such as oxycodon, morphine or methadone (DO NOT
TAKE IN COMBINATION)
4. Anæsthetic mouth salts, containing benzocaine. 100gm. Use a teaspoon in half a glass of hot (38-
40°C) water, and soak the wounds before using the Oral Surgery Mouth Soak.
a. This solution has been especially prepared, and is only available from City Pharmacy at 53 Hunter
Street, Newcastle, Tel.: [phone] (Mr Bob Lundy, Compound Pharmacist)
b. The salts contain a small amount of benzocaine which aims to produce a numbing effect over your
mouth and wounds. The salt aims to clean and sooth. Bicarbonate has a subtle bubbling action.
c. It is safe to use the solution as regularly as you want, but three times a day is the advice given by the
practice. You can only commence using the solution 24 hours after surgery. Do not swallow.
d. Early use of the mouth salts can lead to loss of the socket blood clot. This in turn leads to dry socket.
e. Prepare using a half glass of hot water (not scalding) with a level teaspoon of salts. Use a small mouthfull
to soak over the wounds, and do not rinse. Continue until the glass is empty.
5. Oral Surgery Mouth Soak, containing aqueous 0.2% solution of chlorhexidine, 200mL bottle. Use as a
mouth soak over the wounds only. DO NOT RINSE. Use one capful, morning, midday and at night as a
soak. Do not swallow.
a. This solution is very important to use regularly as it prevents colonisation of your wounds by oral plaque
and bacteria. Use it before your meal, or if it affects taste, use it after eating and after general tooth
brushing. You may use a large cotton ball to help allow the chlorhexidine to soak directly over a wound.
You can only commence using the solution 24 hours from surgery.
b. It is very important not to have sticky, smear-forming protein drinks such as milk, and which can retard
the chlorhexidine molecule from preventing bacterial attachment to wound margins.
c. The preparation has minimal alcohol content, which reduces stinging to your mouth wounds. Use the
Anæsthetic Mouth Salts to reduce wound stinging before you use the Oral Surgery Mouth Soak.
d. The preparation is not poisonous, and can be safely ingested in small quantities. Drinking the solution is
not advised or recommended, and a flavouring has been added to prevent this.
e. Do not rinse, as this can open up fresh wounds and cause bleeding & clot & wound breakdown.
f. Prolonged use beyond two weeks can lead to an unsightly discolouration to the teeth or a dark film over
your tongue. Dental discolouration is easily removed by your general dentist at your next visit.
6. Clindamycin, 150mg capsules. Take two capsules, each morning and night, for 6 days. There are 25
to a packet. (You may either have this drug OR amoxicillin/clavulanate)
a. Marketed as Dalacin C or Cleocin this drug is provided as an alternative to amoxicillin/clavulanate in
those that are allergic to penicillins, or who are having titanium implant or bone graft surgery.
b. It has superior bone penetrating qualities, and apart from expense it is an ideal drug for the prophylaxis
and treatment of maxillofacial infections.
c. It can lead (and very, very rarely so) to pseudomembranous colitis; an infection of the bowel caused by
Clostridium difficile. In people who develop diarrhoea following treatment by clindamycin, consultation
should be sought by their GP, with investigations to exclude for C. difficile infection. (It is important to
consider that there are many causes of diarrhoea, and which may be unrelated to clindamycin use.
Extreme examples can include food poisoning such as by salmonella or other causes of diarrhoea such
as by giardiasis or cryptosporidium infections).
d. It is extremely rare to be allergic to, or become sensitised to Clindamycin.
e. You can take the medication with or without food, and it is recommended to take the tablets with a full
glass of water to prevent oesophagitis.

got to http://oceansurgical.com.au/documents/medications.pdf to find out more