Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
158 Doctors are Online

Abscess, deep cleaning needed. History of stents, peridontal problems, abscessed teeth, some with root canal fillings. Advise?

hi--am dds and need to know a good protocal for a adult pt who has had 2 stents placed 2 months ago. pt hassome perio issues and 3 abcessed teeth . 2 were tx with root canal fillings by the former dds. pt now presents with another abcess and nees some deep cleaning. was thinking of pre op amoxicillin 500 mg tid for7 days for thfoneorfore acute swelling on the upper molar the n removing it later. then doing the perio tx using 500 mg amoxicillin
Asked On : Mon, 25 Mar 2013
Answers:  4 Views:  50
Report Abuse
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Diseases and Conditions
Drug/Medication
Medical Procedures
Dentist 's  Response
if there is abscess use of antibiotic is not gonna help that much u hav to drain thre pus.we generally put the pt on antibiotic therapy to just stabilize the patient .try to reduce the infection.whn u kno abscess is periodontal origin thn i will suggest u to go fort deep scaling so that u can drain the pus as extn as possible thn put the pt on antibiotic therapy ,beta lactam is good choice but do not forget to provide an anaerobic coverage.lik metronidazole.in my clinic i always prefer for chlorhexidine irrigation ,it is very friendly to the periodontium.
but in case of abscess originating from pulpal rzn thn first put on antibiotic therapy based aha or bha guidline ,either u can go for access opening or for extraction...
Answered: Wed, 8 May 2013
I find this answer helpful
Dentist Dr. Qazi Ammara's  Response
Hi,

Thanks for asking the query,

According to your description i suppose that the patient is periodontically compromised.
I would suggest a thorough clinical examination in the patient OPG radiograph will be helpful in deciding the diagnosis nad treatment plan.
Go for complete mouth scaling and polishing and curettage.
Take complete course of antibiotics and analgesics.
If the abscess is of dental origin then depending upon the x-rays rct or extraction of the tooth can be carried out.
Lukewarm saline and antiseptic mouthwash gargles can be helpful.

Hope this helps out.

Regards...
Answered: Fri, 10 May 2013
I find this answer helpful
Dentist Dr. Qazi Ammara's  Response
Hi,

Thanks for asking the query,

According to your description i suppose that the patient is periodontically compromised.
I would suggest a thorough clinical examination in the patient OPG radiograph will be helpful in deciding the diagnosis and treatment plan.
Go for complete mouth scaling and polishing and curettage.
Take complete course of antibiotics and analgesics.
If the abscess is of dental origin then depending upon the x-rays rct or extraction of the tooth can be carried out.
Lukewarm saline and antiseptic mouthwash gargles can be helpful.

Hope this helps out.

Regards...
Answered: Fri, 10 May 2013
I find this answer helpful

1 Doctor agrees with this answer

Dentist Dr. Bindiya Bhaskar's  Response
Hi,
Thanks for writing to us.
From the details provided,its clear that the patient's teeth are periodontally compromised.
Routine dental visit is required in such condition.
Get deep scaling and root planning done.
Abscess has to be drained and curetted.
Maintain oral hygiene well.
Use soft interdental toothbrush and dental floss to clean your teeth.
Brush your teeth in back-forth and up-down motion.
Use chlorhxidine mouthrinses to gargle.
Gargle frequently using warm saline and betadine.
Rinse your mouth after every meals.
Take care.
Answered: Thu, 9 May 2013
I find this answer helpful
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
 

 

Loading Online Doctors....
© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor