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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Food Impacted Tooth. Taking Keflex. Reasonable To Take Zpack?

I have been dealing with a food impacted tooth that is infected. Can t bite down, can t chew on it without shooting. When I get up in the morning I don t know if it s from sleeping on that side but it is extremely tender. Dentist has had me on Keflex for two weeks. He had put a medicated plug in between the two back teeth - hasn t done much. Today he prescribed a Zpak is this reasonable?
Tue, 10 Sep 2013
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Dentist 's  Response
Hi,
Thanks for using HCM forum
According to your history it seems that you have a deeply carious tooth or suffering from bruxism as you are having tenderness after waking up in the morning.
As your tooth is infected so taking antibiotics only will not be a permanent treatment. Infection has reached to pulp. Consult your dentist for Root canal treatment.
Or its bruxism so ask your dentist for mouth guards.
Take care
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Dentist Dr. Farah Hussain's  Response

Hi there,

Thanks for writing your query,

According to your history i suspect food impaction in the tooth is due to carious lesion and cavitaion in the tooth.
z pak is AZITHROMYCIN antibiotic which will help subside the symptoms of pain and swelling but you need to get the infected tooth treated.

Such infected tooth is treated by root canal procedure, provided the periodontal status of the tooth is good. That is, if the tooth is not mobile.
Root canal procedure disinfects the tooth by removing the infected nerve tissue and the root canals are cleaned,shaped and filled with permanent restorative material.Once the treatment is completed , the tooth can be restored by with a prosthetic crown coverage.

i hope this helps ,

take care.
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  Anonymous's Response
Anonymous's  Response
If at all its a case if food impaction only the z pack is going to help a lot
but we should come to the conclusion first that why the food has inpacted there
it can be due to some soft tissue pathology like periodontal pocket or may be due to some proximal cavity
has to be checked and treated accordingly
a perio pack is going to heal it very fast
even warm saline rinses r very helpful in food impactions if they r not secondarily infectef

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Have Food Impacted Tooth. Taking Keflex. Reasonable To Take Zpack?

Hi, Thanks for using HCM forum According to your history it seems that you have a deeply carious tooth or suffering from bruxism as you are having tenderness after waking up in the morning. As your tooth is infected so taking antibiotics only will not be a permanent treatment. Infection has reached to pulp. Consult your dentist for Root canal treatment. Or its bruxism so ask your dentist for mouth guards. Take care