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Dr. Andrew Rynne
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest alternate treatment for tooth abscess

i have a tooth abscess and have been taking pennicilian 500mg 4 times a day for a week now and the abscess is not much better, I have taken alot of pennicilian and amoxicillian in my life and they just dont work well anymore. i had a nose bleed last night and feel pressure in my head when i lay down. the tooth is an upper tooth. i can not get to the dentist until august 9 will i be ok or should i go to the hospital?
Mon, 7 Jul 2014
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Dentist 's  Response
Hello, Thank you for consulting with HCM.
When there is an abscess in the tooth, you have to go for root canal treatment of the tooth, as the pain will not be relieved till abscess is drained.
Antibiotics and analgesics are not the proper treatment and even you have continued for antibiotics more than a week, then it will be better to visit a good dentist before 9th of august.
Till then you just start with a dispersible paracetamol.
Hope it will help you.
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Dentist, Oral and Maxillofacial Surgery Dr. Mahesh Kumar T S's  Response
Thanks for your query, I have gone through your query.
The abscess could be because of the tooth infection. Penicillin alone will not work effectively.
You can take a course of antibiotics like amoxicillin 500mg tid and metronidazole 400mg tid for 5 days. Do saline gargling daily.
After taking the course of antibiotics get the tooth treated with either RCT or extraction.
I hope my answer will help you, take care.
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Dentist, Prosthodontics Dr. Rakshith Guru's  Response
It is better to drain the abscess immediately before it spreads or start an emergency RCT immediately as it has not reduced with Penicillin. Also start with Antibiotics which act against anaerobic bacteria like metronidazole also. Avoid hot fermentation
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