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After all, a toothache can be a sign that something more serious is happening with your teeth and gums. "Cavities, gum disease and tooth abscess are the most common causes of pain in the mouth ...
If this does not work, incision and drainage is required, as described in Dental abscess Treatment. Antibiotics are of secondary importance to drainage, which if satisfactory renders antibiotics unnecessary. Antibiotics are generally reserved for severe infections, in which there is facial swelling, systemic upset and elevated temperature. [20]
The first line of treatment is the removal of the source of inflammation or infection by local operative measures. [9] Generally, the abscess can be eradicated through surgical drainage alone; however this is sometimes inadequate. Therefore, systemic antibiotic treatment may be required, but only if there is evidence of spreading infection. [9]
Treatment involves good oral hygiene and regular professional teeth cleaning. [5] Recommended oral hygiene include daily brushing and flossing. [5] In certain cases antibiotics or dental surgery may be recommended. [12] Clinical investigations demonstrate that quitting smoking and making dietary changes enhance periodontal health.
[15]: 303 In this role, antibiotics suppress the infection until local measures can be carried out. Severe trismus may occur in when the muscles of mastication are involved in an odontogenic infection, making any surgical treatment impossible. Immunocompromised individuals are less able to fight off infections, and antibiotics are usually given.
When the attachments of the teeth to the bone are involved, the term NP is used. Treatment of NG is by removal of dead gum tissue and antibiotics (usually metronidazole) in the acute phase, and improving oral hygiene to prevent recurrence. Although the condition has a rapid onset and is debilitating, it usually resolves quickly and does no ...