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Medical Forum / General / Dentistry / February 2005Antibiotics
Which antibiotics are commonly used for tooth infections? >Which antibiotics are commonly used for tooth infections? The list is quite extensive. -- W_B wubbabubbazG@RBAGEyahoo.com Take out the G'RBAGE > >Which antibiotics are commonly used for tooth infections? > > The list is quite extensive. The reason I ask is because my dentist always prescribes penicillin, no other antibiotics. I know that most MDs do not prescribe penicillin any more, due to antibiotic resistance, and instead prescribe newer antibiotics, that less bacteria are resistant to. I wondered if the bacteria that usually infect teeth are not resistant to penicillin, and whether that is true with dentists in general, whether penicillin is the antibiotic of choice for most dentists? >The reason I ask is because my dentist always prescribes penicillin, no >other antibiotics. I know that most MDs do not prescribe penicillin any [quoted text clipped - 4 lines] >penicillin, and whether that is true with dentists in general, whether >penicillin is the antibiotic of choice for most dentists? It is an antibiotic resistance (beta lactamase) is a huge problem that needs to be addressed through less needless antibiotic therapy in the future. Joel >>>Which antibiotics are commonly used for tooth infections? >> [quoted text clipped - 8 lines] > penicillin, and whether that is true with dentists in general, whether > penicillin is the antibiotic of choice for most dentists? Most dental infections from decay are primarily strep infections. Most respond to penicillin, which is generally effective and cheap. These days amoxycillin is being used more. Some of these semisynthetic penicillins have a wider spectrum of bacterial activity than penicillin G or V. Many dentists also use cephalosporins, which also have a somewhat wider antibiotic spectrum than plain penicillin. The most common problem with using penicillin is allergy, which can be severe. Many patients with penicillin allergy (but not all) will react to cephalosporins as well, as the chemical structure is similar. The first line substitute for penicillin in penicillin-allergic patients used to be erythromycin. But recently there has been an association between erythromycin and heart problems, so its use has markedly decreased. Clindomycin is also used, but it has a significant incidence of gastrointestinal problems. Tetracycline use is more common in periodontal disease, partially because of its activity against some enzymes related to breakdown of periodontal tissues. It is a broad-spectrum antibiotic, but antibiotic resistance is becoming an increasing problem. As with all broad spectrum antibiotics, use for more than a week or so in antibiotic doses increases the risk of yeast infections. It is also not bactericidal, so in practice I almost never use it. If you get the idea from this that antibiotic use is becoming more complicated, you are right. Hope this helps, Steve  SignatureCut the nonsense to reply > > I wondered if the bacteria that usually infect teeth are not resistant to > > penicillin, and whether that is true with dentists in general, whether > > penicillin is the antibiotic of choice for most dentists? Right. Many dentists are resistant to penicillin nowadays. You cannot stop them anymore with this antibiotic. :-) Signature-History of fluorine, fluoride and fluoridation-: --- http://PMeiers.bei.t-online.de/index.htm --- ---------------------------------------------------- >> >Which antibiotics are commonly used for tooth infections? >> [quoted text clipped - 8 lines] >penicillin, and whether that is true with dentists in general, whether >penicillin is the antibiotic of choice for most dentists? Penicillin or a derivative is still the drug of choice to treat dental infections. -- W_B Take out the G'RBAGE wubbabubbazG@RBAGEyahoo.com > Penicillin or a derivative is still the drug of choice to treat > dental infections. Could you explain to me why, since medical doctors rarely use this particular older antibiotic any more, and are more inclined to use newer ones? >> Penicillin or a derivative is still the drug of choice to treat >> dental infections. > >Could you explain to me why, since medical doctors rarely use this >particular older antibiotic any more, and are more inclined to use newer >ones? You would have to ask a physician. -- W_B Take out the G'RBAGE wubbabubbazG@RBAGEyahoo.com Drug companies are out in force to physicians' offices all over the country. They are dishing out samples and touting the effectiveness of each new medication that they can come up with. Some of them are really better than older medications for different medical situations and some are not. It's hard for physicians or dentists to evaluate all of the potential antibiotics on the market. Also, physicians are generally treating infections not associated with teeth. Different antibiotics work better against respiratory infections than others. The goal is to find the drug that has the overall best performance, reasonable cost, and low chances of complications. As W_B says, penicillin is still the first drug of choice for dental infections. Are there others as good or possibly even *slightly* better? Yes. Are they superior to the extent that their higher cost and potential side effects warrant their use? No. Penicillin is still a very effective, relatively inexpensive drug. If (assuming no allergy) PenVK 500 mg qid doesn't work quickly, then it is appropriate to use different antibiotics. Fawks >>Penicillin or a derivative is still the drug of choice to treat >>dental infections. > > Could you explain to me why, since medical doctors rarely use this > particular older antibiotic any more, and are more inclined to use newer > ones? Anybody besides me wonder why antibiotics need to be prescribed often to this person? Signature~+--~+--~+--~+--~+-- Stephen Mancuso, D.D.S. Troy, Michigan, USA .................................................... This posting is intended for informational or conversational purposes only. Always seek the opinion of a licensed dental professional before acting on the advice or opinion expressed here. Only a dentist who has examined you in person can diagnose your problems and make decisions which will affect your health. ...................... > >> >Which antibiotics are commonly used for tooth infections? [quoted text clipped - 10 lines] > penicillin, and whether that is true with dentists in general, whether > penicillin is the antibiotic of choice for most dentists? >>Which antibiotics are commonly used for tooth infections? > >The list is quite extensive. Sillins ...... Antibiotics will never cause Ulcerative Colitis. Antibiotics can, however, aggravate an existing condition of Ulcerative Colitis. Cipro has been effective, but not everyone can tolerate Cipro Gail. C> Which antibiotics are commonly used for tooth infections? Hi Gail, you're right it's not ulcerated colitis that antibiotics cause but they can cause colitis and/or gastritis is people. UM MOM Susan > Antibiotics will never cause Ulcerative Colitis. Antibiotics can, > however, [quoted text clipped - 3 lines] > > C> Which antibiotics are commonly used for tooth infections? > Hi Gail, you're right it's not ulcerated colitis that antibiotics cause but > they can cause colitis and/or gastritis is people. UM MOM Susan Hi Susan, you are right too. Ulcerative Colitis and Crohns have only one cause. (or so I say) But gastritis or colitis can be caused by food, spoiled or otherwise or anything ingested that does not agree with us. I think most everyone has had gastritis or mild colitis sometime in life. They are temporary conditions, usually self limited, unlike Ulcerative colitis. Gail >Hi Susan, you are right too. Ulcerative Colitis and Crohns have only >one cause. (or so I say) I have not heard that substantiated, but you of course are entitled to your own opinions. Joel > But gastritis or colitis can be caused by >food, spoiled or otherwise or anything ingested that does not agree [quoted text clipped - 3 lines] > >Gail > Hi Gail, you're right it's not ulcerated colitis that antibiotics cause but > they can cause colitis and/or gastritis is people. UM MOM Susan Hi Susan, you are right too. Ulcerative Colitis and Crohns have only one cause. (or so I say) But gastritis or colitis can be caused by food, spoiled or otherwise or anything ingested that does not agree with us. I think most everyone has had gastritis or mild colitis sometime in life. They are temporary conditions, usually self limited, unlike Ulcerative colitis. Gail > Which antibiotics are commonly used for tooth infections? Amoxycillin. >> Which antibiotics are commonly used for tooth infections? > >Amoxycillin. I prefer Ampicillin. BTW that's Amoxicillin, commonly referred to as Amoxil. -- W_B Take out the G'RBAGE wubbabubbazG@RBAGEyahoo.com |
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