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Medical Forum / General / Dentistry / April 2006Antibiotics
Hello, I have been taking a 5 day course of antibiotics for 4 days because I have a large lump on my gum. I have never taken antibiotics before so I wondered if the lump on my gum should be residing by now or if the antibiotics will still work after the 5 days are up. My dentist said the lump will burst but it's still there after 4 days. Is this normal? Do antibiotics sometimes not work? Thanks for any advice. > Hello, > [quoted text clipped - 9 lines] > > Thanks for any advice. Do you know what the infection is from? Steve >> Hello, >> [quoted text clipped - 11 lines] > > Do you know what the infection is from? I'm not too sure. I have a deep filling and one half of the tooth is cracked exposing the filling near the gum line. This is where the lump has appeared. I think my dentist said this was what had caused the infection. >>>Hello, >>> [quoted text clipped - 16 lines] > This is where the lump has appeared. I think my dentist said > this was what had caused the infection. Assuming this is not from an infected pulp (a big assumption), it will sometimes take longer than 5 days for an antibiotic to resolve the infection. Sometimes I will keep a patient on antibiotics for as long as 2 weeks. If it hasn't resolved after 2 weeks, it's not likely to resolve with further treatment with the same antibiotic. You'd have to try another antibiotic, or go to "plan B". Steve  SignatureMark & Steven Bornfeld DDS http://www.dentaltwins.com Brooklyn, NY 718-258-5001 > Hello, > [quoted text clipped - 9 lines] > > Thanks for any advice. Antibiotics will kill an infection, but if the infected area is enclosed, the remnants of the dead infectious cells are still present, and take some time to be absorbed into your system (unless the lump is burst and the fluids leak out). >>Hello, >> [quoted text clipped - 14 lines] > time to be absorbed into your system (unless the lump is burst and the > fluids leak out). If the source of the infection is an infected dental pulp, antibiotics will suppress but not totally resolve the infection. If this is the case the options for resolution of the infection are root canal therapy or extraction. Steve SignatureMark & Steven Bornfeld DDS http://www.dentaltwins.com Brooklyn, NY 718-258-5001 >> Hello, >> [quoted text clipped - 14 lines] >time to be absorbed into your system (unless the lump is burst and the >fluids leak out). Thanks for the advice. Astute observation. Actually, every single chronic periapical abscess contains bacteria and is encapsulated by a fibrous membrane that PREVENTS communication with the body. True. Ask any dentist who has extracted even one abscessed tooth. The "granuloma" (granulomatous sac) get extracted with the tooth. Of course this kills J.D.'s NICO theory. Joel Mark A Wrote: > > Hello, > > [quoted text clipped - 16 lines] > time to be absorbed into your system (unless the lump is burst and the > fluids leak out) -- Joel34 |
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