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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Treat Decay Tooth When Swelling Is Not Coming Down With Amoxicillin?

I have a decaying tooth, My internal medicine doctor put me on Amoxicillin 500 mg 3 times a day until I see my dentist tomorrow, but I have been told, that they cannot give me a shot until the swelling has gone down, it has been 3 days and on the inside below the bad tooth it has not any smaller. My doctor gave me 10 days of amoxicillin, so how can my dentist treat me since the swelling has not gone down, I am a diabetic and my blood pressure is a little high. I am on Medicaid, so it does not cover any dental, that's how my teeth got this way. what will the dentist do about the swelling inside on my gum, which is below the bad tooth?
Thu, 13 Feb 2014
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Dentist,  's  Response

Hello there,

Welcome to HCM,

Amoxycillin is antibiotic that acts on gram positive bacteria . if the swelling does not subside with it alone start with amoxycillin clavulate 625mg two times daily and metrogyl tablet once daily along with antiinflammatory tablets.
This medication should definately help subside the swelling .
Swellings seen in the oral cavity can be of various types . They can be infective lesions related to tooth like periodontal abscess or gingival abscess draining in the oral cavity.
lumps are also formed due to bening or malignant swellings of the jaws .
cysts of the jaws , related to tooth or bone may also lead to swelling .

exact diagnosis can be made only after clinical examination and evaluation by taking radiographs.

i would suggest you to get and OPG radiograph done which will help in diagnosis and accordingly treatment can be planned .
consult an oral surgeon and get the examination done.

i hope this helps,
take care.
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How To Treat Decay Tooth When Swelling Is Not Coming Down With Amoxicillin?

Hello there, Welcome to HCM, Amoxycillin is antibiotic that acts on gram positive bacteria . if the swelling does not subside with it alone start with amoxycillin clavulate 625mg two times daily and metrogyl tablet once daily along with antiinflammatory tablets. This medication should definately help subside the swelling . Swellings seen in the oral cavity can be of various types . They can be infective lesions related to tooth like periodontal abscess or gingival abscess draining in the oral cavity. lumps are also formed due to bening or malignant swellings of the jaws . cysts of the jaws , related to tooth or bone may also lead to swelling . exact diagnosis can be made only after clinical examination and evaluation by taking radiographs. i would suggest you to get and OPG radiograph done which will help in diagnosis and accordingly treatment can be planned . consult an oral surgeon and get the examination done. i hope this helps, take care.