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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Swelling On Face Due To Gum Infection

My 12 year old son had an infection above one of his teeth with swelling to the face. the dentist scraped the area and suction out the infection and prescribed Amoxicillin. He has taken two of them as of today but the swelling is still increasing to his face and he has a temperature of 101. The dentist did advise that if the swelling should start to increase to the media range to the face to take to the ER. My concern at this moment is should we monitor for tonight or take him to the ER?
Thu, 21 Aug 2014
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Dentist 's  Response
Hello,
Antibiotic treatment usually takes at least 24 hours to be effective. Take all doses at correct prescription times. I suggest taking anti-inflammatory medication along with the antibiotic prescription at regular intervals. If possible, a combination of Tylenol and Advil can be very effective in controlling the spread of inflammation. Consult with your dentist for proper dosage based on weight and age of your child.
I suggest calling the dentist to discuss the degree of increased swelling. This should help make the decision since your dentist is familiar with your son's condition. Any severe swelling should be treated at the ER.
Sometimes one antibiotic is not effective and needs to be changed. Sometimes a stronger doses are required initially or during treatment to be effective. You must fully complete antibiotic prescriptions.
If you are in any doubt about your son's health, you cannot be wrong by making a trip to the ER. Close monitoring is advised as it is not uncommon for an increase in symptoms before the antibiotic is fully effective.
Thank you for your inquiry. I hope your son will feel relief soon.
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Dentist Dr. Dr. Rohit S Menon's  Response
helloo...read thru ur query...since swelling is increasing and reached near the mid face i suggest u to take him to er and get it treated as in the night if swelling increases it would be difficult for u to take him and dr cant be found at late night..so better take him get the treatment done....dont panic..just take him if needed get him admitted and start iv antibiotics based on the clinical condition...hope ur benefitted something from this reply..have a healthy day!!!
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Suggest Treatment For Swelling On Face Due To Gum Infection

Hello, Antibiotic treatment usually takes at least 24 hours to be effective. Take all doses at correct prescription times. I suggest taking anti-inflammatory medication along with the antibiotic prescription at regular intervals. If possible, a combination of Tylenol and Advil can be very effective in controlling the spread of inflammation. Consult with your dentist for proper dosage based on weight and age of your child. I suggest calling the dentist to discuss the degree of increased swelling. This should help make the decision since your dentist is familiar with your son s condition. Any severe swelling should be treated at the ER. Sometimes one antibiotic is not effective and needs to be changed. Sometimes a stronger doses are required initially or during treatment to be effective. You must fully complete antibiotic prescriptions. If you are in any doubt about your son s health, you cannot be wrong by making a trip to the ER. Close monitoring is advised as it is not uncommon for an increase in symptoms before the antibiotic is fully effective. Thank you for your inquiry. I hope your son will feel relief soon.