Oral bacterial infections

Primary infections involving pulpal and periodontal tissues. Penicillin remains the primary drug for treatment of dental infections of pulpal origin. The management of soft tissue infections may require the use of additional drugs.

IF THE PATIENT IS NOT ALLERGIC TO PENICILLIN, PENICILLIN VK, STILL REMAINS THE EMPIRIC ANTIBIOTIC OF FIRST CHOICE TO TREAT MILD OR EARLY ODONTOGENIC INFECTIONS. WITH PINICILLIN ALLERGY, CLINDAMYCIN, IS THE ALTERNATE ANTIBIOTIC FOR TREATMENT OF MILD OR EARLY INFECTIONS.

RX: PEN vK 500mg tabs
Disp: 28 (twenty-eight)
Sig: Take 1 tab q6 h UNTIL GONE
  • May indicate 2 STAT = 2 immediately for loading dose
  • Cost = About $3.00 per week supply

RX: Amoxicillin 500mg tabs
Disp: 21 (twenty-one)
Sig: Take 1 tab q 8 h UNTIL GONE
  • May indicate 2 STAT = 2 immediately for loading dose
  • Cost = About $15.00 per week supply

RX: Clindamycin 150mg tabs
Disp: 28 (twenty-eight)
Sig: Take 1 tab q6h UNTIL GONE
  • May indicate 2 STAT = 2 immediately for loading dose
  • Cost = About $115.00 per week supply

In late odontogenic infections, it is suggested that clindamycin be considered the first-line antibiotic to treat the infection. The dose is the same. If Pen VK was initially prescribed and the infection does not respond within 24-36 hours, a second drug, metronidazole (Flagyl) may be ADDED to the Pen VK.

RX: Flagyl 500mg tabs
Disp: 28 (twenty-eight)
Sig: Take 1 tab q 6-8 h UNTIL GONE
  • Do not exceed 4 g per day
  • Do not take with ETOH products

Dosage for treatment of periodontitis associated with Acute Abscess is:
RX: Flagyl 500mg tabs 200-400 mg tabs 3 times per day for 7-10 days.
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