How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr.Hans Your Own Question

Dr.Hans
Dr.Hans, Masters of Dental Surgery
Category: Dental
Satisfied Customers: 644
Experience:  11 years of clinical experience in diagnosing and treating problems in oral and dental health.
8847979
Type Your Dental Question Here...
Dr.Hans is online now
A new question is answered every 9 seconds

what antibiotics are best to treat gm/tooth abcess, my ...

Customer Question

what antibiotics are best to treat gm/tooth abcess, my dentist ordered z pak isnt working
Submitted: 6 years ago.
Category: Dental
Expert:  Dr.Hans replied 6 years ago.

Hello,

Welcome to just answer.

Z-Pack or Azithromycin is in a group of drugs called macrolide antibiotics. It is mainly used to treat infections such as respiratory infections, skin infections, ear infections, and sexually transmitted diseases.

Amoxicillin is one of the first antibiotics that we prescribe for dental infections. It normally takes between 24 and 48 hours before its effects are noticeable.

Read more about this drug here
http://www.drugs.com/amoxicillin.html

If you happen to be allergic to penicillin, the second choice is Erythromycin.


Read more about this drug here
http://en.wikipedia.org/wiki/Erythromycin


I would also like to emphasize the importance of combination of this drug with another antibiotic called metronidazole.

The antibiotics chosen to be given for the dental abscesses should also have broad-spectrum coverage, and therefore combination therapy may be required.

Read more about it here in a link:
http://www.bsac.org.uk/pyxis/Head_and_Neck_Infections/Dental%20sepsis/Dental%20abscess/Dental%20abscess.htm

Abscesses are frequently polymicrobial on culture, when we culture the abscess from drained material we can find that several species are isolated from the abscess. Therefore it becomes necessary to prescribe more than one antibiotic.This is to ensure that all possible causative agents will be targeted effectively.

So a combination of Metronidazole(400mg) is also given with amoxicillin (500mg ) is given for dental abscess..

Read more about this drug here:

http://en.wikipedia.org/wiki/Metronidazole

You can also start with warm saline rinses- A very effective way in reducing abscess /swelling is rinsing frequently with hot salt water solution- You can dissolve ½-teaspoon of salt in 8 ounces of water as hot as you can tolerate without burning the mouth,and rinse for two minutes every four hours, this will provide you relief. This will facilitate abscess drainage by softening the tissues around the infection.




I hope this helps! If you are satisfied please don't forget to ACCEPT the answer.

BONUSES and positive feedback are always appreciated. If you have any more questions, please feel free to respond to this question.

Good Luck!

Dr. Hans

Customer: replied 6 years ago.
what dosages of amoxicillin and Metronidazol and on what schedule for how any days
Expert:  Dr.Hans replied 6 years ago.
Hello,

Thank you for your reponse.

A combination of Metronidazole- 400mg along with amoxicillin -500mg capsule is usaually prescibed for 5 days.Metronidazole is given twice daily and amoxicillain dosages are supplied as 250 mg or 500mg capsule every 8th hourly ,the dosages of which depends upon the severity of infection.

So, for proper dosages and schedule i would also like you to consult your dentist before you take the following medicines.



I hope this helps! If you are satisfied please don't forget to ACCEPT the answer.

BONUSES and positive feedback are always appreciated. If you have any more questions, please feel free to respond to this question.

Good Luck!

Dr. Hans

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
< Last | Next >
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
  • I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!! Janet V Phoenix, AZ
 
 
 

Meet The Experts:

 
 
 
  • Mark Bornfeld, DDS

    Dentist

    Satisfied Customers:

    5437
    Clinical instructor, NYU College of Dentistry; 37 years private practice experience in general dentistry, member Academy of General Dentistry, ADA
< Last | Next >
  • http://ww2.justanswer.com/uploads/GE/gemini132/2012-6-7_14143_MarkPic.64x64.jpg Mark Bornfeld, DDS's Avatar

    Mark Bornfeld, DDS

    Dentist

    Satisfied Customers:

    5437
    Clinical instructor, NYU College of Dentistry; 37 years private practice experience in general dentistry, member Academy of General Dentistry, ADA
  • http://ww2.justanswer.com/uploads/drbehere/2010-04-11_192833_IMG_055575.jpg Dr. Behere's Avatar

    Dr. Behere

    Dentist

    Satisfied Customers:

    1850
    Masters degree, years of experience with all kinds of dental problems.
  • http://ww2.justanswer.com/uploads/knecht522/2008-12-17_154020_alex22.jpg Dr. Alex's Avatar

    Dr. Alex

    Dentist

    Satisfied Customers:

    1607
    I am a General Dentist and founder of the American School of Dental Assisting
  • http://ww2.justanswer.com/uploads/doclagoa/2008-10-01_163313_geosmall.jpg Dr. George McKee's Avatar

    Dr. George McKee

    Dentist

    Satisfied Customers:

    1392
    Licensed dentist with 30 years clinical experience in general practice and cosmetic reconstruction.
  • http://ww2.justanswer.com/uploads/slodentistry/2009-05-25_004702_h.jpg Dr. Girish's Avatar

    Dr. Girish

    Dentist

    Satisfied Customers:

    788
    19 years of clinical experience in all phases of Dentistry.
  • http://ww2.justanswer.com/uploads/jwcdds/2009-05-09_190942_portrait.gif Julian Chen's Avatar

    Julian Chen

    Dentist

    Satisfied Customers:

    558
    Practicing General Dentist since 2002
  • http://ww2.justanswer.com/uploads/drwilldds/2009-10-29_201512_justanswer.jpg Dr. Winterholler's Avatar

    Dr. Winterholler

    Dentist

    Satisfied Customers:

    266
    4 years Private Practice, Heavy emphasis on Cosmetic Dentistry and Implants, Top 10% of Dental Class
 
 
 

Related Dental Questions

Chat Now With A Dentist
Dr.Hans
Dr.Hans
595 Satisfied Customers
11 years of clinical experience in diagnosing and treating problems in oral and dental health.