Tooth Abscess Antibiotic Treatments
When it comes to tooth abscess, medicines that the dentist prescribe are usually for pain relief, control of fever and antibiotics to prevent the infection from spreading. If there is a known allergy towards any antibiotics, you should alert your dentist.
Best antibiotics for tooth abscess that are commonly used are:
i) Penicillin (Pen-Vee K): Considered as the antibiotic of choice for treatment of dental abscess until the emergence of beta-lactamase producing bacteria which can potentially decrease it efficacy. This particular drug interferes with the bacterial cell wall production during cell division and leads to cell death. However, if the concentration is insufficient, then it may produce bacteriostatic effect-inhibiting the growth of the bacteria.
ii) Amoxicillin and Clavulanate (Augmentin, Exclav, Synermox): Amoxicillin is a type of penicillin, while Clavulanate is a beta-lactamase enzyme inhibitor. These combinations of drugs widen the spectrum of action and restore the efficacy against amoxicillin-resistant bacteria producing beta-lactamase enzyme.
iii) Clindamycin (Cleocin): For patient who is allergic towards penicillin group, Clindamycin is the drug of choice for tooth abscess. It does not kill the bacteria but helps in slowing or stopping the growth of the organism.
iv) Metronidazole (Flagyl): It is excellent choice for fighting obligate anaerobic bacteria. It acts by inhibiting the bacterial DNA synthesis through interfering the helical DNA structure that eventually leads to breaking of DNA strands and cell death. Thus, it has bactericidal property.