Antibiotics after tooth extraction

Antibiotics after tooth extraction are necessary to minimize pain and prevent inflammation. Let's look at the indications for taking antibiotics and the specifics of their use.

Antibiotics after tooth extraction are taken as prescribed by the dentist. Antibiotics are tablets, rinses, drops, injections and ointments. Antibiotics are used only in extreme cases. As a rule, when, due to tooth extraction, an inflammatory process has begun in the oral cavity, which has led to suppuration, the formation of a gumboil or inflammation of the gums. Antibiotics can also be prescribed if the operation to remove the tooth was quite complex and led to damage to bone tissue or periodontium. Antibiotics are necessary if the patient experiences severe bleeding from the socket after tooth extraction.

Before prescribing antibiotics, the dentist evaluates the condition of the oral cavity, the general condition of the body and the features of the tooth extraction surgery. If the patient has a weak immune system, then tooth extraction may lead to an exacerbation of chronic diseases. In this case, in addition to antibiotics, the dentist prescribes immunomodulators and vitamin complexes to maintain a healthy body. If teeth are extracted due to their abnormal growth or in preparation for prosthetics, then antibiotics are not prescribed, since the extraction occurs without complications.

In addition to antibiotics prescribed to patients after tooth extraction, before the operation the dentist makes an injection that helps to increase the concentration of antibiotic in the blood, this significantly reduces the risk of inflammation and infection during the extraction and recovery period. In any case, before prescribing antibiotics after tooth extraction, the dentist consults with the patient. The doctor finds out about the presence of allergic reactions to certain drugs and gives recommendations on taking antibiotics (dosage, time and duration of administration). But without serious indications, antibiotics are not prescribed, as they can provoke various side effects that complicate the healing process.

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Indications for antibiotics after tooth extraction

Indications for antibiotics after tooth extraction are based on the complexity of the operation and possible complications. Antibiotics are prescribed differentially, the dentist takes into account contraindications and indications for their use. The main indications for the use of antibiotics after tooth extraction:

• Removal of wisdom teeth.
• Carrying out complex operations to remove teeth.
• Abnormal growth of teeth, which causes complications during surgery.
• Inflammatory processes and chronic dental diseases.
• Bleeding during tooth extraction.
• Conducting antibacterial therapy.
• Weakened immune system of the patient (most often, antibiotics are prescribed to elderly patients, people with serious blood diseases and diabetes).
• If there is a risk of developing infectious and inflammatory diseases of the oral cavity.
• In case of infection and gum contamination, which can lead to the appearance of gumboil.
• If the integrity of bone tissue or periodontium was damaged during tooth extraction.
• Antibiotics are prescribed to speed up the healing process of the socket.

When prescribing antibiotics, the dentist informs the patient about the specifics of taking the drugs and possible side effects. But today, modern dentistry offers an alternative solution to taking antibiotics. Before performing a tooth extraction operation, the patient is given an injection of a highly concentrated antibiotic, which replaces a full course of medication. The injection reduces the risk of complications during the operation and the occurrence of inflammation and diseases due to tooth extraction.

Release form

The form of antibiotics prescribed for use after tooth extraction depends entirely on the condition of the oral cavity after the operation. In case of serious complications, the patient may be prescribed a course of injections that are administered into the gum by the dentist.

In addition to injections, antibiotics can be in the form of ointments, drops or tablets. Most often, tablets are prescribed, as they are very easy to take. Antibiotics in the form of release - ointment or gel are prescribed to relieve pain in the gums and tooth socket, the same effect applies to drops.

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Antibiotics after wisdom tooth removal

Antibiotics after wisdom tooth extraction are prescribed to almost all patients, as the operation is quite complicated and causes a number of painful symptoms. A wisdom tooth may grow incorrectly or cause inflammatory processes in the gum. Therefore, when removing a wisdom tooth, an antibiotic is administered before the operation and prescribed after the extraction. Let's look at the reasons why antibiotics are prescribed after wisdom tooth extraction.

• Antibiotics are prescribed when there is a high probability of gum abscesses or gumboil formation.
• Antibiotics are also necessary if the removal operation was complicated, there was bleeding or the integrity of the gum was compromised.
• Medicines may be prescribed based on the general condition of the patient. Thus, taking antibiotics is mandatory for patients with a weak immune system or in the presence of chronic diseases that may worsen after wisdom tooth removal.

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Names of antibiotics after tooth extraction

The names of antibiotics after tooth extraction help to navigate among the variety of painkillers and anti-inflammatory drugs. Let's look at the most popular antibiotics that are prescribed after tooth extraction.

• Flemoxin is a broad-spectrum penicillin antibiotic. It helps to cope with the inflammatory process, prevents the occurrence of temperature, and is prescribed only by a doctor.
• Tsifran is prescribed after tooth extraction, in the presence of concomitant dental diseases, to prevent their spread.
• Lincomycin is a popular antibiotic that is prescribed to treat many dental problems. The drug is prohibited for use in kidney or liver diseases. It is not recommended to use during lactation and pregnancy.
• Amoxicillin is a broad-spectrum drug that effectively relieves inflammation and prevents the development of infectious diseases. It is suitable for use by both pregnant women and children.
• Amoxiclav is a combination antibiotic. It is approved for use by patients of all ages.

Other medications used after tooth extraction:

• Rotokan – has an anti-inflammatory effect, has antispasmodic and hemostatic properties. Positively affects the process of tissue regeneration.
• Burana 400 is a non-steroidal anti-inflammatory drug that has analgesic, antipyretic and anti-inflammatory effects.
• Xefocam is a non-steroidal anti-inflammatory drug, has anti-inflammatory and analgesic effects. The drug is prohibited during pregnancy and respiratory diseases.
• Nurofen is a non-steroidal anti-inflammatory drug that has anti-inflammatory, antipyretic and analgesic effects.
• Nise – prevents the occurrence of infectious and inflammatory processes in the oral cavity, relieves pain.
• Diclofenac - refers to non-steroidal anti-inflammatory drugs. It is used only as prescribed and under medical supervision.
• Ketanov is a strong drug with an analgesic effect. It has a number of contraindications: pregnancy, patient age under 16, individual intolerance to the active components of the drug, etc. It is available only on prescription.

Method of administration and dosage

The method of application and dosage of antibiotics is prescribed by the dentist. The dosage depends on the complications after tooth extraction. But in any case, the dentist selects the optimal dosage in order not to cause various side effects and overdose symptoms.

So for children, pregnant women and women who breastfeed, use the minimum dosage. If the antibiotic has a broad spectrum of action, then it is used from one to three times a day, this also applies to antibiotics that act locally. The dosage of any antibiotic depends on the action of the active substances included in its composition.

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Using Antibiotics After Tooth Extraction During Pregnancy

The use of antibiotics after tooth extraction during pregnancy is not advisable and is carried out only as prescribed by a dentist. The antibiotic is not advisable for use because it can have a side effect on the course of pregnancy or harm the unborn child. In addition, due to hormonal changes in the body during pregnancy, it is very difficult to calculate the dosage that is suitable for a woman and will have the proper therapeutic effect.

The use of antibiotics after tooth extraction during pregnancy directly depends on the pregnancy period. Thus, in the early stages the placenta is thick, which limits the effect of the drug on the child, but in the later stages the placenta decreases, which contributes to the easy permeability of drugs. When prescribing antibiotics after tooth extraction in pregnant women, dentists prefer such antibiotics as: Ubistezin, Ultracaine, Lidocaine. It is strictly forbidden to take antibiotics of the tetracycline group and fluoroquinolones. Sulfanilamides and aminoglycosides are prescribed with special caution. In any case, before using antibiotics, it is recommended to consult an obstetrician-gynecologist.

Contraindications to the use of antibiotics after tooth extraction

Contraindications to the use of antibiotics after tooth extraction depend on the type of antibiotic used and the individual characteristics of the course of the disease and the patient's body. Thus, most antibiotics prescribed for the treatment of dental diseases are contraindicated for use during pregnancy and lactation, for children and if the tooth extraction was without complications.

When prescribing antibiotics, the dentist asks the patient about the presence of allergic reactions to the prescribed drugs and the presence of diseases. Many antibiotics after tooth extraction are prescribed with caution to patients with renal failure, liver disease, diabetes, arterial hyperplasia, etc. That is why, before taking any antibiotic, you must read the instructions for its use to make sure that it is safe for your body.

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Side effects of antibiotics after tooth extraction

Side effects of antibiotics after tooth extraction occur if the dosage of the drug was prescribed incorrectly or the rules for taking it were violated. After taking, part of the drug is absorbed by the intestines, which is why it is recommended to take antibiotics before meals, so as not to reduce their effectiveness. The antibiotic spreads through the tissues of the body, is metabolized in the liver and excreted unchanged with bile or with feces and urine.

When taking antibiotics for a long time after tooth extraction, patients may experience the following side effects:

• Nausea, vomiting.
• Upset stomach, diarrhea.
• Inflammation of the oral mucosa.
• Allergic rash on the body and face.
• Bleeding in the oral cavity.
• Liver and kidney dysfunction.
• Decreased immune system.

To avoid side effects from taking antibiotics after tooth extraction, medications should be taken only as recommended by a dentist, observing the dosage and time of administration.

Overdose

An overdose of antibiotics prescribed after tooth extraction may occur due to non-compliance with the dosage of the drug, long-term use or individual intolerance to the drug. The main symptoms of an overdose are: dizziness, nausea, vomiting, loss of consciousness, tachycardia, exacerbation of kidney and liver diseases.

If the first symptoms of overdose appear, stop using the drug and seek medical help. The dentist will prescribe other drugs and help get rid of the symptoms that have appeared.

Interactions with other drugs

Interaction of antibiotics after tooth extraction with other drugs is possible only after permission from the dentist. The doctor diagnoses the patient's condition after tooth extraction and for more effective treatment can prescribe a number of antibiotics for simultaneous administration.

The interaction of monoamine oxidase inhibitors with tricyclic drugs has a hypertensive effect, i.e. increases blood pressure. Therefore, such drugs are not prescribed to patients with cardiovascular diseases and high blood pressure. But taking antibiotics after tooth extraction with beta-blockers increases the risk of bradycardia and the development of a hypertensive crisis.

Pharmacodynamics of Ubistezin

Pharmacodynamics Ubistezin is a complex of actions and reactions that the drug has on the body after administration. First of all, it is worth knowing that Ubistezin is a solution used in dentistry for submucosal injections. Ubistezin is a combination drug used for local anesthesia. The main active ingredient of the drug is articaine (an amide-type anesthetic). The drug is characterized by a rapid onset of anesthesia and an effective analgesic effect. In addition, the drug does not complicate wound healing and restores blood circulation at the site of the removed tooth. The effect of Ubistezin occurs 2-5 minutes after application and lasts about 75-90 minutes.

The drug is prescribed for surgical interventions (tooth extraction, gum dissection, etc.) to limit blood flow and provide pain relief. The drug is not recommended for use during dental surgeries in pregnant women and children. As for contraindications to the use of the drug, they are associated with individual intolerance to the active substance Ubistesin.

Pharmacokinetics of Ubistezin

Pharmacokinetics of Ubistesin are the processes of absorption, distribution and excretion of the drug. Thus, the maximum concentration of the drug is observed 10-20 minutes after administration, and the half-life period occurs after 30 minutes. Binding to blood proteins remains at 95%. The drug is metabolized in the liver and excreted in the urine. The analgesic effect of the drug occurs 2-3 minutes after use.

Ubistesin is prescribed for conductive anesthesia of tissues in the maxillofacial area. The drug is used as a means with an anesthetic effect during tooth extraction, filling, prosthetics, various surgical interventions in the gums and mucous membrane.

Storage conditions

The storage conditions for antibiotics after tooth extraction must comply with the requirements specified in the instructions for the drug. Thus, any antibiotics must be stored in a dark, cool place, inaccessible to children. It is advisable to store injections of drugs in the refrigerator, observing the temperature regime and protecting from exposure to direct sunlight.

Failure to comply with the rules for storing the drug may result in the antibiotic losing its physical and chemical properties. If the storage conditions for the drug are not observed, the patient may experience side effects and other adverse symptoms.

Best before date

The expiration date of antibiotics after tooth extraction is indicated on the packaging of the drug. After the expiration date, the drug is prohibited to use and must be disposed of. Thus, taking antibiotics after the expiration date can lead to side effects and unexpected reactions of the body.

Antibiotics after tooth extraction help to cope with pain, prevent inflammatory processes and other complications. When taking antibiotics, it is necessary to fully comply with the doctor's instructions - dosage and time of administration, as this is a guarantee of effective treatment.