It’s not like I am suggesting antibiotics for the treatment of the common cold. While a valid concern, I still weigh that against what you had to go through. There is also concern about over-prescribing antibiotics and patients developing resistant strains of bacteria. I always tell the patient that if a rash or difficulty breathing develops, stop the medication and call me. The downside is that some will have an allergic reaction to the antibiotic. But because I know that one out of five is going to suffer, I pre-medicate with antibiotics. From my point of view, if the ratio was 1:5,000 or even 1:500, I might consider that approach. The treatment you received is considered the standard of care today, and unfortunately, the result you received occurs in one out of five patients. That is not what is taught in dental schools today. I always prescribe antibiotics at the time I diagnose the need for root canal therapy and the patients never have post-operative pain. You asked, “Should the dentist have, during my initial visit, prescribed an antibiotic?” This is very controversial. Sylvia, I am sorry for this terrible dental experience you went through. What is important is how you can start to achieve dental health now, not what you did or did not do in the past.Īre you experiencing tooth pain right now?Įditor’s note: This post was originally published in July 2014 and has been revamped for comprehensiveness and timeliness. Your dental office must be a judgment-free zone. Never worry about telling a dentist that you have not seen anyone for dental treatment for a long time. Just go to a dentist as soon as possible if experiencing pain. If you have a toothache and have not seen a dentist for a long time, do not be intimidated. It can occur even if you have seen a dentist regularly. There are many reasons you may have a toothache. Even if the pain eases, the underlying cause for the pain is still present and you will wind up experiencing pain again.Get to your dentist as soon as possible. Paul Silberman, Dentist in Waldorf What to do if you have tooth pain Ice helps to relieve inflammation.” - Dr. “Inflammation is the body’s natural response to any infection. If you keep ice cold water in your mouth, the gasses will contract and pain either lessens or ceases. You may have gasses trapped in your tooth. Apply COLD! If you are experiencing a severe toothache the best thing is ice water in the mouth. If you have an infection the heat may draw that infection out causing more swelling. Should you apply heat or cold to a toothache?ĪLMOST NEVER APPLY HEAT to your face when experiencing a toothache. Silberman often gets asked the question: “Do I apply heat or cold to a toothache?” Watch our one-minute video to discover the answer: Published OctoLast updated November 4, 2022ĭr.
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