Here are some key takeaways from the conversation:
- 94% of oral infections are caused by anaerobic or mixed (aerobic/anaerobic) bacteria. The majority of infections are initiated by aerobic bacteria with anaerobic bacteria following. The synergy between the two can cause serious infections.
- Antibiotics are never a substitute for incision and drainage or other means to remove of the source of infection.
INDICATIONS FOR ANTIBIOTIC USE
- Rapidly progressing infection
- Diffuse tissue involvement
- Compromised host immune system
- Fascial space involvement
- Severe pericoronitis
- Osteomyelitis
CONSIDERATIONS WHEN CHOOSING AN ANTIBIOTIC
- Most appropriate spectrum activity
- Least adverse side effects
- Least expensive option
- Lowest potential drug-to-drug interaction
- Proper dosage
- For oral surgery, Penicillin fits most of the above criteria
WHEN ANTIBIOTIC USE MAY NOT BE NECESSARY
- Localized infections
- Minor abscess
- Mild pericoronitis
- Dry socket
- Viral infection
WHEN TO REFER
There may be occasions when it is necessary to refer a patient for medical care of an infection. Indications for this scenario include:
- High fever
- Voice changes
- Difficulty speaking, swallowing and/or opening mouth
We hope you find the conversation useful. We welcome your thoughts, questions and/or suggestions about this post and other topics. Leave a comment in the box below or send us your feedback by email.
Until next time!
CDA Oasis Team