BACTERIAL INFECTIONS

Question 1

What first line treatment for a dental abscess?

Answer 1

Local measures such as sub gingival scaling, 0.2% chlorhexadine

RCT, draining the pus with an incision or extraction

Question 2

When prescribe for dental abscess? What prescribe?

Answer 2

Prescribe when local measures do not help or systemically unwell

Pen V, 2 x 250mg tablets, 4 times daily for 5 days

Doubled for severe infection

Question 3

Second line prescription for abscess?

Contra indications?

Answer 3

Clindamycin

1 capsule 4 times daily x 5 days

150mg capsule

Do not give to someone with diarrhoea
Can cause antibiotic - associated colitis

Question 4

First drug of choice for NUG or pericoronitis? When use and write prescription

Answer 4

Metronidazole

• persistent swelling or systemic involvement

400mg 3 times daily for 3 days

Question 5

Contra indications for metronidazole?

Answer 5

Warfarin

Alcohol

No children under 1 year old

Question 6

What to use for NUG if can’t take metronidazole?

Answer 6

Amoxicillin

500mg capsule, 1 capsule 3 times daily for 3 days

Question 7

Prescribe chlorhexadine

Answer 7

0.2% chlorhexadine

10ml twice daily, rinse for 1 minute

Send 300ml

Question 8

Patient allergic to penicillin, what use for abscess

Answer 8

Metronidazole

400mg, 3 times per day, for 3 days