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- This topic has 9 replies, 6 voices, and was last updated 14/02/2011 at 3:10 am by deepeshkariwala.
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04/02/2011 at 5:50 pm #11726sushantpatel_docOfflineRegistered On: 30/11/2009Topics: 510Replies: 666Has thanked: 0 timesBeen thanked: 0 times
After performing dental extraction on a patient, usually she wants to assure that I have prescribed some medicines for “drying up” the wound or some patients say —-please give some medicines which will help in the healing of the extraction wound.
My whole professional experience teaches me that so many medicines ( antibiotics and pain-killers etc.) are not at all required after a dental extraction provided the same has been performed by a qualified dental surgeon who are well-trained in following a aseptic technique.
Frankly speaking, consuming a lot of medicines after getting treatment from an unqualified is no substitute for good professional care or good sterilization practice.
What do I do ? — Most of the times, I dont prescribe an antibiotic to my patients after dental extraction. I just prescribe some pain-killers and instruct them to take these in case these are really required. And from the day following dental extraction, if the patient starts rinsing his mouth with warm saline gargles, the healing just happens quite smoothly without need for any antibiotics etc.
So, after dental extraction one must not ask his dentist to prescribe some medicines for faster healing —-let him decide as per his professional experience and clinical acumen. We need to remember that healing after a dental extraction is very much a natural phenomenon — we need to just do little for this except to keep our oral cavity neat and clean.
Healing of the extraction would just happens naturally — it does not need any external help of antibiotics and other drug. It is something difficult to digest by laymen but it is a fact. Just salute the Mother Nature.
05/02/2011 at 11:14 am #16798Anonymous05/02/2011 at 5:15 pm #16799Anonymous05/02/2011 at 5:53 pm #16801sushantpatel_docOfflineRegistered On: 30/11/2009Topics: 510Replies: 666Has thanked: 0 timesBeen thanked: 0 times06/02/2011 at 2:13 pm #16804Anonymous06/02/2011 at 5:51 pm #16806drnaveenkesarwaniOfflineRegistered On: 13/03/2010Topics: 0Replies: 1Has thanked: 0 timesBeen thanked: 0 timesThere is no oral cavity in the world which is with teeth but without bacteria.
If pre-surgical procedures of oral prophylaxis, oral mouth washes & pre-extraction medication has been used then post extraction medication may be avoided.
there are many bacteria that have been known to cause systemic disease. Please visit link..
http://cmr.asm.org/cgi/content/full/13/4/547So giving antibiotics prior to any oral surgical procedure is important. We as dentist will never know if 6 months after an extraction the patient suffers a heart attack / stroke following any septal defect due to the bacteraemia caused by the oral bacteria.
06/02/2011 at 6:25 pm #16807vaibhavOfflineRegistered On: 06/02/2011Topics: 0Replies: 3Has thanked: 0 timesBeen thanked: 0 times07/02/2011 at 7:44 am #16808tirathOfflineRegistered On: 31/10/2009Topics: 353Replies: 226Has thanked: 0 timesBeen thanked: 0 times12/02/2011 at 4:03 pm #16820Anonymous14/02/2011 at 3:10 am #16832deepeshkariwalaOfflineRegistered On: 21/09/2009Topics: 1Replies: 4Has thanked: 0 timesBeen thanked: 0 timesResearch says that extraction of mobile and healthy teeth (without periapical infection) doesnt need antibiotic coverage , the mild bacterimia produced can be covered by body defence . But in private practice we cant take risk so give antibiotic coverage for every case .
as far as salt water gargle is concerned it has nothing to take wid clot . it is just to keep wound clean that inturn help in healing
Dr. Deepesh Kariwala
Mumbai -
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