After dental extraction -why so many medicines?

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  • #11726
    sushantpatel_doc
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    Registered On: 30/11/2009
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    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.

    #16798
    Anonymous

    It is said that after 24hrs salt water gargling should be done otherwise there will be displacement of the clot.

    #16799
    Anonymous

    I think that giving an antibiotic cover at least till the wound closes with the first layer is essential since an open wound is susceptible to more infections

    #16801
    sushantpatel_doc
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    I dont think there is such concept of gargling with salt water to prevent dislodgement of clot…in fact gargling may lead to displacement of the clot..

    #16804
    Anonymous

    Salt water gargles are advised but this is to be done after 24 hours of extraction….it has a soothing effect

    #16806
    drnaveenkesarwani
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    There 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/13/4/547

    So 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.

    #16807
    vaibhav
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    I think higher the mobility or periapical infection of tooth more the imp of postoperative medication. It takes longer time to heal this lesion. So more chance of getting infection in open wound.

    #16808
    tirath
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    Registered On: 31/10/2009
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    betadine mouthwash is prescibed some times

    #16820
    Anonymous

    As a precautionary measure every dentist must necessarily prescribe antibiotic cover both pre and post extraction…SABE is more common than we are aware…

    #16832
    deepeshkariwala
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    Registered On: 21/09/2009
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    Research 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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