← Return to Gum swelling resolved on it's own - expensive treatment?

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@bethj

Hi Lori,

I didn't hear back from the other dentist so I went in today for the appointment. The dentist said it was up to me but that the residual pain was due to the infection and I was likely to have more problems, that it could come back. I decided to go ahead with the procedure. It was very unpleasant. Lots of hammering and some disconcerting not very reassuring comments like telling a person who came into the surgery during the treatment he was busy with a difficult case, not finding the right drill at some point, asking the assistant if she was asleep at some point and general comments about the root being difficult to get to. I didn't take this as a mark of incompetence, just style. The French don't always treat customers delicately and I guess that goes for the dentist and not just the waiter. Also I was far too tense to react anyway. I think he did a thorough job. Jaw pretty sore but hopefully made the right decision. There's just one thing i'm unsure about. He prescribed predisolone, if still pain, codeine-paracetamol, and amoxixillin to take only if it seems like the infection is reflaring up. What I don't understand is that if the point is to get rid of infection, and protect the newly done tooth, surely it's advisable to take the antibiotic? I know they aren't great for the guts and resistance is a real thing so if it's safe to not take them at all I'm happy with that but I want to have the best chance of keeping this tooth now. I think the otber dentist prescribed antibiotics for this treatment the last time. Is this new guidelines for dentists and antibiotics? Should i just take them or wait and see for the flare up?

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Replies to "Hi Lori, I didn't hear back from the other dentist so I went in today for..."

Oh my goodness, you had an epic appointment…
Well, I’m relieved for you that it’s all behind and hopefully the infection is gone and won’t return.

While it isn’t usual to prescribe prednisone after dental procedures/surgery, it is used to keep swelling to a minimum. Is this just for a day or so?

It will be difficult over the next few days to determine if the discomfort is from all the work or the infection. Generally there is an antibiotic prescribed but if your dentist feels all signs of the cyst/infection has been eliminated maybe that’s why he’s having you wait? There can be issues with antibiotics but if used in conjunction with probiotics or yogurt, most gut issues are avoided. So if you need them, don’t hesitate. But if you start, make sure you take the prescribed amount for the full course of days.

For now, it might help to apply an icepack in a towel to that area on and off for 20 minutes at a time for an hour or so. Relax today and take an analgesic if you need it. Your jaw may be sore and stiff, so cold compresses on each side might feel good too. Also, today and tomorrow, exercise your jaw muscles by doing a few gentle openings while placing your tongue to the roof of your mouth. You can also wiggle your lower jaw side to side, again…gently. That will keep the muscles from tightening up.

How does your gum tissue look. Does it still look infected?