Gingivitis has not completely resolved, but the doctor recommends stopping the antibiotics?
Hello Dr.
Tseng, two weeks ago I visited the doctor for gingivitis of my lower right second molar and have been taking antibiotics (amoxicillin 500mg) until yesterday.
During my follow-up appointment today, the doctor mentioned that the inflammation has improved to a mild state and that I can stop the antibiotics.
However, she still prescribed some for me just in case, because in the past, when I stopped the antibiotics during my gingivitis, it became severe again.
I'm quite worried about stopping the medication, especially since I read online that one should not stop antibiotics until fully healed.
The pharmacist also advised me not to stop, so I would like to ask you: Is it safe to stop antibiotics when the gingivitis is not completely resolved? If I stop the antibiotics now, is there a possibility that it could become severe again like last time? Thank you very much.
Mr. Chen, 30~39 year old female. Ask Date: 2021/05/27
Dr. Zeng Guanghui reply Dentistry
If gingivitis is severe, in addition to scaling to clean the inflamed tissue below the gums, antibiotics can be taken to help kill bacteria or suppress periodontal pathogens.
However, if the inflammation does not improve after a period of antibiotic use, it is necessary to consult a dentist for further examination.
Dr.
Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.
Reply Date: 2021/05/27
More Info
When it comes to stopping antibiotics during treatment for gingivitis, it is essential to consider several factors, including the severity of the condition, the response to treatment, and the potential for recurrence of the infection. In your case, you have been taking amoxicillin for two weeks for gingivitis, and your dentist has indicated that the inflammation has improved to a mild state. However, you are understandably concerned about stopping the antibiotics prematurely, especially given your previous experience where stopping the medication led to a worsening of your condition.
Antibiotics like amoxicillin are often prescribed to help control bacterial infections associated with gingivitis. The goal of antibiotic therapy is to reduce the bacterial load and allow the body's immune system to effectively combat the infection. While it is true that antibiotics should ideally be taken for the full course prescribed by your healthcare provider, there are instances where a healthcare professional may determine that it is appropriate to stop the medication early, especially if significant improvement has been observed.
In your situation, it is crucial to follow the advice of your dentist. If they have assessed that your gingivitis has improved and that it is safe to discontinue the antibiotic, it is likely that they have considered your overall health and the specific characteristics of your condition. However, if you have concerns about stopping the medication, it is advisable to communicate these with your dentist. They may provide additional reassurance or suggest a follow-up plan to monitor your condition closely.
It is also important to note that stopping antibiotics too early can sometimes lead to a resurgence of the infection. This is particularly true if the bacterial infection has not been completely eradicated. If you stop taking the antibiotics and notice a return of symptoms, such as increased swelling, pain, or bleeding of the gums, you should contact your dentist immediately. They may recommend resuming the antibiotics or exploring other treatment options.
In addition to antibiotic therapy, maintaining good oral hygiene is critical in managing gingivitis. This includes regular brushing and flossing, as well as professional dental cleanings. These practices can help prevent the recurrence of gingivitis and other periodontal diseases.
If you have a history of recurrent gingivitis or other dental issues, it might be beneficial to discuss a long-term management plan with your dentist. This could include more frequent dental check-ups, tailored oral hygiene instructions, and possibly preventive treatments.
In summary, while it is generally advisable to complete the full course of antibiotics, your dentist's recommendation to stop the medication may be based on their clinical judgment regarding your improvement. If you have any doubts or concerns, do not hesitate to reach out to your healthcare provider for further clarification and guidance. Your oral health is important, and maintaining open communication with your dentist will help ensure the best outcomes for your treatment.
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