Gingivitis has not fully resolved, but the doctor recommends stopping the antibiotics?
Hello Dr.
Lin, three weeks ago I visited a doctor due to gingivitis in my lower right second molar and have been taking antibiotics (amoxicillin 500mg, three times a day) until yesterday.
Since it hasn’t improved, I also consulted an oral surgeon during this time, who confirmed it was gingivitis and advised me not to worry.
During my follow-up yesterday, the doctor mentioned that "the inflammation has become mild, and I can stop the antibiotics and rely on brushing to help it heal." However, she still prescribed some medication for preparation.
In the past, when I stopped the antibiotics due to gingivitis, it worsened, so I am quite afraid to stop the medication.
I also recall from my research online that it is advised not to stop antibiotics until the infection is completely resolved, and the pharmacist also told me not to discontinue them.
Therefore, I would like to ask you, is it safe to stop antibiotics for gingivitis if it hasn’t fully healed yet? If I stop the antibiotics now, is there a possibility that it will become severe again like last time? Thank you very much.
Mr. Chen, 30~39 year old female. Ask Date: 2021/05/28
Dr. Lin Jiayong reply Dentistry
Hello: If your physician has advised you to stop taking antibiotics, it is recommended that you refrain from using them.
If you are concerned about your immune system and the risk of infections, it is advisable to consult with a physician in internal medicine, infectious diseases, or rheumatology and immunology to determine whether long-term low-dose antibiotics are necessary.
This is a response from Dr.
Lin Chia-Yung, Department of Dentistry, Taichung Hospital, Ministry of Health and Welfare.
Reply Date: 2021/05/28
More Info
When it comes to the treatment of gingivitis, the decision to stop antibiotics before the condition is fully healed should be made with careful consideration and ideally in consultation with your healthcare provider. In your case, you have been taking amoxicillin for three weeks, and your dentist has indicated that your gingivitis has improved to a mild state, suggesting that it may be safe to discontinue the antibiotic treatment.
Antibiotics are often prescribed to help control bacterial infections, including those that can cause gingivitis. However, they are not always necessary for mild cases of gingivitis, which can often be managed effectively with good oral hygiene practices, such as regular brushing and flossing. The fact that your dentist has recommended stopping the antibiotics indicates that they believe the infection is under control and that your body can continue to heal without the need for further antibiotic intervention.
It's important to note that while antibiotics can be effective in treating infections, they also come with risks, including the potential for side effects and the development of antibiotic resistance. If you have previously experienced a worsening of your gingivitis after stopping antibiotics, it may have been due to other factors, such as inadequate oral hygiene or the presence of underlying dental issues that were not addressed.
If you are concerned about the possibility of your gingivitis worsening after stopping the antibiotics, consider the following steps:
1. Maintain Excellent Oral Hygiene: Continue to brush your teeth at least twice a day and floss daily. This will help remove plaque and bacteria that can contribute to gingivitis.
2. Follow Up with Your Dentist: Schedule a follow-up appointment with your dentist to monitor your condition. They can assess the health of your gums and determine if further treatment is necessary.
3. Watch for Symptoms: Pay attention to any signs of worsening symptoms, such as increased redness, swelling, or bleeding of the gums. If you notice these symptoms, contact your dentist promptly.
4. Discuss Concerns with Your Dentist: If you have specific concerns about stopping the antibiotics, discuss them with your dentist. They may provide additional guidance or reassurance based on your individual situation.
In summary, while it is generally acceptable to stop antibiotics for gingivitis once improvement is noted, it is crucial to maintain good oral hygiene and stay vigilant for any signs of recurrence. If you have any doubts or experience any worsening of your condition, do not hesitate to reach out to your dentist for further advice. Your oral health is important, and proactive management can help prevent future issues.
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