Should I Continue Taking Fleming and Flagyl for Wisdom Tooth Infection? - Dentistry

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Hello, doctor.
I have swelling in the gums around my wisdom tooth, which has affected my ability to chew, so I consulted a dentist abroad.
Due to the significant swelling, a full-mouth X-ray could not be taken.
The local doctor prescribed Fleming (1125 mg) and Flagyl (500 mg) antibiotics.
I have been taking them for 6 days, and my symptoms have significantly improved, and I am no longer in pain.
I forgot to ask the doctor how many days I should continue taking the medication.
Should I continue taking them before my follow-up appointment?

Mr. Chen, 30~39 year old female. Ask Date: 2022/04/16

Dr. Lin Jiayong reply Dentistry


Hello: It is recommended to complete the prescribed course of medication.
If there is a concurrent surgical treatment, be mindful of the risk of postoperative infections! It is important to avoid the development of antibiotic resistance.
Sincerely, Lin Chia-Yung, Department of Dentistry, Taichung Hospital, Ministry of Health and Welfare.

Reply Date: 2022/04/16

More Info


When it comes to managing an infection around your wisdom tooth, it's important to follow your dentist's instructions regarding antibiotic use. In your case, you have been prescribed Fleming (which contains amoxicillin) and Flagyl (metronidazole) for a wisdom tooth infection. Since you have been on these antibiotics for six days and have noticed significant improvement in your symptoms, it is understandable to question whether you should continue taking them until your next appointment.

Generally, the duration of antibiotic treatment for dental infections can vary depending on the severity of the infection and the specific antibiotic prescribed. For most dental infections, a typical course of antibiotics lasts about 7 to 10 days. Since you are already six days into your treatment, it would be advisable to continue taking the antibiotics for a total of 7 to 10 days unless otherwise directed by your dentist. This ensures that the infection is fully eradicated and helps prevent the development of antibiotic resistance.

It's also important to consider the potential side effects of antibiotics. Common side effects of amoxicillin and metronidazole can include gastrointestinal upset, such as nausea or diarrhea. If you experience any severe side effects or if your symptoms worsen, you should contact your dentist or healthcare provider immediately.

In addition to taking your antibiotics, maintaining good oral hygiene is crucial in managing your dental health. This includes gentle brushing of your teeth and the area around the wisdom tooth, as well as rinsing with warm salt water to help reduce inflammation and promote healing. Avoiding hard or crunchy foods can also help minimize discomfort while chewing.

If you have any concerns about the effectiveness of the antibiotics or if you notice any new symptoms, such as increased swelling, fever, or persistent pain, it is important to reach out to your dentist as soon as possible. They may want to reassess your condition and determine if further treatment is necessary, such as drainage of any abscess or additional antibiotics.

In summary, continue taking your prescribed antibiotics for the full course as directed, typically 7 to 10 days, unless instructed otherwise by your dentist. Monitor your symptoms closely, maintain good oral hygiene, and do not hesitate to contact your healthcare provider if you have any concerns. Your health and recovery are the top priority, and following these guidelines will help ensure a successful outcome.

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