Antibiotic Use After Dental Implant: Should You Trust Your Doctor? - Dentistry

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Antibiotic administration


Hello, I am experiencing inflammation with some pus at the 12th day post-implantation (stitches not yet removed).
The doctor prescribed Curam 1000mg, with instructions to take it four times a day.
Is that okay? I took two doses of two tablets last night and this morning, and I feel a bit dizzy and have an upset stomach.
Should I continue taking it? I checked the manufacturer's instructions, which say to take two tablets a day.
Should I continue to trust the doctor?

Katty, 50~59 year old female. Ask Date: 2024/03/22

Dr. Lin Jiayong reply Dentistry


Hello: It is indeed usually a dosage of 2g per day.
However, if the patient has a compromised immune system, diabetes, endocarditis, or has undergone organ transplantation, the dosage may be intentionally increased.
It is still recommended to call the clinic to confirm with the physician!

Reply Date: 2024/03/22

More Info


When it comes to antibiotic use after dental implant surgery, it is crucial to understand both the rationale behind the prescription and the potential side effects of the medication. In your case, you are experiencing some inflammation and discharge from the implant site, which is not uncommon in the early stages following the procedure. Your dentist has prescribed Curam (which is a combination of amoxicillin and clavulanic acid) at a dosage of 1000 mg, to be taken four times a day.
First and foremost, it is essential to follow your dentist's instructions regarding medication, as they are familiar with your specific situation and the potential risks involved. However, if you are experiencing adverse effects such as dizziness and stomach discomfort, it is important to communicate this to your dentist as soon as possible.
The standard dosage for Curam can vary based on the severity of the infection and the patient's overall health. While the manufacturer may recommend a lower dosage, your dentist may have prescribed a higher dose based on their clinical judgment of your condition. It is not uncommon for healthcare providers to adjust dosages based on individual patient needs, especially in cases where there is a risk of infection post-surgery.

If you are feeling unwell after taking the medication, it is crucial to assess whether these symptoms are manageable or if they warrant a change in your treatment plan. Side effects from antibiotics can include gastrointestinal discomfort, nausea, and dizziness. If these symptoms are severe or persistent, you should reach out to your dentist for advice. They may suggest adjusting the dosage or switching to a different antibiotic that may be better tolerated.

In addition to medication, it is important to maintain good oral hygiene to support healing and reduce the risk of infection. This includes gentle brushing around the implant site and possibly using an antiseptic mouthwash as recommended by your dentist.
Moreover, if you notice any worsening of symptoms, such as increased swelling, pain, or fever, it is crucial to seek medical attention promptly. These could be signs of a more serious infection that may require further intervention.

In summary, while it is generally advisable to trust your dentist's judgment regarding antibiotic prescriptions, your health and comfort are paramount. If you are experiencing adverse effects, do not hesitate to communicate with your dentist. They can provide guidance on whether to continue the current regimen or consider alternatives. Your well-being during the healing process is essential, and your healthcare provider is there to support you through it.

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