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17.04.2015, admin
AT least eight out of every 10 patients who seek dental treatment do so as a consequence of some kind of infection.
A bacterial attack can manifest as a condition which may range from a simple carie (tooth decay) to an acute facial abscess. In prevention, one must be concerned with eliminating those factors that lead to infection: Bacterial plaque, oral debris, decayed teeth, etc.
The incidence of post-surgical infections can be reduced by proper wound closure, and the use of aseptic (sterile) and atraumatic (conservative ) techniques.
In the treatment of infections, one must provide indicated local treatment (scraping, incision, drainage,etc) and supportive care (ensuring adequate rest, nutition, and fluid intake).
It means, therefore, that in order to solve the problem of a dental abcess, the first step is to decide if the condition is acute or chronic.
While the physician can only prescribe an antibiotic, the dentist, by necessity, can also remove the aeitologic agent (which is crucial) of the infection, in addition to prescribing the appropriate antibiotic. Someone who acquires a swollen face with a painful area, as a result of a decayed tooth, is suffering from the first stage of a paradontal abcess.
Depending on the stage of the infection, anti-inflammatory and antibiotic therapy may be prescribed for at least five days.
At this stage, due to the acidity of the swollen tissues, the anaesthetic may not work sufficiently, and so the patient would have a very painful extraction. The need for antibiotic prophylaxis to prevent sub-acute bacterial endocarditis in patients with rheumatic heart disease, who are to experience procedures which are likely to precipitate bacteria in the blood stream, is well known.
The recommended dosage for most patients is 600,000 units of procaine penicillin G, mixed with 200,000 crystaline penicillin G administered intra-muscularly one hour prior to the dental procedures, and once daily for two days following that.

A second aspect of prophylactic antibiotic coverage relates to the use of antibiotics to prevent infections after any dental operation.
Most bacteria that cause dental infections are within the antibacterial spectra of penicillin G, penicillin V, phenethicillin, ampicillin, erythromycin, tetracyclins, lincomycins, clindamycin and the cephalosporins. This name Staphylococcus is a Greek word staphyle, meaning a€?bunch of grapesa€?, and kokkos, meaning a€?berrya€?, for this is what staph appears like under the microscope, a a€?bunch of grapesa€? or a€?round little berriesa€?. Staph infections of the skin normally cause localized collections of pus, which are known as boils, abscesses, or furuncles. Staph infections of the skin can also develop to impetigo which is a crusting of the skin or cellulitis which is inflammation of the connective tissue under the skin. When this bacterium enters the blood system and migrates to other organs, numerous severe infections can develop. Staphylococcal pneumonia primarily affects those individuals with underlying diseases of the lungs and can lead to formations of abscess in the lungs.
Staph food poisoning is an illness involving the intestines and causes vomiting, nausea, diarrhea and especially dehydration.
Another illness caused by the toxins of Staph aureus is a€?toxic shock syndromea€? where the bacteria develop under conditions which have no or little oxygen. There are approximately 30 different variety of staph which can infect humans, but most of the infections are caused by Staphylococcus aureus. Staph infections can be as minor as a boil to infections which are antibiotic-resistant to infections which are flesh eating.
In approximately half of the cases, however, resistance is seen with all antibiotics even the stronger ones.

A staph infection is infectious when the lesion is draining or weeping and if individuals share towels or further personal items that can be contaminated.
If a sore develops unusually red or painful, the individual must get medical attention immediately. This website is for informational purposes only and Is not a substitute for medical advice, diagnosis or treatment.
Most, if not all, expect that if that person’s face is swollen, then their dentist will automatically prescribe medications. It often happens that persons with facial abscesses consult physicians instead of dentists for treatment. If an attempt is made to extract the offending tooth without first applying this treatment, two things may happen: The pus surrounding the tooth may disseminate to adjacent tissues or enter the bloodstream, thus exacerbating the situation. Studies show that apart from rheumatic heart disease, as stated above, there is no need for someone to take antibiotics before having any kind of surgery, whether it is a simple extraction or periodontal surgery.
However, it should not be abused; it should only be used in severe infections, when the body‘s defences are impaired, where drug toxicity is particularly significant, as in infants, small children, the elderly, the debilitated, pregnant women and those with liver and kidney disorders.

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