dental disorders
Overview of Dental Emergencies
Analgesia and treatment of infection
Oral analgesicseffective for most dental problems includeacetaminophen650 to 1000 mg every 6 hours and nonsteroidal anti-inflammatory drugs (NSAIDs) such asibuprofen400 to 800 mg every 6 hours.Ibuprofenandacetaminophenalso can be used together for a brief period, alternating the drugs every 3 hours. For severe pain, these drugs may be combined with opioids such ascodeine60 mg;hydrocodone5 mg, 7.5 mg, or 10 mg; oroxycodone5 mg. Antibiotics for dental infectionsincludeamoxicillin500 mg orally every 8 hours for 3 to 7 days, or penicillin VK 500 mg orally every 6 hours for 3 to 7 days. In patients who are sensitive or allergic to penicillin or its analogs,azithromycin250 mg is recommended with an initial loading dose of 500 mg followed by 4 days of 250 mg. Alternatively,clindamycin300 mg orally every 6 hours for 3 to 7 days may be prescribed. Patients should be monitored for possible resistance toazithromycinand increased risk ofClostridium difficileinfection withclindamycin. 500 mg 3 times a day for 7 days along with their initial regimen ( References ). 