Thursday, July 11, 2024

Antibiotics Not Helping Tooth Pain

What To Do If Painkillers Arent Working For Toothache

Use of antibiotics to treat dental pain

The first thing to do is to stop self-medicating. Self-medicating can have serious consequences and can worsen our situation further. Taking medications without proper knowledge about your condition and about the medications can be a bad combination and you can land in some serious trouble. If you are experiencing toothache, the best thing to do is to book an appointment with your dentist and visit them.

A dentist is the only person who will be able to diagnose your problem correctly and based on the diagnosis, a proper medication regime and treatment plan can be made for you. Taking appropriate dental treatment is the only permanent solution for your toothache.

Based on your diagnosis, your dentist will plan the right kind of dental treatment for you like fillings, root canal treatment, extractions etc. These treatments will resolve the reason behind your toothache permanently. Painkillers are only a temporary solution and after a while they stop working for toothache once the infection becomes severe. Therefore, if you have a toothache which has started only recently or if you have been ignoring one since long, visit your dentist at the earliest.

Why Should We Minimise Our Use Of Antibiotics

Many experts believe minimising the inappropriate prescribing of antibiotics plays a key role in limiting the development of antibiotic-resistant bacteria in our society. In basic terms, that means that the misuse and overuse of antibiotics are making bacterial infections harder to treat, so much so that the World Health Organisation has called antibiotic resistance one of the biggest threats to human health today.

In 2014, the National Prescribing Service launched Antibiotics Awareness Week, a global initiative to help raise awareness of antibiotic resistance and promote the responsible use of antibiotics. As part of this initiative, the Australian Dental Association called on all health professionals and their patients to exercise care in the prescription and use of antibiotics.

The Chair of the ADAs Oral Health Committee at the time, Dr Peter Alldritt, explained that often medical GPs are at fault as well, as almost 60% of them prescribe antibiotics to meet patient demands or expectations, even though its not strictly medically appropriate.

As Dr Alldritt said, When it comes to oral health, many patients present to GPs looking for antibiotics to address problems such as a toothache. However, the right advice would be to see a dentist.

He also stressed that health professionals have a responsibility to ensure that the correct referral pathways are followed to address oral health problems and that antibiotics should never be the default response.

Painkillers Arent Working For My Toothache

Toothache that does not go away even after eating a painkiller is perhaps no less than a nightmare. It can be a very uncomfortable situation to be in and can cause a great deal of discomfort.

Whenever we are in pain, our first thought is to take a painkiller. All we are looking for is immediate relief from this pain as this can be one of the most painful situations to be in. However, if the pain does not get better even after taking a painkiller, that is when the bigger trouble starts. With a tooth that is paining severely, day to day activities can get disrupted badly. Simple activities like eating food, talking etc can become difficult because of the pain. You might face trouble sleeping at night because the toothache wont let you rest.

Though a painkiller usually gives temporary relief from toothache, the problem in the tooth may be severe if the painkiller does not have any effect on the pain. This is an alarming situation and your very first plan of action should be to visit a dentist immediately.

Ignoring a toothache that wont go away with painkillers is a bad idea. Your tooth is screaming to be looked at by the dentist and when you ignore this, the underlying problem can get worse.

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Precautions On Using Antibiotics For Toothache

Limitations of Antibiotics

Despite the fact that antibiotics have been seen to be effective against various types of bacteria and several infections, they have been deemed ineffective against toothaches that occur as a result of irreversible pulpits. In such cases, prolonged administration of analgesics is the only treatment.

Avoid Abusing of Antibiotics

In order to reduce development of antibiotic resistant bacteria, prescription of inappropriate antibiotic for toothache should be reduced. Dentists in developed countries prescribe 8-10% of all primary antibiotics and this might cause antibiotic resistance. For this reason, antibiotics should only be prescribed if it is clinically beneficial to the patient.

Some Things To Take Into The Consideration Are:

Root Canal Infection Treatment Antibiotics

*What are the signs and symptoms?

*Is it a diagnoses that a dentist sees regularly, as some conditions that he/she sees do not need antibiotics, and then some others do need to be treated under the antibiotic coverage.

The dentist might simply drain the infected area, remove the infected area of the tooth, or simply fix it by the root canal treatment. Dentists generally avoid recommending antibiotics, unless the spreading nature of the infection is severe, or if the person suffering has a weakened immune system.

Some examples explaining the need for antibiotics in tooth infections:

In case of spontaneous pain, the diagnosis is often related to the pulpal inflammation. This pulpal inflammation does not necessarily have bacteria. Hence, antibiotics are of no use in such cases.

In the other cases, where the pain is of a chronic type and the sensitivity test comes back negative, there is a possibility that the pulp is dead, and this area of necrosis has become home to some bacteria. Here, even though the bacteria is present causing the infection in the pulp area, the source of infection in most cases is the tooth itself. As the pulp is dead, there is no blood supply, hence the infection is not systemic. In such cases too, the antibiotics are of no use, as the drug cant reach systemically to the area of infection where there is no blood supply.

So then question arises: When should someone use an antibiotic?

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If The Tooth Cannot Be Saved

There is a possibility if the infection was allowed to get too far, that youll have to extract the tooth. If that happens, you will want to replace the tooth. Otherwise, the adjacent teeth will begin to shift or tip into the open space, throwing off your bite. This can lead to complications such as TMJ.

To replace your tooth you can either have a dental implant placed, which will require some surgery, or a dental bridge. With a dental bridge, you have to crown the adjacent teeth.

This blog is brought to you by Parma Ridge Dentist Dr. Gecovich.

So What Can I Do To Prevent The Need For Antibiotics

If you imagine, youve got a tooth that has a hole in it. Its slowly being eaten away by some decay, but because its not giving you any pain, youve left it and left it. Eventually, the decay will reach the nerve of your tooth, which supplies your tooth with blood, causes sensitivity, and is what we remove when we do a root canal. Now, imagine that nerve becoming inflamed because of the decay thats now reached it, and because it tries to get you out of pain itself, an abscess forms at the base of your tooth root. Now, this abscess is getting bigger and bigger, its starting to hurt, and its letting you know its there because of the great, big facial swelling thats appeared around your jaw.

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Treatment For A Dental Abscess

Dental abscesses are usually treated by a dentist. The dentist will drain away the pus.

If a problem with your tooth has caused the abscess, you may need root canal treatment, or the tooth may be removed. You’ll be given a local anaesthetic, so you do not feel any pain.

You may be offered painkillers to take for a few days after treatment and may also be given antibiotics.

How K Health Can Help

Why Your Dentist Might Not Prescribe Antibiotics

If you think youre suffering from a tooth infection, you dont have to suffer through the painor take the risk of an infection spreading to the body.

Did you know that you can get online dental prescriptions for tooth infections?

to check your symptoms using our symptom checker and text with a doctor in minutes.

K Healths board-certified, U.S.-based doctors can provide a treatment plan and, if required, a prescription to resolve your symptoms as soon as possible. Clinicians are available 24/7.

K Health has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. We avoid using tertiary references.

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How To Prevent Toothache

The best way to prevent toothache is to keep your teeth and gums as healthy as possible.

To do this:

  • cut down on sugary foods and drinks only have them as an occasional treat at mealtimes
  • brush your teeth twice a day for about 2 minutes with a fluoride toothpaste
  • clean between your teeth using floss or an interdental brush every day to remove food, debris and plaque

Will Antibiotics Stop Tooth Pain Understanding The Functions Of Antibiotics

Whenever we experience toothaches, we immediately associate the pain with infection. Our initial thought is to alleviate the pain with pain killers and antibiotics. However, there is a big misconception of what an antibiotic can do to ease tooth pain. There are tons of different reasons why your tooth is aching, and not all of them requires the administration of antibiotics. Antibiotics may control the spread of the infection, only if the infection is indeed the reason for the toothache.

You may experience tooth pain because of other oral health conditions like teeth sensitivity, receding gums, or damaged teeth. Another factor to consider is dental work complications, like a dislodged dental crown, faulty dentures, or deteriorated fillings. In these cases, antibiotics are not needed. Instead, painkillers would suffice.

You can view more at, to learn about toothache remedies.

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My Pain And Problems Went Away After Taking Antibiotics Why Has My Problem Returned 6 Months Later

This is also why youll be greeted with an eye roll if you come back in for a second course of antibiotics after youve already had one for the same problem a few months ago and not had any treatment carried out! Its not that were being mean, we just want the antibiotics to work when and if you really, really need them. Plus we have a rather horrid one which stops you from drinking. No one wants to be prescribed that on a Friday night!

So there you have it. Antibiotics will not cure toothache, they will only mask the problem until you have something done about the tooth itself. They may stop the pain for a few days, weeks or even months, but it will always come back with a vengeance!

What If They Dont Work

Health Industry and Medical News

Antibiotics are there to help with the problem, but they are not a solution. Even if antibiotics work and infection dies down, you will still have the tooth thats causing the issue and it will need dental work, to stop it from happening again. You might need a dental filling, root canal or even a tooth extraction, depending on the severity of the damage to the tooth. Best practice to stop dental infection is good oral hygiene and regular dentist check-ups. It is much easier to treat a cavity than tooth abscess.

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Why Dont Antibiotics Cure My Tooth Infection

An individuals oral health is as important as any other. One should not ignore oral health or consider it less worthy. There are several chances that you might have an oral infection or tooth infection which gets into the way of your normal activities. You might be unable to eat properly or adequately chew the food. In such conditions, people usually consider taking antibiotics to cure the infection immediately. However, at times the antibiotics that we take do not heal our tooth infection.

Why is tooth infection caused or where is it developed?

Tooth infections are the reason for abscesses in the mouth. The abscesses are the tiny bits of pus and the tissues developed in the mouth during an infection. They might cause pain or make you feel uneasy. They might look like a small pimple on your gums or swollen tissue inside your mouth.

The abscesses are developed near the base of the tooth and cause tooth decay. It might be due to unhealthy oral hygiene, improper dental work, trauma, or a cracked tooth. When any such bacteria or infection is present in your mouth, it may use your nerve tissues and blood vessels as its food source. This leads to decay and severe infections. They are extremely fast in multiplying and spreading all over the mouth, which is quite harmful.

What is the cure for tooth infection?

Why do antibiotics not cure tooth infections?

Do antibiotics have risks if taken for tooth infection?

Book an Appointment to find out which treatment might be best for you.

Will A Tooth Abscess Go Away With Antibiotics

In essence, a dental abscess is a bacterial infection. As such, it should be susceptible to antibiotics. Yet we wouldnt advise you to try and treat it on your own with them, nor would any dentist immediately prescribe them. But why is that the case?

The reason is simple due to the tooths anatomy and the infections nature, antibiotics are almost entirely ineffective. Typically, antibiotics travel through the bloodstream to reach infected areas of the body.

However, dental infection often completely destroys the blood vessels that supply the inside of the tooth. Thus, antibiotics cant even reach the area that needs their help.

In addition, there are various strains of bacteria that can cause an abscess. If the antibiotics youre taking dont directly attack the strain responsible for the infection, they wont have any effect.

In fact, the overuse of antibiotics when they arent needed can be quite harmful it leads to antibiotic-resistant bacteria strains.

So while antibiotics wont make the abscess go away, they may be useful in battling the infection once it spreads.

For instance, if your jaw gets infected too, your walk-in dentist might prescribe you around to help fight it along with treatment.

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Antibiotics For Tooth Infection: What You Should Know

Edmund Khoo, DDS, is board-certified in orthodontics and is a Diplomate of the American Board of Orthodontics.

A tooth infection is a pocket of pus caused by the proliferation of bacteria. Usually, an abscess appears in the pulpthe soft, living tissue inside a tooth.

A periapical abscess develops from an infection in the pulp that forms an abscess at the root of a tooth, while a periodontal abscess develops between the tooth and the surrounding gum tissue.

Symptoms of a tooth infection may include a severe toothache, sensitivity to heat and cold, swollen glands, swelling in the gums, foul-smelling breath, and pain while chewing. If the infection spreads to the surrounding bones, it may become life-threatening.

Your dentist may prescribe antibiotics to clear up your tooth infection. Learn more about antibiotics for tooth infections, including why they are used and how fast they work.

Athima Tongloom / Moment / Getty Images

The Effects Of Antibiotics On Toothache Caused By Inflammation Or Infection At The Root Of The Tooth In Adults

Are Antibiotics Enough To Treat A Tooth Infection?

This Cochrane Review has been produced to assess the effects of antibiotics on the pain and swelling experienced by adults in two conditions commonly responsible for causing dental pain. The review set out to assess the effects of taking antibiotics when provided with, or without, dental treatment.


Dental pain is a common problem and can arise when the nerve within a tooth dies due to progressing decay or injury. Without treatment, bacteria can infect the dead tooth and cause a dental abscess, which can lead to swelling and spreading infection, which can occasionally be life threatening.

The recommended treatment for these forms of toothache is removal of the dead nerve and associated bacteria. This is usually done by extraction of the tooth or root canal treatment . Antibiotics are only recommended when there is severe infection that has spread from the tooth into the surrounding tissues. However, some dentists still routinely prescribe oral antibiotics to patients with acute dental conditions who have no signs of spreading infection, or without dental treatment to remove the infected material.

Study characteristics

Key results

One trial reported side effects among participants: one person who received the placebo medication had diarrhoea and one person who received antibiotics experienced tiredness and reduced energy after their treatment.

Quality of evidence

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Why Does Toothache Worsen At Night

If you have ever experienced a toothache, you might as well have noticed that your toothache got worse during the nighttime. Your sleep might have also got disrupted because of this worsening pain. No matter what you did, the pain did not get better.

There is a reason behind toothache worsening during the night. That reason is the change in pressure of blood flow to the tooth. When we lie down at night, the blood rushes to our head because of our lying down position. This rush in the flow of blood towards the head increases the pressure of blood in the entire face and jaws. When the pressure in the flow of blood increases in the sensitive part of the tooth as well, the pain becomes worse.

We feel a throbbing pain at this time which did not happen during the day time. This throbbing is because of the increase in blood flow to that area and the subsequent worsening of pain. No matter what position you sleep in, whether on your back or on the sides, it will not lessen the pain.

Another reason for worsening tooth pain during the night is grinding teeth. Some people have a habit of grinding their teeth while asleep. This increases the pressure on the sensitive tooth and can lead to worsening of the pain. Grinding teeth inflicts immense harm to the teeth and if we have a tooth that is already aching, it can wreak havoc on that tooth.

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