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Question:
Abcess on root of tooth: My daughter has been sick with an abcess for a month now and has been on 4 different antibiotics and nothing is getting the infection down so that the tooth can be pulled.
What do we do - - have the tooth pulled now or is that dangerous? ...Visitor from TX
Answer:
I would recommend seeing an oral surgeon. If you are already seeing an oral surgeon, I would look to another oral surgeon or an infectious disease physician.
I do not know your daughter's situation enough to advise, but think that somebody would want to extract the abscessed tooth under general anesthesia or conscious sedation (hard to anesthetize an infected area) while she is covered by antibiotics, or they may even put her on IV antibiotics.
I think that somebody should do a blood culture and sensitivity to see exactly what the organism will respond to. A culture and sensitivity is where they grow the bacteria on a plate with different antibiotics on the plate. Where the culture doesn't grow is what will kill the bug. This is where an infectious disease physician comes in.
Corinne Scalzitti, DMD, MAGD
Austin Reconstructive Implant Dentistry
Texas Periolase
3900 RR 620 South
Austin, Texas TX 78738
(512) 263-3330
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