Avulsed Tooth Medication

Updated: Nov 23, 2021
  • Author: Lynnus F Peng, MD; Chief Editor: Anil P Punjabi, MD, DDS  more...
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Medication

Medication Summary

The goals of therapy are to relieve pain with analgesics and to prevent complications with antibiotics. The International Association of Dental Traumatology recommends the use of systemic antibiotics after avulsion and replantation to prevent infection-related reactions and to reduce the likelihood of inflammatory root resorption. [8]

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Antibiotics

Class Summary

Therapy must cover all likely pathogens in the context of the clinical setting.

Penicillin VK (Veetids, Beepen-VK, Betapen-VK)

Inhibits biosynthesis of cell wall mucopeptide and is effective during active multiplication. Inadequate concentrations may produce only bacteriostatic effects.

Erythromycin (EES, E-Mycin, Ery-Tab)

An alternative for patients allergic to penicillin. Advise patients to take with food/milk if GI upset noted.

Inhibits RNA-dependent protein synthesis, possibly by stimulating dissociation of peptidyl tRNA from ribosomes. This inhibits bacterial growth.

Amoxicillin (Amoxil, Polymox, Trimox)

Interferes with synthesis of cell wall mucopeptide during active multiplication, resulting in a bactericidal activity against susceptible bacteria.

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Analgesics

Class Summary

Pain control is essential to quality patient care. Analgesics ensure patient comfort, promote pulmonary toilet, and have sedating properties that benefit patients who have sustained trauma.

Oxycodone and acetaminophen (Percocet)

Drug combination indicated for relief of moderate to severe pain. DOC for aspirin-hypersensitive patients.

Hydrocodone bitartrate and acetaminophen (Vicodin ES)

Drug combination indicated for relieving moderate to severe pain.

Acetaminophen and codeine (Tylenol #3)

Drug combination indicated for treating mild to moderate pain.

Acetaminophen (Tylenol, Panadol, Aspirin-free Anacin)

DOC for treating pain in patients with documented hypersensitivity to aspirin or NSAIDs, with upper GI disease, or who take oral anticoagulants.

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