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From mildly relaxed to "I thought I was asleep"You can be as relaxed as you wish.
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If the patient is NOT Penicillin allergic then Pen VK 500 mg qid for 7 days. Add Metronidazole 250-500 mg qid to this if no response in 48 hrs or if the abcess is rapidly advancing. If Penicillin is contraindicated then Cleocin (clindamycin) 300 mg qid for 7 days.
Blake McKinley, Jr., DDS
Endodontics Exclusively O: (509) 928-8762 F: (509) 928-0110 email spokaneendo@earthlink.net Dalacin 150mg you may try the following regimen300mg (2) QID for the first day then 150mg QID for 7 daysFor your patients not allergic to Penicillin you may tryPhenoxy-Methyl-Pen 500mg start them with at least 1gr. if not 2gr. and the 500mg QID for 7 days.Craig Baumgartner at Oregon Health Univ. is presenting this very moment a paper at the AAE in which he reports on his tests with antibiotics against different endodontic isolates (anaerobes) and he found Amoxicillin with Clavulamic Acid (Augmentin in the USA) the clear winner.Tooth Ache wrote: > Can someone please refresh my memory on how to place a rubberdam drain after > I & D... do you have to sutyre it? If the area to be drained is the buccals > of the anteriors following a flare up 3 weeks after endo was doI roll the rubber dam into a cigaret sized tube suture it together and then suture it in place in the I&D location. I only use this if the location is such that the natural folds of the vestibule will close the area back up. I use either Amoxil 500 mgm, 1 stat and 1 every six hours for a week. If allergic to penecillins I use Clindamycin 300 1 stat and 1 q6h for a week as well. If the area is really fulminating after the endo I'd probably throw in some Metranidadzole 250 q6h as well, also for a week.Bernie
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