What medicine should be taken for periapical abscess?
Periapical abscess is a common oral disease usually caused by the spread of pulp infection to the periapical tissue. Patients often present with symptoms such as gum swelling, pain, and even fever. Prompt medication and treatment are key. This article will combine the hot topics and hot content on the Internet in the past 10 days to give you a detailed introduction to the drug treatment plan for periapical abscess.
1. Common symptoms of periapical abscess

The main symptoms of periapical abscess include:
| Symptoms | Description |
|---|---|
| swollen gums | The gums around the affected tooth are red and swollen and painful when pressed. |
| persistent pain | Pain may radiate to the face or head |
| loose teeth | In severe cases, the affected tooth may become loose |
| Fever | Low-grade fever may occur in severe infections |
2. Commonly used drugs for periapical abscess
Treatment of periapical abscesses usually requires a combination of medications. The following are common medication regimens:
| drug type | Representative medicine | function | Usage and dosage |
|---|---|---|---|
| antibiotics | amoxicillin, metronidazole | Control bacterial infections | Take as directed by your doctor, usually 5-7 days |
| anti-inflammatory painkillers | Ibuprofen, acetaminophen | Relieve pain and inflammation | Take as needed, no more than 3 days |
| topical medication | Chlorhexidine rinse | Oral disinfection | Rinse 3-4 times a day |
3. Medication precautions
1.Antibiotic usage guidelines: The entire course of treatment must be completed as directed by the doctor, and the medication must not be stopped at will, otherwise it may lead to bacterial resistance.
2.Painkiller use: Painkillers can only relieve symptoms and cannot replace antibiotic treatment. Long-term use may damage the gastrointestinal tract.
3.allergic reaction: People who are allergic to penicillin should inform their doctor and switch to other antibiotics such as clindamycin.
4.Medication for pregnant women: Pregnant women need to take medication under the guidance of a doctor and avoid using tetracycline antibiotics.
4. Adjuvant treatment methods
| method | Specific operations | Things to note |
|---|---|---|
| Hot compress | Apply warm towel to affected area | 15-20 minutes each time, 2-3 times a day |
| Rinse with salt water | Gargle with warm salt water | 3-4 times a day to help reduce inflammation |
| diet modification | Light liquid diet | avoid irritating foods |
5. When Do You Need Medical Treatment?
You should seek medical attention immediately if:
1. Symptoms do not improve or worsen after taking medicine
2. Facial swelling spreads significantly
3. High fever (body temperature exceeds 38.5℃)
4. Difficulty breathing or swallowing
5. Symptoms persist for more than 3 days
6. Preventive measures
1. Regular oral examination and teeth cleaning every 6 months
2. Treat dental caries promptly to avoid developing pulpitis
3. Maintain good oral hygiene habits
4. Avoid biting hard food with your teeth
5. Stop smoking and limit alcohol consumption to reduce oral irritation.
Conclusion
Treatment of periapical abscess requires a combination of medical and dental treatments. The medication regimen provided in this article is for reference only. Please follow your doctor’s advice for specific treatment. Maintaining good oral hygiene habits is key to preventing periapical abscesses. If symptoms persist or worsen, seek medical attention promptly to avoid delays in treatment.
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