Page 128 - HPP ANTIMICROBIAL GUIDELINE 2018
P. 128

ORAL/DENTAL INFECTIONS
                                                                          Suggested Treatment
                       Infection/ Condition                                                                                         Comments
                                                               Preferred                         Alternative

                 Infections of the teeth and supporting structures


                 Reversible/ Irreversible pulpitis   Systemic antibiotic use not
                                                  recommended


                 Localised dentoalveolar abscess   Systemic antibiotic use not
                                                  recommended

                                                  If patient medically compromised
                                                  Amoxicillin 500mg PO q8h

                                                  PLUS/MINUS
                                                  Metronidazole 400mg PO q8h



                 Dry socket                       Systemic antibiotic use not                                            Socket debridement with irrigation
                                                  recommended                                                            socket with
                                                                                                                         0.2% Aqueous chlorhexidine
                                                  If patient medically compromised                                       gluconate mouthwash
                                                  Metronidazole 400mg PO q8h
                                                                                                                         OR
                                                                                                                         Normal saline


                 Localised pericoronitis          Systemic antibiotic use not
                                                  recommended

                                                  If patient medically compromised
                                                  Metronidazole 400mg PO q8h





               HPP AMG                                                      Oral/ Dental Infections                                                      59
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