If during the examination a significant level of active infection is found to be present (primarily evidenced by swelling) your dentist may decide that you need to take an antibiotic for several days before the tooth extraction procedure is performed. Doing so will make complications, both during the extraction procedure and during the subsequent healing process, less likely to occur.
Any antibiotics that are prescribed for you should always be taken as directed.
Failure to do so can lead to the development of bacterial resistance to the antibiotic. If you have any problems related to taking your antibiotics (including the development of a generalized rash or itching) you should report them to your dentist or physician immediately.
Tooth extractions (as well as many other types of dental procedures) can place some dental patients that have certain medical conditions at risk for developing a bacterial infection subsequent to having received dental treatment. In these cases it is mandatory that the dental patient take antibiotics before the dental procedure is performed so to reduce the risk of this event occurring. Some of the types of medical situations that can require that a dental patient take "prophylactic" antibiotics include:
* Various cardiac conditions.
* The presence of a central venous access (i.e., Hickman or Portacath).
* Prosthetic joints.
* Patients on renal dialysis.
Of course our list is not all-inclusive and is purposely vague. An important part of your dentist's examination is to collect that information concerning your medical history which can help them make a determination about what precautions (if any) are needed for your precise situation. In some instances your dentist may feel that they need to consult with your physician before they can determine what antibiotic regimen is needed and appropriate for your circumstances.
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