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Doctor insights on: Clindamycin Dental Prophylaxis

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What's the likelihood of long term antibiotic prophylaxis resulting in pulmonary fibrosis with Nitrofurantoin? Mom's getting sequentially recurrentuti

What's the likelihood of long term antibiotic prophylaxis resulting in pulmonary fibrosis with Nitrofurantoin? Mom's getting sequentially recurrentuti

Pulmonary fibrosis : Pulmonary fibrosis due to nitrofurantoin is rare, about less than 1% reported in literature, but risk increases with age of patient and other medical condition. Symptoms may start to develop after 6 months of treatment. Usually fatigue, dry cough and shortness of breath without fever. Stop the nitrofurantoin if these symptoms develop and see a physician immediately ...Read more

Clindamycin (Definition)

Part of the lincoside family . It has good gram positive an anaerobic coverage, but its association with the development of clostridium difficile infection has limited its use. It is used in certain drug allergy situations where staph, strep, pneumococcal, and anaerobic organisms. Its use in MRSA infections is spotty. It is a bacteriostatic drug that works ...Read more


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Do patients undergoing dental procedures require endocarditis prophylaxis

Do patients undergoing dental procedures require endocarditis prophylaxis

Some do...: Some people do. Patients with artificial heart valves, previous history of infective endocarditis, joint replacements in the last 5 years do require it (there are other conditions, these are the most common). Patients with mitral valve prolapse, heart murmurs, stents, and pacemakers do not need prophylaxis. If there is a specific condition you are asking about, let me know. ...Read more

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I had bilateral total hip replacements 26 months ago. Is antibiotic prophylaxis still recommended prior to routine dental cleanings?

I had bilateral total hip replacements 26 months ago. Is antibiotic prophylaxis still recommended prior to routine dental cleanings?

No: Antibiotics before dental procedures are generally recommended for those with a prosthetic heart valve, history of infective endocarditis, congenital heart disease. ...Read more

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My dentist says I should have dental prophylaxis every 6 months. Is it convenient to do this so often? Would'nt it damage gums and dental enamel?

My dentist says I should have dental prophylaxis every 6 months. Is it convenient to do this so often? Would'nt it damage gums and dental enamel?

Actually, no: Twice a year is average, some people need the hygiene visits more often. It does not damage gingiva or enamel. Leaving calculus will result in bone loss and periodontitis. ...Read more

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Is it true that antibiotic prophylaxis is needed for dental procedures for people with prior rheumatic heart disease?

Is it true that antibiotic prophylaxis is needed for dental procedures for people with prior rheumatic heart disease?

Rheumatic Heart: This changes every few years- definitely check with your cardiologist to see what they recommend currently. ...Read more

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What are the precautions for dental cleanings-prophylaxis without deep subgingival scaling of children with sickle cell anemia?

What are the precautions for dental cleanings-prophylaxis without deep subgingival scaling of children with sickle cell anemia?

No extra precautions: Routine dental cleanings (prophylaxis) for children with sickle cell anemia are not different from dental prophylaxis for normal children. Because children are not sedated, the risk of decreased oxygenation is not there. For "operative" dental procedures such as tooth extractions and root canals, prophylactic antibiotics can be considered. ...Read more

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Dental infection clindamycin how long do I take for?

Dental infection clindamycin how long do I take for?

Time contingent: Take clindamycin for the prescribed length of time, even if you start to feel much better. ...Read more

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Before dental work is septocaine safe as well as clindamycin?

Yes: Clinda can cause upset stomach, so watch for that. Septocaine is fda approved, & quite safe & strong, when used intelligently. ...Read more

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Hi, is clindamycin taken before. Dental work necessary to take for 5 days after as well?

Procedure & reason?: I can't answer your question without knowing your medical and dental history, the procedure that requires antibiotics, and the reason why antibiotics would be required or suggested in the first place. Every situation is different and therefore so is the protocol or individual preferences of the treating doctor. This would be a decision that your doctor should make. Risks vs benefits? ...Read more

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Was taking clarithromycin for dental infection but started throwing them up I'm now on clindamycin but throwing them up now too what should I do?

Was taking clarithromycin for dental infection but started throwing them up I'm now on clindamycin but throwing them up now too what should I do?

Tell rx'ing Dr.: Let the dr. Know you are also vomiting with the clinda, as it would be recommended to change class of antibiotics. Best wishes. ...Read more

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Is a dental tooth extraction considered surgery? One dentist recommends clindamycin before and after for 5 days. Others do not. Confusing!

Is a dental tooth extraction considered surgery?  One dentist recommends clindamycin before and after for 5 days.  Others do not.  Confusing!

Yes: A dentist would normally prescribe antibiotics for various reasons including an existing infection and a susceptibility to infection for various medical reasons. If an infection is already present, you should start antibiotic coverage immediately. Every dentist has their own protocol regarding antibiotic coverage. If you trust the dentist, trust his advice. If not, find a dentist that you do trust. ...Read more

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Clindamycin vs. Amoxicillin. Which one is better for dental infection especially if you had used amox in the past. Concern is antibiotic resistance.?

Clindamycin vs. Amoxicillin. Which one is better for dental infection especially if you had used amox in the past. Concern is antibiotic resistance.?

It depends: Without a culture and sensitivity test,generally amoxicillin is drug of choice for dental infections provided there is no allergy to it. If ineffective after a couple of days, the spectrum of coverage can be enhanced by adding Flagyl or switching to clindamycin. ...Read more

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Can a dental bone graft get rejected or infected, if put on top an extraction, pain after 11 days, on clindamycin day 5 but not going away.

Yes: Consult with your oral surgeon. There is no guarantee a bone graft will take even if no infection is present. I would be concerned as to why you have pain 11 days later and feel the mouth should get an exam. ...Read more

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I was already treated for dental abscess by extraction. And prescribed Clindamycin. There is yellow stuff at the site and my lymph node in jaw is still swollen. 2 days since extraction. Everything okay?

Surgery: You had surgery and antibiotic coverage to treat a severe infection. Will take time to heal. It would be appropriate to bring your concerns to your treating General Dentist or specialist Oral Surgeon. That is the person responsible for your post-surgical care. Please call him/her now. ...Read more

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In regard to dental work post; front cap, topical novicaine & cement only. Resulted in fat lip and blistering — took clindamycin. Allergy? Treatment?

Topical allergy: I have seen this reactions most often from the topical anesthetic and to a lesser extent from certain cements.
Get evaluated by a specialist- allergist. ...Read more

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What is meant by "professional prophylaxis " to treat tooth discoloration. My teeth are cleaned every 6 months but brown stain remains.?

What is meant by "professional prophylaxis " to treat tooth discoloration. My teeth are cleaned every 6 months but brown stain remains.?

Cleaning: A prophylaxis is a teeth cleaning. Most of the extrinsic stain can be removed with this procedure. Tooth whitening procedures may help diminish internal staining ...Read more

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Questions about acute bacterial endocarditis prophylaxis for wisdom teeth?

Questions about acute bacterial endocarditis prophylaxis for wisdom teeth?

AHA Guidelines: The aha (american heart association) has the latest guidelines for antibiotic prophylaxis to help prevent subacute bacterial endocarditis. The indications for premedication underwent revision and changed several years ago, and most dentists and surgeons follow the aha guidelines. ...Read more

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How long should I take clindamycin for wisdom teeth extraction?

How long should I take clindamycin for wisdom teeth extraction?

See below: What did your dr tell you?....That's how long you should be taking the antibiotic... You might want to take a probiotic to reduce the risk of yeast infections. ...Read more

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I took clindamycin for a week after wisdom teeth removal 2 weeks ago. Now I keep getting heartburn. Can the medicine be related to the heartburn?

Possibly: Clindamycin is a very effective antibiotic at killing healthy gut bacteria. Try adding probiotics or yogurt to your diet and if that doesn't help you may want to talk with your doctor about it. ...Read more

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I noticed that I am getting a smell of antibiotics under my arms and it is bothering me. I am taking Clindamycin for my teeth. Is this normal?

I noticed that I am getting a smell of antibiotics under my arms and it is bothering me. I am taking Clindamycin for my teeth. Is this normal?

Vague: Question is why you are taking the clindamyucin. Is it for a tooth infection, gum infection or both. The clindamysin can also upset the stomach, so the smell may be secondary. But it may also be what you are ingesting in terms of food, beverages and supplements. ...Read more

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My wisdom teeth were removed last thurs. I drank vicodyn & clindamycin& ibruprofen800 and zantax. I now have bloating, nausea at night, and gases. Help?

My wisdom teeth were removed last thurs. I drank vicodyn & clindamycin& ibruprofen800 and zantax. I now have bloating, nausea at night, and gases. Help?

Side effects: If you're over a week out from the procedure, hopefully pain has subsided so that you won't need the vicodin or Ibuprofen much longer (if at all). Both these & Clindamycin can cause stomach upset. Vicodin can also slow your GI system down, resulting in constipation plus the symptoms you're having. Probiotics may help! Please discuss these & any ongoing pain control issues with your doctor. ...Read more

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Can you take clindamycin 300mg 3 daily (21) and Benadryl (diphenhydramine) i recently had my wisdom teeth removed but my lips are extremely swollen and nothing helps?

Can you take clindamycin 300mg 3 daily (21) and Benadryl (diphenhydramine) i recently had my wisdom teeth removed but my lips are extremely swollen and nothing helps?

Follow up: You should have your surgeon check the swelling. Depending on when the surgery was performed, puffiness can be expected, but it can a more serious infection. See your oral surgeon/ dentist asap. ...Read more

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Just had wisdom teeth extracted 10/2 taking clindamycin why can't I breast feed or can I? What are risk factors? I have Breast feed 3x already.

Breast milk: safe ?: Any medication can be transmitted by breast milk, so asking the medical professional to be certain is always best. Most medications do not get into breast milk in significant clinical concentrations to cause problems, but consult an OB/GYN health provider to be certain. ...Read more

Prophylaxis (Definition)

Prophylaxis is a measure taken to ...Read more


Dr. Brian Hoffman
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