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Alternative antibiotics include Erythromycin, cephalosporin and several others. [11] Tetracycline: A wide spectrum antibiotic used to treat multiple bacterial infections. If prescribed during permanent tooth eruption in the mouth, grey staining can occur on the erupting teeth, presenting as a grey band at the point of eruption.
These lesions may appear as a result of systemic infection or direct infection. [5] Streptococcal species may rarely cause gingivitis (with or without involvement of other oral mucosal surfaces), which presents as fever , malaise and very painful, swollen red and bleeding gums, sometimes following tonsillitis .
Mouth infections are usually diagnosed on history and physical exam in the dental office or at a clinic visit with an otolaryngologist. [1] Swelling within the oral cavity or cheeks, along with a history of progressively worsening tooth pain and fevers, is usually enough evidence to support the diagnosis of a mouth infection.
A history of toothache with sensitivity to hot and cold suggests previous pulpitis, and indicates that a periapical abscess is more likely. If the tooth gives normal results on pulp sensibility testing, is free of dental caries and has no large restorations; it is more likely to be a periodontal abscess.
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[15]: 303 In this role, antibiotics suppress the infection until local measures can be carried out. Severe trismus may occur in when the muscles of mastication are involved in an odontogenic infection, making any surgical treatment impossible. Immunocompromised individuals are less able to fight off infections, and antibiotics are usually given.
Odontogenic infection starts as localised infection and may remain localised to the region where it started, or spread into adjacent or distant areas. It is estimated that 90–95% of all orofacial infections originate from the teeth or their supporting structures and are the most common infections in the oral and maxilofacial region. [3]
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