Abscesses (dentoalveolar, periapical)
Antibiotics alone without drainage and debridement is NOT recommended.
First line therapy
Surgical drainage & debridement essential.
If unable to achieve optimal drainage
| Empiric Therapy | |
|---|---|
| [Penicillin VK | 300-600mg PO qid x 7 days |
| + | |
| Metronidazole] | 500mg PO bid x 7 days |
| or | |
| Amoxicillin-clavulanate | 875mg PO bid x 7 days |
Penicillin/amoxicillin allergy
| Empiric Therapy | |
|---|---|
| Cefuroxime axetil | 500mg PO bid x 7 days |
| + | |
| Metronidazole | 500mg PO bid x 7 days |
Cefuroxime allergy
| Empiric Therapy | |
|---|---|
| Clindamycin | 150-300mg PO qid x 7 days |