Dentaltown February 2020 - 52

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Lithuanian DDS
Member Since: 12/01/14
Post: 15 of 92

Clean out, close up ASAP. Periapical area full of bacteria that are taking refuge inside the
tooth. As far as insurance goes, infections know no calendar maximums and yearly renewals.
Patients need to be informed but it's the complications that result that are the practitioner's
responsibility. Also, go for clindamycin with that size periapical infection. ■
11/26/2019

flyfishdr
Member Since: 02/26/04
Post: 27 of 92

For sure you know! (The system is used universally in the world, actually.) When we have a
U.S. dentist saying they went to the moon with their number system, well, it looks better getting
the universal numbering system right.
I am mostly giggling at this, so don't take it too seriously. I completely agree with your
proposed treatment, by the way. ■
11/26/2019

matt215
Member Since: 10/02/02
Post: 29 of 92

I'm beginning to think that clindamycin is the first-choice antibiotic for infections. It seems
like everyone getting Amox/Pen VK isn't getting any relief. Change them up to clindamycin
and it heals right up. ■
11/27/2019

Timmy G aka ...
Member Since: 04/14/02
Post: 30 of 92

Clindamycin has far, far greater activity against anaerobes. Consequently, for treating many
oral infections, it can be very effective.
Just be cautious, clinda is hard on the gut-and while any antibiotic can cause an enterocolitis and/or C. diff infection, risk with clinda is a bit more. It's a very useful antibiotic but if
someone lands in the hospital with C. diff enterocolitis because of your script, that'll ruin your
day, believe me. ■
11/27/2019

dreric99
Member Since: 12/07/03
Post: 39 of 92

I second. Especially elderly, compromised patients. I prescribed clinda once on a renal
patient at the recommendation of her specialist and the C. diff ended up killing her. True, she
would have died soon anyway, but the antibiotics probably sped it up a bit. ■
11/28/2019

bondoking
Member Since: 07/31/08
Post: 40 of 92

I have used a well-blotted pellet of Formo-Cresol only in the coronal part of the tooth for 50
years and never had a blow-up as you are describing. Not once. I am very careful to never push
anything out the apex, irrigate generously with NaOCl using a side vent needle, and always seal
with Cavit. ■
12/16/2019

Eric56
Member Since: 09/16/17
Post: 43 of 92

Use Formo-Cresol on a cotton pellet (blotted dry) and I bet it reduces chances of a flare-up
happening. I don't care what schools or research says, Formo-Cresol works. ■
12/16/2019

eeznogood
Member Since: 02/23/06
Post: 47 of 92

I use it by dipping paper cones and leaving them in the canal. It does work very well, but
unfortunately not perfectly all the time. ■
12/16/2019

DoctorEd
Member Since: 09/21/02
Post: 48 of 92

Karim, only a very slight vapor is needed. Placing paper cones dipped in Formo-Cresol is
likely to have adverse postoperative results. A small cotton pellet that has been squeezed dry is
more than enough. ■
12/16/2019

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