Dentaltown July 2020 - 25

eeznogood
It is by far the better thing to
Member Since: 02/23/06
use. Works too darn well.
Post: 5 of 39
Also, for cases with big-time
swelling, it is better to use clindamycin vs. penicillin.
More effective. 300mg qid x7d. ■
3/2/2020

Did your poor wife end up in
the hospital from this?
Sounds like it from the title,
anyway. ■

flyfishdr
Member Since: 02/26/04
Post: 6 of 39

3/2/2020

Batlle
Yes, she woke up this mornMember Since: 08/29/18
ing not feeling any better and
Post: 7 of 39
said it felt like it was crossing the
midline. Had trouble opening. I called two endodontists
I know who said take her in for IV clinda to jump-start
the antibiotics, so I took the day off work to handle
it. On the way to ER, we dropped by a well-regarded
endodontic practice just so they could see the extent of
swelling before IV, both endos there said the same thing.
I asked all four today about filling canals with CaOH
vs. just dry cotton or leaving it open for gases to escape, as
another doc had recommended I do and said I should go
back and remove the CaOH. All 4 endos today said they
do exactly as I did unless it's draining, which it wasn't.
So I took her to ER, three hours later they ran a bag
of 900mg clindamycin into her arm and switched the
oral penvk to clinda 300mg.
Hopefully this brings the swelling down and we
can complete the RCT soon. Endo called it acute facial
cellulitis. I've seen a lot of blown-out buccal swellings
that have been much larger in size, but because hers went
submandibular and was starting to turn a little red (no
fever though and BP was normal) I decided the risk of
getting hit hard by antibiotics did not outweigh the risk
of it progressing. ■
3/2/2020

rambo10458
I would have prescribed
Member Since: 07/12/06
clindamycin 300 TID for seven
Post: 8 of 39
days, and would have used a
cotton pellet with formocresol. You're spooked because
it's your wife and she ended up in the ER. I think your
treatment was excellent but hopefully she doesn't sue. ■
3/2/2020

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Dentaltown July 2020

Table of Contents for the Digital Edition of Dentaltown July 2020

Dentaltown July 2020 - Intro
Dentaltown July 2020 - Cover1
Dentaltown July 2020 - Cover2
Dentaltown July 2020 - 1
Dentaltown July 2020 - 2
Dentaltown July 2020 - 3
Dentaltown July 2020 - 4
Dentaltown July 2020 - 5
Dentaltown July 2020 - 6
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Dentaltown July 2020 - Cover3
Dentaltown July 2020 - Cover4
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