a 13 year old boy present with sweeling related to lower left 1st molar carious 2 days durtioncontroling acute stage by 5 days amoxicillin 500mg +brufen400mg on the fifth day i startedendo with incomplete reslution of the swelling but subsided by night pitient developed pain he went to another dentist he told him i made a mistake starting my endo please tell me where is my mistake>>>>thank you so much

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  • Dr.Ritz

    Dr.Ritz 11 - October - 2009, at 10:37 AM

  •  In my opinion the treatment plan followed by you by starting the Endo treatment after 5 days of antibiotics was not wrong as after 5 days, the antibiotic level in blood is enough to take care of any infection even if swelling is there. But in this case one should not give the close dressing. It should be open dressing so that pain doesnot start. I would have continued the antibiotics for 2 more days if swelling is there at the time of starting the endo treatment. As it is lower molar, I would have recommended warm saline rinses also.

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