Patient newsletter · Our summary
Antibiotics and oral health care
Antibiotics are wonderful when you truly need them, and not so helpful when you don’t. Here’s how we decide, and why fixing the tooth usually matters more than a pill.
Bacteria, not viruses
Antibiotics only work against bacteria. Colds, the flu, and most bronchitis come from viruses, so an antibiotic won’t help them, but it can still cause side effects.
A toothache usually needs a fix, not a prescription
Most tooth infections start inside the tooth or under the gum. The real cure is treating the source, such as a filling, root canal, deep cleaning, or sometimes removing the tooth. We save antibiotics for infections that are spreading or making you feel sick (fever, swelling in the face or neck), or for patients whose health puts them at special risk.
Why we’re careful
Every course of antibiotics can upset the healthy bacteria in your body. That can lead to stomach trouble, allergic reactions, and a serious gut infection called C. diff. Overuse also helps bacteria become resistant, so the medicines work less well for everyone.
If we do prescribe one
Take it exactly as directed, don’t share it or save leftovers for later, and call us if you notice a rash, hives, or diarrhea. Always tell us about any allergies and every medication you take.
Joint replacements and heart conditions
Most people with a hip or knee replacement no longer need antibiotics before dental visits. A small group of patients with certain heart conditions still do. If you’re not sure, ask us; we’re happy to check with your physician.
Questions? Ask Dr. Greg or Dr. Gina at your next visit — we’re always happy to talk.
Essentials we like
A few options from our curated essentials that often help with this topic.
Dr. Greg and Dr. Gina research these picks daily to keep the recommendations current. As an Amazon Associate, Chew Dental earns from qualifying purchases. These small commissions help support the time they and our team spend researching and updating these recommendations, at no extra cost to you, and they sincerely appreciate your support.
- Philips Sonicare 5900 — A good powered brush helps prevent the gum and tooth infections that lead to antibiotics in the first place.
- Crest Pro-Health Advanced — Everyday fluoride toothpaste that also helps with plaque and gums.
- Waterpik Aquarius Water Flosser — Water flosser to flush bacteria from between teeth and along the gumline.
- GUM Soft-Picks Advanced — Soft rubber picks for easy daily between-the-teeth cleaning.
This information is general and not a substitute for personal medical or dental advice.