Case Studies Diagnosis Answers Probable Treatment Why/Why Not Antimicrobial: Dose Comments Diagnosis intervention Prescribe? and Duration 1 Non vital tooth peri radicular Options for Only If severe Amoxycillin TDS infection XLA/ RCT. enough swelling? 5 days 2 Pericoronitis Probably Rx Possible Metronidazole 200mg Local irrigation systemic TDS, 3 days involvement 3 Failed root treatment Incision and Systemic Amoxycillin 250mg Consider ? double dose of amoxicillin with periapical infection drainage involvement TDA, 5 day course. combination with if severe enough. metronidazole 200mg. 4 Irreversible pulpitis Options Not necessary or Pain will go with RCT/XLA appropriate. correct intervention. 5 ANUG Rx metro/ Metronidazole 9 tabs 200mg tds 3 hydrogen H2o2 days. peroxide 6% h2o2 6 Periodontal disease Initial phase Not necessary or OHI appropriate Scaling If onto phase 2 could consider Rx 7 Periodontal abcess Extract tooth Not necessary or Infection will clear appropriate. once tooth extracted.
Case Studies Diagnosis Answers Probable Diagnosis Treatment intervention Why/Why Not Prescribe? Antimicrobial: Dose and Duration Comments 1 Non vital tooth peri radicular infection Options for XLA/ RCT. Only If severe enough swelling? Amoxycillin TDS 5 days 2 Pericoronitis Probably Rx Local irrigation Possible systemic involvement Metronidazole 200mg TDS, 3 days 3 Failed root treatment with periapical infection Incision and drainage Systemic involvement Amoxycillin 250mg TDA, 5 day course. Consider combination with metronidazole 200mg. ? double dose of amoxicillin if severe enough. 4 Irreversible pulpitis Options RCT/XLA Not necessary or appropriate. Pain will go with correct intervention. 5 ANUG Rx metro/ hydrogen peroxide Metronidazole H2o2 9 tabs 200mg tds 3 days. 6% h2o2 6 Periodontal disease Initial phase OHI Scaling If onto phase 2 could consider Rx Not necessary or appropriate 7 Periodontal abcess Extract tooth Not necessary or appropriate. Infection will clear once tooth extracted.
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