Medication Checklist for Dental Patients

The role of medications in dentistry is different than in other areas of
medicine. In the non-surgical branches of medicine, many diseases and conditions
can be effectively treated with medications alone. Common ailments like sinus
infections, strep throat, urinary tract infections, Lyme disease, and many
others can often be treated solely with the use of antibiotics. In dentistry,
most conditions are treated surgically, with medications used in an ancillary
capacity only.

The most common antibiotics used in dentistry are
Penicillin, Amoxicillin, Clindamycin, Tetracycline and Biaxin. Frequently
prescribed Opioid (or narcotic) pain medications included Vicodin (hydrocodone),
Tylenol 3 (contains codeine), and Percocet (oxycodone). Over-the-counter pain
medications commonly used are Advil (Ibuprofen), Tylenol (Acetaminophen) and
Aleve (Naproxen).

Root Canal and Tooth Extraction:
Opioid or over-the-counter pain medication is often prescribed or recommended.
Antibiotics are rarely needed.
Surgical Treatment of the Gums: Opioid or over-the-counter pain medication is often prescribed or recommended. Antibiotics may be prescribed for some patients.
Surgical Drainage of a Dental Abscess: Opioid or
over-the-counter pain medication is often prescribed or recommended. Antibiotics
may be prescribed for most patients.
Dental Implant Surgery,
Biopsies, and other Oral Surgical Procedures: Opioid or
over-the-counter pain medication is often prescribed or recommended. Antibiotics
can be considered for some patients.
TMJ (jaw-joint)
Therapy: Over-the-counter anti-inflammatory pain medications may be
recommended in addition to conservative treatment like a night guard
appliance.
Deep Cleaning of the Gums: Medication is rarely
required. If discomfort occurs, over-the-counter pain medications can be
used.
Crown (also Cap) and Bridge preparation: Medication is
rarely required. If discomfort occurs, over-the-counter pain medications can be
used.
Cavities: Medication is rarely needed after cavities
are treated. In some cases, with multiple or deep fillings, over-the-counter
pain medications can be used.

Procedures that hardly ever require medications include cosmetic dentistry (tooth whitening, tooth shaping, porcelain veneers), dental impressions, fabrication of full and partial dentures, fitting of temporary and permanent crowns (also caps) and bridges, braces, dental injections, dental cleanings, placement of dental sealants,
application of fluoride, fitting of mouth guards, and dental x-rays.

The decision when to prescribe medication is the responsibility of your dentist.
Every patient is unique. Patients with conditions or who take medications that
weaken the immune system may be more prone to infection after dental treatment. Always take the time to fill out your medical history form completely and accurately so your dentist can make the best decision possible regarding the use of medications if they are needed.