Dental abscess

Template

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FindingsChoose one

AntibioticChoose one

PainChoose any

DentistChoose one

PreventionChoose any

Follow-upChoose one

Counseling

Antibiotics calm the infection, but the tooth still needs treatment by a dentist to keep the infection from coming back. Recommended supportive care with tylenol or motrin as needed for pain, with an emphasis on soft foods, brushing twice a day with fluoride toothpaste, and limiting sugary drinks and snacks. Return precautions given including swelling of the face or around the eye, trouble opening the mouth or swallowing, fever, the child seeming more ill, new symptoms, prolonged symptoms, worsening symptoms, and other concerns. Caregiver expressed understanding and agreement with plan. Answered all questions.

Note when inserted as is

Dental abscess
• Localized dental abscess with gum swelling, without facial swelling, trismus, or fever
• Augmentin
• Recommended tylenol or motrin as needed for pain
• Dentist visit within the next few days for definitive treatment
• Follow up if not improving in 48-72 hours

Antibiotics calm the infection, but the tooth still needs treatment by a dentist to keep the infection from coming back. Recommended supportive care with tylenol or motrin as needed for pain, with an emphasis on soft foods, brushing twice a day with fluoride toothpaste, and limiting sugary drinks and snacks. Return precautions given including swelling of the face or around the eye, trouble opening the mouth or swallowing, fever, the child seeming more ill, new symptoms, prolonged symptoms, worsening symptoms, and other concerns. Caregiver expressed understanding and agreement with plan. Answered all questions.

What the sources cover

Dentist for definitive treatment; dental home by age 1
Brushing, fluoride, sugar

Return precautions in the template

swelling of the face or around the eyetrouble opening the mouth or swallowingfeverthe child seeming more ill

Sources

Few formal guidelines cover this topic, so the template also leans on expert opinion.