Duodecim. 2011;127(11):1171-2.
In most cases, acute oral infections originate from the dentition. The use of antimicrobials is secondary to appropriate dental care and does not allow postponing the elimination of the infection source. Medically compromised patients are more susceptible to odontogenic infection complications and antimicrobials have a more important role in their treatment. In the treatment of dental abscesses, a pre-operative 2 g single-dose of amoxicillin is recommended for all patients. An additional five to seven-day course of penicillin V or amoxicillin, in combination with metronidazole or clavulanic acid, should be considered, especially in the treatment of medically compromised patients.
在大多数情况下，急性口腔感染源自牙列。抗菌药物的使用是在适当的口腔护理之后，且不能因此而推迟消除感染源。有医疗问题的患者更容易发生牙源性感染并发症，抗菌药物在其治疗中发挥更重要的作用。在治疗牙脓肿时，建议所有患者术前单次服用2克阿莫西林。应考虑额外给予五到七天的青霉素V或阿莫西林疗程，并联合甲硝唑或克拉维酸，特别是在治疗有医疗问题的患者时。
