Duration Health

Dental

Introduction

A variety of dental problems can come up when traveling or even at home. The most common dental problem is trauma to the mouth or teeth. This can occur with blunt injury to the face or mouth, and teeth can become displaced, dislodged or knocked out completely. Sometimes, people also get infections of the gums and teeth. Dental or tooth abscess occurs when a buildup of pus from the infection forms inside the teeth or gums. This can be very painful and make it difficult to chew food and you may notice swelling and redness inside the mouth or on the cheeks. More severe infections of the tooth or gums can progress deeper in the mouth and extend to the bones of the face and jaw, or even extend to deep inside the neck or into the brain – this is a life-threatening medical emergency and you must seek immediate medical care.

Treatment

If you lose a tooth due to traumatic injury and you still have the tooth, it is best to replace the tooth in the socket and seek help immediately. If you are unable to find the tooth, dental filling can be used in an emergency to temporarily treat a lost tooth. If you notice pain, swelling or pus coming from a tooth, this could be a dental abscess – this kind of infection needs to be treated with an antibiotic. Consider taking amoxicillin-clavulanate until you are able to see an emergency dentist. Note that most emergency rooms do not have dentists on call.

When To Worry

Seek immediate medical care if you have any of the following:

Quick Guide

If you have

  • mild tooth or mouth pain
  • no pus coming from tooth
  • no swelling or fever

You may have

toothache

Consider using

ibuprofen 600 mg every 6 hours as needed for pain OR

acetaminophen 1000 mg every 6-8 hours as needed for pain (do not exceed 3000 mg per day)

dental anesthetic topically to the affected area

If you have

  • severe, persistent tooth or mouth pain and swelling
  • pus coming from tooth

You may have

dental abscess

Consider using

amoxicillin-clavulanate 875 mg-125mg twice daily for 7 days

OR

clindaymcin 450 mg every 8 hours for 7 days

AND seek immediate care from a dentist (your tooth may need to be extracted)

If you have

  • trauma to mouth or tooth
  • loss or displacement of tooth

You may have

dental trauma

Consider

replace tooth in socket if you can or apply dental filling and seek immediate medical care

If you have

  • inability to open your jaw due to pain or swelling
  • fever and severe headache with your tooth pain
  • swelling of the throat that makes it difficult to swallow or breathe
  • swelling or tenderness of the entire side of the face, cheek, eyelid or the eye starts to protrude

You may have

facial abscess

You should

seek emergency medical care

Reference

Amoxicillin-clavulanate (generic for Augmentin) is an antibiotic. It can be used to treat skin infections like bite wounds, ear infections, sinus infections, tooth infections, and other infections. This medication should be taken with food.

InfectionMedication

Amoxicillin is an antibiotic. It is used to treat infections of the ear, nose, throat, urine, skin, and lungs.

PediatricsMedication

Clindamycin is an antibiotic. Is is used to treat serious respiratory tract, skin, and soft tissue infections. Clindamycin is used to treat infections cause by a class of bacteria called anaerobic bacteria. Clindamycin is sometimes used in place of penicillin-family antibiotics in people allergic to penicillin.

InfectionMedication

Ibuprofen (generic for Motrin, generic for Advil) is a pain reliever and the most commonly used non-steroidal anti-inflammatory drug (NSAID). Ibuprofen is used to treat pain.

GeneralMedication

Acetaminophen (generic for Tylenol) is a pain reliever and fever reducer. Acetaminophen is used to treat pain.

GeneralMedication

Ibuprofen (generic for Motrin, generic for Advil) is a pain reliever and the most commonly used non-steroidal anti-inflammatory drug (NSAID). Ibuprofen is used to treat pain.

GeneralMedication

Acetaminophen (generic for Tylenol) is a pain reliever and fever reducer. Acetaminophen is used to treat pain.

GeneralMedication

Brought to you by emergency physicians

Be your own first responder

Learn What To Do In a Medical Emergency

Get our free email series, Where There is No Doctor. We’ll teach you how to treat the most common medical issues, anywhere.

Available in
CA, TX, NY, PA, NJ, CT, CO, MA, NC

Serving travelers since 2019 and shelterers-in-place since 2020

[email protected]
Two Embarcadero Center | 8th Floor
San Francisco, CA 94111
(855) 340-8969

Privacy Policy
Notice of Privacy Practices
Terms and Conditions

© 2020 Duration Health
We're hiring!

Only your Duration Health provider can decide, based on your medical history and other factors, whether it is medically appropriate for you to receive prescriptions. We do not sell prefabricated bags of pharmaceuticals. Each Duration Health Med Kit is custom assembled, tailored to each individual patient's needs.

You must complete the included online telehealth visit, including a complete medical history and ID verification, before any prescriptions are issued. You may not be eligible to receive items pictured or described on this site. Furthermore, renewal of your prescriptions is contingent upon continued medical appropriateness. Generics only. Brand names are listed on our site for your reference, but in most cases, only generic (non-brand) medications are included in our Med Kits. No controlled substances. Our formulary excludes controlled substances like opioids, benzodiazepines, and other potentially addictive medications. Treatment not guaranteed. No medication is guaranteed to work or guaranteed to treat a particular condition or disease. Use medications only as directed by a physician. Medication uses listed on this site are for educational purposes only and are not intended to represent indications for treatment. Duration Health is not a pharmacy and does not sell medications directly. To be able to deliver a customized kit of medications, Duration Health has partnered with a third-party mail order pharmacy. You may request that any prescriptions be sent to an alternate pharmacy. Email support only. Our providers are available via email to answer questions about your Med Kit. For non-emergency use only. In an emergency, call 911 or seek local emergency care. No routine care. Duration Health email support cannot be used for routine primary care. Medications prescribed by Duration Health cannot be used for routine purposes. This product is intended only for people who are unable to obtain regular medical care. You must anticipate living, working or traveling where care is unavailable. As a condition of purchase, you must consent to use of these medications only when regular access to medical care is unavailable. Your eligibility for Health Savings Account (HSA) or Flexible Spending Account (FSA) payment and reimbursement is not guaranteed; consult with your health plan, a qualified accountant, or a tax professional to determine your eligibility for reimbursement. Duration Health does not provide or claim to provide any medication or other item to prevent, treat or cure COVID-19.

The information provided on this site is intended for your general knowledge only and is not a substitute for professional medical advice or treatment for specific medical conditions. You should not use this information to diagnose or treat a health problem or disease without consulting with a qualified healthcare provider. Please consult your healthcare provider with any questions or concerns you may have regarding your condition. If you think you may have a medical emergency, call your doctor, go to the emergency department, or call 911 immediately.

See our Frequently Asked Questions (FAQ), Privacy Policy, Notice of Privacy Practices and Terms and Conditions for more important disclaimers.