Amoxicillin for tooth infection: dosage and how does it help?

amoxicillin for tooth infection
Medically reviewed by Dr. Asim Cheema

Overview

Amoxicillin is an antibiotic that treats bacterial infections in teeth caused by cavities, cracks, or oral trauma. These infections can be highly uncomfortable and potentially spread to the surrounding gums and bones. If left untreated, they can cause serious problems, so getting diagnosed and treated as soon as possible is essential. A tooth infection can cause severe toothache, fever, face puffiness, and sensitivity to temperature changes. Amoxicillin works well against common oral bacteria and is frequently prescribed as a first-line treatment. It helps reduce swelling, ease discomfort, and prevent illness from spreading to other body areas.

Dealing with a painful tooth infection?

Your Doctors Online can prescribe Amoxicillin to treat the infection and reduce discomfort, all from the comfort of your home.

Get a prescription for as low as $19/visit!

Does Amoxicillin help with tooth infection?

Yes, amoxicillin is frequently recommended to treat bacterial tooth infections. It is an antibiotic in the penicillin class that prevents the bacterium’s growth that is causing the infection. Amoxicillin is a popular medication among dentists because it works well against various bacteria frequently seen in oral diseases. 

When prescribed by a medical expert, amoxicillin can help reduce tooth infection symptoms like pain, swelling, and fever. Antibiotics like amoxicillin are frequently used with dental treatments like root canal therapy or tooth extractions to eradicate the infection and maintain oral health. It is believed to have fewer gastrointestinal upsets compared to other antibiotics. 

How do I take Amoxicillin for a tooth infection? 

It is essential to carefully follow your healthcare provider’s advice when using Amoxicillin for a tooth infection. The treatment plan and dose may change depending on the severity of the disease and your medical history. Depending on the severity of the illness, you are usually prescribed 500 mg to 875 mg of amoxicillin, which is taken orally every 8 to 12 hours. The medication is typically administered in tablet or capsule form.

The following lists typical dosages along with their indications:

  • 250 mg is usually a lower maintenance dose for specific conditions or mild to moderate infections.
  • 500 mg is the typical dosage for most adult patients with mild to moderate illnesses.
  • 875 mg: Used for more severe infections or when higher doses are necessary to combat the bacteria effectively.

Completing the full course of antibiotics as your healthcare provider prescribes is essential, even if you start feeling better before the medication is finished. This helps ensure that all bacteria causing the infection are eradicated, reducing the risk of recurrence or antibiotic resistance.

Take Amoxicillin with a full glass of water to help prevent stomach upset unless otherwise directed by your doctor. You can take it with or without food, but consistency is critical; try to take it simultaneously each day to maintain steady levels of the medication in your bloodstream.

If you miss a dose, take it as soon as you remember, but do not double up on doses to make up for a missed one. If it’s almost time for your next dose, skip the missed dose and continue your regular dosing schedule.

Always inform your healthcare provider about any other medications you are taking and any allergies or medical conditions you have to ensure that Amoxicillin is safe and effective for you. 

Untreated tooth infections can lead to serious medical conditions.

Speak with Your Doctors Online to get an Amoxicillin prescription or other tailored antibiotics now.

Get a prescription for as low as $19/visit!

How long does Amoxicillin take to work on a tooth infection? 

Amoxicillin typically starts working within the first 24 to 72 hours of initiating treatment. However, the exact time it takes for Amoxicillin to work can vary depending on factors such as the severity of the infection, the individual’s immune response, and the specific bacteria causing the infection.

Here’s a simplified explanation of how Amoxicillin works and why it may take some time to notice its effects:

  • Inhibiting Bacterial Growth: 

Amoxicillin belongs to the beta-lactam class of antibiotics and interferes with the synthesis of bacterial cell walls. Bacteria need intact cell walls to survive and reproduce. By inhibiting the formation of these walls, Amoxicillin effectively stops the growth of bacteria, allowing the body’s immune system to combat and eliminate the infection more effectively.

  • Time for Reduction of Bacterial Load: 

After starting Amoxicillin treatment, it takes time for the medication to reach therapeutic levels in the body and begin reducing the bacterial load at the site of infection. This process may take several hours to a few days, depending on factors such as the severity and extent of the disease.

  • Resolution of Symptoms: 

As the bacterial load decreases and the infection comes under control, you may notice an improvement in symptoms such as pain, swelling, and fever. However, completing the course of antibiotics is essential, even if you start feeling better before the medication is finished. This helps ensure that all bacteria causing the infection are eradicated, reducing the risk of recurrence or antibiotic resistance.

  • Individual Response:

 It’s important to remember that everyone responds differently to antibiotics; some individuals may experience faster relief of symptoms than others. Factors such as overall health, immune function, and the specific bacteria causing the infection can influence how quickly Amoxicillin takes effect.

Time After Starting TreatmentHow it works
0-24 hoursAmoxicillin begins to reach therapeutic levels in the body, inhibiting bacterial growth.
24-72 hoursReduction of bacterial load at the site of infection. Some improvement in symptoms may be noticed.
3-7 daysContinued reduction of bacterial infection. Symptoms such as pain, swelling, and fever may further diminish.
7-14 daysCompletion of the entire course of antibiotics. Bacterial infection is primarily eradicated, and symptoms resolve.
Beyond 14 daysFollow up with a healthcare provider if symptoms persist or worsen.

This timeline provides a general overview of the progression of Amoxicillin treatment for a tooth infection, but individual experiences may vary.

In summary, while Amoxicillin typically begins to work within the first 24 to 72 hours of treatment, it may take some time to notice significant symptom improvement.

What are the benefits of taking Amoxicillin for a tooth infection?

Amoxicillin offers notable advantages for treating tooth infections, showcasing efficacy in infection treatment and pain relief. As a primary antibiotic choice, it inhibits bacteria growth, reducing pain as the infection is eradicated. Amoxicillin demonstrates broad effectiveness with fewer gastrointestinal side effects than alternatives, often resolving symptoms within days. However, it’s crucial to consult a healthcare provider if symptoms persist or worsen. Proper antibiotic use is essential, as not all infected teeth necessitate antibiotics for resolution.

What are the best antibiotics used for tooth infection? 

Several antibiotics are commonly used to treat tooth infections, depending on factors such as the severity of the infection, the type of bacteria involved, and any allergies or medical conditions the patient may have. Here are some of the best antibiotics frequently prescribed for tooth infections:

Amoxicillin:

Amoxicillin is a widely prescribed antibiotic from the penicillin class that is effective against a broad spectrum of bacteria commonly found in dental infections. It works by inhibiting bacterial cell wall synthesis, thereby preventing bacterial growth. Amoxicillin is often used as a first-line treatment for mild to moderate tooth infections.

Penicillin: 

Penicillin VK (Penicillin V) is another antibiotic from the penicillin class, similar to Amoxicillin. It is effective against many types of bacteria commonly found in dental infections. It is often used as an alternative to Amoxicillin for those who prefer it or cannot take Amoxicillin due to allergies or other reasons.

Cephalexin:

Cephalexin is an antibiotic in the cephalosporin class that is effective against many bacteria. It works by interfering with bacterial cell wall synthesis, similar to penicillin. Cephalexin is often prescribed for dental infections when penicillin-based antibiotics are not suitable or effective.

Clindamycin: 

Clindamycin is a lincosamide antibiotic that is particularly effective against anaerobic bacteria, common in dental infections, especially abscesses or periodontal disease. It works by inhibiting bacterial protein synthesis. Clindamycin is often used when other antibiotics are not effective or when the patient is allergic to penicillin antibiotics.

Azithromycin: 

Azithromycin is a macrolide antibiotic that is effective against many bacteria, including some that cause dental infections. It works by inhibiting bacterial protein synthesis. Azithromycin is sometimes an alternative antibiotic for dental diseases, particularly in patients who cannot take penicillin-based antibiotics.

Metronidazole: 

Metronidazole is an antibiotic specifically effective against anaerobic bacteria and certain parasites. It works by disrupting the DNA of bacteria and other microorganisms. Metronidazole is often used with other antibiotics for severe or complicated dental infections, such as abscesses or periodontal disease.

It’s essential to note that antibiotics should only be used when prescribed by a healthcare professional. The antibiotic choice and treatment duration will depend on various factors, including the specific bacteria causing the infection and the patient’s medical history.

Need antibiotics like Amoxicillin for a tooth infection but can’t see a dentist right away?

Get quick, convenient care and a prescription from Your Doctors Online.

Get a prescription for as low as $19/visit!

How often should antibiotics be taken for tooth infection?

Antibiotics for tooth infections are typically taken every 8 hours (three times a day) or every 12 hours (twice a day), as directed by your healthcare provider. It’s crucial to adhere to the prescribed dosing schedule and complete the course of antibiotics, usually lasting 5 to 7 days, even if symptoms improve before the medication is finished. In cases of recurrent tooth infections, the frequency of antibiotic use may vary depending on the severity and frequency of the infections and the specific treatment plan recommended by your healthcare provider. This ensures that all bacteria causing the infection are eradicated, reducing the risk of recurrence or antibiotic resistance. 

Antibiotic resistance occurs when bacteria develop the ability to resist the effects of antibiotics, making them less effective in treating infections. This can happen when antibiotics are overused or misused, allowing bacteria to adapt and evolve to survive antibiotic treatment. To combat antibiotic resistance, it’s essential to use antibiotics judiciously.

Consult a doctor 

Consulting a doctor or dentist is advisable if you experience any of the following concerning symptoms related to a tooth infection:

  • Persistent or severe toothache that is not relieved by over-the-counter pain medications.
  • Swelling in the gums, face, or neck area may indicate an abscess or spreading infection.
  • A fever accompanied by tooth pain or swelling could indicate a systemic infection.
  • Difficulty chewing or swallowing due to pain or swelling around the affected tooth.
  • Foul odor or taste in the mouth that persists despite oral hygiene measures.
  • Visible discharge or pus around the affected tooth or in the mouth.
  • Mobility or movement of the affected tooth, indicating advanced infection or damage.
  • Recurrent tooth infections or a history of dental problems that have not been adequately addressed.

FAQs about Amoxicillin for tooth infection

Can I use Amoxicillin for a tooth infection without a prescription?

No, it is not advisable to use Amoxicillin or any other prescription medication without a prescription from a licensed healthcare professional. A dentist or a doctor should prescribe antibiotics like Amoxicillin after a thorough examination to determine the appropriate dosage and duration of treatment. 
Self-medication can lead to inappropriate use incomplete treatment and may contribute to antibiotic resistance. Always consult a healthcare professional before using any prescription medication to ensure safe and effective treatment for a tooth infection.

Can children take Amoxicillin for tooth infections?

Amoxicillin is a commonly prescribed antibiotic for children, especially for treating infections like dental abscesses—the recommended dosages change according to age, with different amounts for different age groups.
Parents must adhere to the prescribed dosage and ensure the complete course of treatment is finished. Amoxicillin is generally considered safe for children, but informing the doctor about any allergies or existing health conditions before initiating the medication is essential.

Is it normal to experience diarrhea while taking Amoxicillin?

It is expected to experience diarrhea while taking amoxicillin, as it can disrupt normal gut bacteria. 
This side effect usually resolves a few days after stopping the antibiotic. Get medical help immediately if your diarrhea is terrible, stays for a long time, or comes with other scary symptoms like fever.
Hydration is essential; consulting a healthcare professional before using other medications for diarrhea is advised. In case of severe side effects like watery or bloody diarrhea, difficulty breathing, or swelling, immediate medical attention should be sought.

How can I tell if the Amoxicillin is working for tooth infection?

Monitoring the alleviation of symptoms like pain, swelling, and redness is crucial to assess the effectiveness of Amoxicillin in treating a tooth infection. While amoxicillin effectively eliminates tooth infections and may reduce pain, completing the antibiotic course is essential, even if symptoms improve prematurely. 
It is recommended to consult a healthcare provider for further evaluation and management if symptoms worsen. Immediate medical attention should be sought if any severe side effects are experienced.

Does amoxicillin help with tooth pain?

Amoxicillin primarily targets bacterial infections associated with tooth pain by inhibiting bacterial growth but may not directly alleviate toothache. However, by reducing the bacterial load causing the infection, Amoxicillin indirectly helps to alleviate tooth pain over time. Additional pain management strategies, such as over-the-counter pain medications, may be necessary to relieve tooth pain immediately.

Your Doctors Online uses high-quality and trustworthy sources to ensure content accuracy and reliability. We rely on peer-reviewed studies, academic research institutions and medical associations to provide up-to-date and evidence-based information to the users.

  • Hong, Liang, et al. “Association of amoxicillin use during early childhood with developmental tooth enamel defects.” Archives of pediatrics & adolescent medicine 159.10 (2005): 943-948.
  • Laisi, S., et al. “Amoxicillin may cause molar incisor hypomineralization.” Journal of dental research 88.2 (2009): 132-136.
  • Isiordia-Espinoza, M. A., et al. “Risk of wound infection and safety profile of amoxicillin in healthy patients which required third molar surgery: a systematic review and meta-analysis.” British Journal of Oral and Maxillofacial Surgery 53.9 (2015): 796-804.
  • Menon, R. K., et al. “Does the use of amoxicillin/amoxicillin–clavulanic acid in third molar surgery reduce the risk of postoperative infection? A systematic review with meta-analysis.” International journal of oral and maxillofacial surgery 48.2 (2019): 263-273.

Get started today

Talk to online doctors now and get medical advice, online prescriptions, and referrals within minutes. On-demand healthcare services at your fingertips.

talk to online doctor 24/7 free