Antibiotic Injected Into Gum?

[Greg Sacramento]

I need to have an antibiotic injected into my gums. Just around two teeth on both sides. A total of four injections.

Has anyone with tinnitus ever had this done? I should had asked the dentist for the name of the antibiotic.

Is there any safe antibiotics for this that dentists use? I did an internet search and I can't find much.

Thanks

 

[Bill Bauer]

I am in the process of making an appointment with a periodontist. Thank you for the reminder that the procedure may involve ototoxic antibiotics. I will make sure to find out the name of the antibiotics that they are planning to use.

 

[Greg Sacramento]

Bill: I don't want to discourage others who may need antibiotics, but dental antibiotic injections seem to be more of a problems for some. I think that I will just have the dentist deep clean above those two front upper teeth # 8 and 9. Overall, I have normal teeth, except from grinding problems. My front upper tooth #9 is a little lose. My problem is shown in link. http://www.nycdentist.com/services/...e-teeth-that-move-or-are-mobile-when-chewing/

 

[Bill Bauer]

dental antibiotic injections seem to be more of a problems for some.

Is that something you concluded after reading the posts on this site? When you say "a problem", do you mean "a permanent T spike"?

 

[Greg Sacramento]

I just did an edit on the post that you read. I added more details. Yes, on several dental discussion boards, several maybe 50% are getting spikes from the injections and maybe 30% are saying that it was permanent. The dental board discussion reference is from dental boards, not this board. I had visited a few last night, after I started this thread. The problem with many dentists is that they don't know which drugs or antibiotics are harmful for those with tinnitus.

One reason why Tinnitus Talk, this board is useful, is because most dentists and GP's don't know a lot about tinnitus. I read that GP's - family doctors / ER doctors watch a 30 minute film on tinnitus while in medical school, and that's all the training that they get about tinnitus.

 

[Ambassador]

I've had them done, not a big fan, it's not a great solution for large pockets in the gum. The best bet is to have the root planing and be done with it. If you're a candidate for the antibiotic injection you're likely on your way to gum surgery regardless. The work I had done was years before my tinnitus. The injection is like a paste that sits in the pocket, it's completely local.

 

[Bill Bauer]

on several dental discussion boards, several maybe 50% are getting spikes from the injections and maybe 30% are saying that it was permanent.

As disturbing as it can get...

It is not on this site, right? I tried searching for gingivitis, antibiotic injection, etc., and didn't find anything. What are these discussion boards? Perhaps they mention the names of specific antibiotics.

The following link provides the names of some of the antibiotics being used by periodontists
http://www.colgate.com/en/us/oc/oral-health/conditions/gum-disease/article/antimicrobial-therapy

I couldn't find any of these being mentioned in
http://hlaa-sbc.org/wp-content/uploads/2013/11/Ototoxic_Brochure.pdf

Perhaps there is more info about ototoxicity of these antibiotics somewhere else on the net...

 

[Bill Bauer]

Damn! I searched this site for threads that mentioned Doxycycline, and there are countless people claiming that it gave them T...

Looks like minocycline might be ok
https://www.tinnitustalk.com/threads/minocycline-prevents-gentamicin-induced-ototoxicity.10657/
Maybe not
https://www.tinnitustalk.com/threads/hello-from-geneva-switzerland.20274/#post-234227

Tetracycline is also bad...

Penicillin looks to be ok.

Ciprofloxacin is no good.

Clindamycin seems to be good too.

I will ask my periodontist whether he can limit antibiotics used in my case to penicillin and clindamycin...

 

[Greg Sacramento]

Bill: I can't find the site, that had a lot of responses, even after going thru my history. I did write this down: Tetracycline, ciprofloxacin, clindamycin, metronidazole, macrolide, are ototoxic for those with T. Only a few mentioned penicillin and that was mixed. Amoxicillin was mixed.

Ambassador: Thanks for your response.

 

[Bill Bauer]

Only a few mentioned penicillin and that was mixed.

The same seems to be true about the posts I've seen about it on this site.

Too bad there are people out there who had experienced spikes after taking clindamycin... This leaves us only with penicillin...

 

[racerfish]

There was a study done by the NIH that showed that an infection from oral surgery only occured in 1 out of 20 patients and therefore concluded that antibiotics were overkill. My sister recently had 4 gum grafts done and was not given antibiotics and was fine. That said, I don't know how comparable your situation is to the study so your dentists would know best for your particular situation.

 

[Bill Bauer]

There was a study done by the NIH that showed that an infection from oral surgery only occured in 1 out of 20 patients and therefore concluded that antibiotics were overkill. My sister recently had 4 gum grafts done and was not given antibiotics and was fine. That said, I don't know how comparable your situation is to the study so your dentists would know best for your particular situation.

In my case, the antibiotics will be needed to treat the initial stages of gingivitis... The gum between two of my back teeth has been inflamed for a couple of months now...

 

[racerfish]

Here's another study I just found. This isn't the one I cited but it ends with "The conclusion of this review is that antibiotics given to healthy people to prevent infections, may cause more harm than benefit to both the individual patients and the population as a whole."

https://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0049712/

 

[Greg Sacramento]

Racerfish: I saw those stats once too, but I forgot. I will tell the dentist no antibiotics. Thanks for your replies.

Bill: Penicillin is listed on several lists as being T toxic. One is: Center for hearing loss help. Stewartstown, PA. Not allowed to link to a retrieval system.

Thanks for the comments, they were helpful. I will move on from this discussion. No sense for me to hog the board.

 

[racerfish]

FWIW, my spikes were caused by Cipro and Augmentin (which contains amoxicillin which was supposedly oto-friendly). Almost a year later, my spike is still with me with no reduction in volume.

 

[Ed209]

Racerfish: I saw those stats once too, but I forgot. I will tell the dentist no antibiotics. Thanks for your replies.

Bill: Penicillin is listed on several lists as being T toxic. One is: Center for hearing loss help. Stewartstown, PA. Not allowed to link to a retrieval system.

Thanks for the comments, they were helpful. I will move on from this discussion. No sense for me to hog the board.

I think this kind of misinformation is detrimental to the mental health and physical health of certain members reading this board. Ototoxicity in certain antibiotics is well known (especially aminoglycosides taken intravenously), so I see people writing stuff like this and it can get irritating.

Penicillin based antibiotics are amongst the safest (ototoxicity wise) that you can take. Let's not forget that antibiotics also save lives, and having a psychological problem with them can become a serious issue.

Many people will have spikes and problems with T regardless of how we live our lives. It's the nature of having a condition like tinnitus. It becomes as much a psychological problem as it does a physical one. Once we correlate strong negative emotions to things it's easy to envoke a nocebo effect. Nocebo, being the exact opposite of a placebo, whereby a perceived concern related to a pill or other stimuli, can have a real, physical, detrimental effect on someone.

At some point I think just about everything is bad for T once you read enough on Internet forums. The massive processing strain this can have on one's mental wellbeing should not be underestimated.

Do what I do and ask Drs to use any known 'non ototoxic' drugs whenever possible. Other than that continue with your life and try to stop worrying incessantly about everything. Sooner or later, something perceived as being bad for your T is likely to happen to you, and sometimes it's the emotion that is attached to the belief that is the biggest enemy.

 

[Greg Sacramento]

I had said to Bill that I don't want to discourage others who may need antibiotics, but dental antibiotics injections may be a problem for some.

I received dental antibiotics just a few weeks ago for my dental implant which I had mentioned here several times. I attained a spike, and after six weeks I still have it. I'm not sure what took place during that dental visit that caused it. My tinnitus went thru the roof just after that visit to the dentist. My dentist knows that I have tinnitus, but he doesn't know what is toxic for tinnitus patients. Either do most ER docs.

So I was asking for a known safe dental injectable antibiotic.

 

[Ed209]

I'd add to the above that if you search specifically for adverse reactions in anything, you're likely to find them. We have to look at the bigger picture; non ototoxic antibiotics are extremely unlikely to cause a problem unless you have an allergy to them. In which case you'll be dealing with other reactions such as: hives, rashes, anaphylaxis etc.

The most common form of ototoxicity from antibiotics is when aminoglycosides are used, intravenously, to fight life threatening infections. Oral antibiotics, in particular, are extremely unlikely to be a problem where tinnitus is involved.

I think this is an area where forums have massively exaggerated the problem of using antibiotics. Yes, we have to be cautious, but we also have to be somewhat rational. I see a lot of threads where people 'refuse' or are 'scared' to take antibiotics, and I don't think it's benefitting anyone. Talk with your Doctors when you're getting treated and relay your tinnitus concerns to them. Tell them not to use any known ototoxic antibiotics.

 

[Ed209]

I had said to Bill that I don't want to discourage others who may need antibiotics, but dental antibiotics injections may be a problem for some.

I received dental antibiotics just a few weeks ago for my dental implant which I had mentioned here several times. I attained a spike, and after six weeks I still have it. I'm not sure what took place during that dental visit that caused it. My tinnitus went thru the roof just after that visit to the dentist. My dentist knows that I have tinnitus, but he doesn't know what is toxic for tinnitus patients. Either do most ER docs.

So I was asking for a known safe dental injectable antibiotic.

I didn't read all the thread, so I apologise if I came across as abrupt. Spikes are hard to pin down because they can happen so easily. The injection itself may not be the cause, but if it was there could be many reasons for it.

Penicillin based antibiotics are some of the safest to go with, but there are many others as well. On that Colgate list someone posted, I've taken all but one of them in high doses both intravenously and orally. I haven't had an issue with any of them, but then they are not known to cause problems either, so we shouldn't really expect it.

I'm not gonna lie, taking antibiotics did bother me to begin with, but it's only because I read too much online. If I was unaware I wouldn't have cared at all, and I would have had a much easier ride. But, then I'd lose control over what was given to me. To be honest, none of the stuff they chose was ototoxic anyway, so my intervention would have been unnecessary, but I suppose it's good to be empowered.

 

[Greg Sacramento]

My dentist gave cephalexin 500mg for my implant. The FDA has quoted that close to 8000, - that had taken this drug have tinnitus. I'm in my 60's, so my risk could be there. I don't know. He also sent me home with a pharmacy order for hydrocodone acetaminophen 5 - 325. I didn't take that. When I was in the ER, a year ago, the doctor wanted to give me antibiotics by IV, along with hydrocodone. I asked him if the antibiotic was ototoxic for tinnitus and he said that I would know more about that than him after giving me the name. He could have checked the risk factor, but the ER was busy. Doctor's only have 30 minutes training on tinnitus in medical school and that's by watching a video.

I hope that you are feeling better from your ordeal. I had asked you if you drink water and you thanked me on that. Take care

 

[Ed209]

My dentist gave cephalexin 500mg for my implant. The FDA has quoted that close to 8000, - that had taken this drug have tinnitus. I'm in my 60's, so my risk could be there. I don't know. He also sent me home with a pharmacy order for hydrocodone acetaminophen 5 - 325. I didn't take that. When I was in the ER, a year ago, the doctor wanted to give me antibiotics by IV, along with hydrocodone. I asked him if the antibiotic was ototoxic for tinnitus and he said that I would know more about that than him after giving me the name. He could have checked the risk factor, but the ER was busy. Doctor's only have 30 minutes training on tinnitus in medical school and that by watching a video.

I have no idea about Cephalexin, so I'd have to look into it. If you know this then you should inform your dentist that you want a different antibiotic. Nowadays we have google, so I always double check anything a Dr tells me. I have found in my case, however, that they've always been very knowledgable on the matter. In fact, when I saw my first of many consultants a week ago, he assumed I was a medical student based on my limited knowledge of antibiotics. He outright asked me, to which I obviously said no, so he went on to ask how I knew so much about antibiotics. I told him it was because I didn't want my tinnitus to become worse.

We need to have a honest dialogue with anyone who treats us, no matter what it's for. If it's a concern then we need to be vocal about it.

 

[Bill Bauer]

Do what I do and ask Drs to use any known 'non ototoxic' drugs whenever possible.

Based on my personal experience with doctors, if one were to do the above, the doctor would just give one whatever drug the doctor was going to give one anyway. The doctor is not going to take the time out of his or her busy day to check the drug's ototoxicity status. The doctor doesn't care.

I asked him if the antibiotic was ototoxic for tinnitus and he said that I would know more about that than him after giving me the name. He could have checked the risk factor, but the ER was busy.

I wrote my comment above, before I read Greg's story. Greg got lucky to have encountered a doctor who didn't try to pretend that he or she cared about Greg's future well being.

We need to have a honest dialogue with anyone who treats us, no matter what it's for.

I learned that it is a good idea to read medical textbooks at a university library, and published medical research papers, before one sees a doctor. When you see a doctor, tell him or her exactly what you want him to do. The doctor will certainly not be spending any time researching the best treatment for you.

 

[Ed209]

Based on my personal experience with doctors, if one were to do the above, the doctor would just give one whatever drug the doctor was going to give one anyway. The doctor is not going to take the time out of his or her busy day to check the drug's ototoxicity status. The doctor doesn't care.

I wrote my comment above, before I read Greg's story. Greg got lucky to have encountered a doctor who didn't try to pretend that he or she cared about Greg's future well being.

I learned that it is a good idea to read medical textbooks at a university library, and published medical research papers, before one sees a doctor. When you see a doctor, tell him or her exactly what you want him to do. The doctor will certainly not be spending any time researching the best treatment for you.

This is where prior knowledge can empower us. I can only speak from experience, and can say it's a Drs duty to listen to you. I never got fobbed off because I knew nearly all of the most commonly used antibiotics, and spoke openly about my concern with tinnitus. Every Dr and consultant who treated me took me very seriously. In fact, two of the Drs did indeed go away and check on ototoxicity, but then again so did I. I always asked what they were going to use, and I immediately checked the ototoxic history. If they came back with information different to mine I'd seriously question them on it, but this never happened. Their knowledge was always spot on.

I can't speak for every medical professional, but knowledge is power. Speak to whomever is treating you and make your concerns VERY clear to them.

 

[Bill Bauer]

Bill: Penicillin is listed on several lists as being T toxic. One is: Center for hearing loss help. Stewartstown, PA. Not allowed to link to a retrieval system.

I think this is the list you were referring to. This is very helpful.
http://docshare.tips/tinnitus-drug-list-2013_586dcf28b6d87f6a748b4f40.html

 

[Greg Sacramento]

I think it's depends on where you live as you what kind of hospital ER treatment per concerns that you will get. The ER's in my area only have time and room for serious trauma patients. Others could wait several hours before treatment. Most hospitals in Northern California, other than State run hospitals have waiting rooms full of people.

Most private family or GP doctors in Northern Cal will tell you that they know nothing about tinnitus. Besides they are all over-booked. They will refer you to an ENT which are nothing but drive thru clinics. Patient ratings of hospitals and ENT's in California are very low compared to national averages.

I do agree that one has to research and have your own medical plan Although as such in my case, I grind my teeth, have headaches, neck and shoulder pain. Going to an upper cervical specialist may help, but it could also make my condition worst. My wife tried all of the soft manipulation techniques from watching videos and they don't help, other than giving a little relaxation which last for a few minutes.

 

[Alue]

I went to he dentist recently and the appointment went fairly well. The hygienist was extremely understanding of my hyperacusis and decided to not use the ultrasonic scaler. Anyway they want to a do a deeper cleaning around my gums which involves numbing me with lidocaine then using the antibiotic Arestin. Does anyone have experience with this antibiotic? When I asked them if it was ototoxic they said they wouldn't force me to use it (I could have the procedure done without), but they would rather use the antibiotic.

I'm not sure what to do.

@Bill Bauer Did you get your dental treatment done?

 

[Bill Bauer]

@Bill Bauer Did you get your dental treatment done?

After I informed the periodontist that I don't want the ultrasonic scaler to be used on me, and after i had my Peltor muffs in my lap (and after I mentioned being concerned about ototoxic antibiotiics), the doctor told me that my inflamed gum was not in a bad shape, and sent me on my way. It never occurred to me that doctors can just refuse treatment to someone who they might worry might be troublesome to treat.

I am using my laptop to post this. I have ransomeware on my pc. The stress is not good for my t. Don't surf the internet using a pc that has any important files on it...

 

[Autumnly]

My mom had one wisdom tooth removed on Friday and was given antibiotics called "Sobelin 300mg" which contain "Clindamycin-hydrochloride". She says her tinnitus has decreased to the point where she can barely hear it. I wonder if it was due to the antibiotics or the local anaesthesia..

 

[Red]

In my case, the antibiotics will be needed to treat the initial stages of gingivitis... The gum between two of my back teeth has been inflamed for a couple of months now...

Have you been using anti gingivitis mouth wash?
This all seems a little overkill for gingivitis which can be self treated when it is in early stages.

Oh oops. Missed your previous post. I recommend Smart Mouth oral rinse for gingivitis. It really works if you use it as is directed.

 

[Alue]

Have you been using anti gingivitis mouth wash?
This all seems a little overkill for gingivitis which can be self treated when it is in early stages.

Oh oops. Missed your previous post. I recommend Smart Mouth oral rinse for gingivitis. It really works if you use it as is directed.

I had the early stages of gingivitis last year and with a cleaning every 3-6 months and flossing every day my gums are back to normal. I opted out of the antibiotics and it didn't seem to be a problem. The flossing is the most important thing you can do.