This high-yield revision note on Antibiotics in Dental Infections: When to Give What? - NEET MDS Protocol covers everything examiners typically test under Pharmacology — structured as quick-reference tables, clinical correlations, mnemonics and previous-year-style high-yield points. It's built for last-mile revision before NEET MDS, INI-CET MDS and INBDE, so you can scan it in minutes instead of re-reading a whole textbook chapter.
| Condition | First-line Antibiotic | Alternative (Penicillin allergy) |
|---|---|---|
| Acute periapical/periodontal abscess (localized, no systemic signs) | Usually NO antibiotic needed - drainage/pulp therapy is definitive treatment | - |
| Spreading odontogenic infection with cellulitis/fever | Amoxicillin 500mg TDS (± clavulanic acid if resistant) | Clindamycin 300mg QDS or Azithromycin |
| Severe/life-threatening (Ludwig's angina, fascial space infection) | IV Amoxicillin-clavulanate + Metronidazole (covers anaerobes) | Clindamycin IV |
| Necrotizing ulcerative gingivitis (ANUG) | Metronidazole (covers anaerobes/spirochetes) | - |
| Infective endocarditis prophylaxis (high-risk cardiac patients) | Amoxicillin 2g PO, 30-60 min before procedure | Clindamycin 600mg PO / Azithromycin 500mg |
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