Analgesia with NSAIDs, opioids and/or local anesthetics
Dental follow-up within 48 hrs
Emergent oral surgeon follow-up if complicated (Ludwig's angina, Lemierre's syndrome)
Treatment is broad and focused on polymicrobial infection
Amoxicillin-clavulanate 875 mg PO q12 hours x 7-14 days
Clindamycin 450 mg PO q8 hours x 7-14 days
Penicillin VK 500 mg PO q6 hours x 7-14 days (frequently prescribed but no longer recommended as monotherapy)
Ampicillin/Sulbactam 3g IV q6 hours x 7 days
Can be performed in ED depending on provider comfort or by a dental consultant
11 or 12 blade stab incision
Hemostat blunt dissection +/- packing
Dental abscess
Dental fracture
Bilateral parotitis
Dental subluxation
Dental avulsion
Facial cellulitis
Bleeding dental socket
Nasal fracture