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Why does it feel like dentists only want to throw antibiotics at gum problems?

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Posts: 32
(@pumpkinp78)
Eminent Member
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I hear you—my kiddo had swollen gums and our dentist suggested antibiotics first, too. I wanted the fast route, but a few weeks later, we were back for a thorough cleaning anyway. Honestly, the extra appointment was a hassle, but her gums finally improved after that. I get wanting to skip the long process, but sometimes the “quick fix” just delays things. It’s tough balancing convenience and what actually works... especially with a squirmy kid in the chair.


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Posts: 25
(@marketing105)
Eminent Member
Joined:

I get wanting to skip the long process, but sometimes the “quick fix” just delays things.

I totally get the frustration, but honestly, I kind of wish my dentist had tried antibiotics first for my gums. Jumped straight to a deep cleaning and I was a nervous wreck the whole time—felt like I was prepping for a NASA launch, not a dental chair. Maybe the meds wouldn’t have solved everything, but a little less poking around would’ve helped my blood pressure. Guess there’s no perfect route, huh?


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gingerwalker
Posts: 36
(@gingerwalker)
Eminent Member
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Jumped straight to a deep cleaning and I was a nervous wreck the whole time—felt like I was prepping for a NASA launch, not a dental chair.

That’s honestly how it felt for me too—like, “wait, we’re doing this right now?” I get that deep cleanings are supposed to stop gum disease from getting worse, but I’ve wondered why antibiotics aren’t offered as a first step more often. From what I’ve read, antibiotics alone don’t always get to the root of the problem if there’s plaque or tartar under the gums. Still, if anxiety’s a big factor, wouldn’t it make sense to try something less invasive first or at least discuss alternatives?

I’m curious if anyone’s had luck with less aggressive treatments before jumping into scaling and root planing. Did your dentist talk through options in detail? Mine seemed pretty set on the “standard protocol,” which left me questioning whether there was any real flexibility depending on the case. Maybe it’s just how dental guidelines work, but it sometimes feels like there’s not much room for personalizing care.


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Posts: 39
(@marioking997)
Trusted Member
Joined:

Honestly, I remember feeling like I was being thrown into the deep end too—one minute it’s “your gums look a bit inflamed,” and next thing you know, they’re talking about numbing your whole mouth for a deep clean. My dentist did mention antibiotics, but only as a backup if the cleaning didn’t work. I get why they want to tackle the root cause, but I do wish there’d been more of a conversation about options. Sometimes it feels like you’re just along for the ride, you know?


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rrunner15
Posts: 16
(@rrunner15)
Active Member
Joined:

I get where you’re coming from, but honestly, I’ve had almost the opposite experience. My dentist is super cautious about antibiotics—like, she’ll only bring them up if nothing else is working or if there’s an actual infection that’s not budging. Most of the time it’s all about deep cleaning and making sure I’m brushing and flossing right. I do agree though, sometimes the way they explain things feels rushed or a bit one-sided.

One time, I was told I needed a “scaling and root planing” and it sounded way scarier than it actually was. I wish they’d just said “we’re going to clean under your gums” instead of throwing all these terms at me. Maybe some dentists are quicker to mention antibiotics, but from what I’ve seen, they’re pretty careful with them now because of resistance issues and side effects.

Still, I totally get wanting more say in what’s happening—sometimes it feels like you have to ask a million questions just to understand what’s going on.


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