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

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Posts: 27
(@holly_tail)
Eminent Member
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I totally get what you mean—sometimes it feels like they’re trying to play it safe, but it’s not cheap if you don’t actually need the antibiotics. I had a dentist once who barely looked at my gums before scribbling out a prescription, and I left wondering if that was really necessary or just routine. Has anyone had luck just asking for more info or alternatives at the appointment? I always feel awkward pushing back, especially when you’re in the chair and they’re in a rush.


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elizabethr14
Posts: 23
(@elizabethr14)
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I always feel awkward pushing back, especially when you’re in the chair and they’re in a rush.

That’s so relatable. It’s like, the second you’re reclined with a bib on, it’s suddenly way harder to speak up. I’ve actually asked about alternatives before, and sometimes you get a blank stare or a vague “well, this is standard.” But honestly, I think a lot of dentists just default to antibiotics because it’s quick and covers their bases if there’s any hint of infection. It doesn’t always mean it’s the best call.

From my experience with braces and regular cleanings, I’ve noticed the real improvement comes from better hygiene routines—like flossing more often or using those little interdental brushes. My ortho was big on prevention and only suggested antibiotics once, and even then, explained exactly why. If they can’t give you a clear reason, I feel like it’s fair to question it. Still, I get the awkwardness... nobody wants to seem difficult, especially when you’re just trying to get out of there.


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Posts: 33
(@jakep36)
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If they can’t give you a clear reason, I feel like it’s fair to question it.

Honestly, I’ve tried asking for more details and sometimes I just get that “trust me, I’m a dentist” vibe. Not super reassuring when you’re drooling in the chair. But to play devil’s advocate, maybe sometimes antibiotics are legit needed? My last dentist actually let me skip them and just did a deep cleaning... still have all my teeth (so far).


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Posts: 11
(@chess_apollo)
Active Member
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But to play devil’s advocate, maybe sometimes antibiotics are legit needed? My last dentist actually let me skip them and just did a deep cleaning... still have all my teeth (so far).

You’re right, there are cases where antibiotics make sense—like if there’s a serious infection or you’re at risk for complications. But I totally get what you mean about the “trust me, I’m a dentist” thing. I’ve been in that chair too, feeling like I’m just supposed to nod along while they hand over a prescription.

Honestly, I had a similar experience—one dentist wanted to give me antibiotics for mild gum inflammation, but when I switched clinics, the new hygienist said a deep cleaning and better flossing would do the trick. No meds needed, and my gums bounced back. Makes me wonder how much it depends on the dentist’s philosophy or even how busy their schedule is.

Do you think dentists are just playing it safe because they don’t want to risk missing something serious, or is it more about convenience? I feel like clear explanations are key, but sometimes it’s just easier for them to write a script. Anyone else ever push back and get a different answer?


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