A recent American Dental Association guideline recommends only very limited use of antibiotics for most tooth and gum related problems. It indicates that antibiotics should be reserved for times when there is fever, regional swelling, and or systemic infection. Restricting antibiotic usage to when it is needed most is important to keep them effective for when they are really needed, and to prevent the development of antibiotic resistant organisms. As most dental pain and sensitivity stems from inflammation, it should initially be managed with over the counter pain relievers and eliminating the cause of the inflammation. Chesterfield family dentist, Dr. Earl Larson at Wildhorse Dental, says this has broad implications for managing pain for all sorts of dental problems such as root canals, extractions, veneers, and implants to name a few.