Main Article Content
Background: There are only a few treatment approaches for periapical abscess as a prevalent complication and as the most common type of dental abscess. Drainage and/or antibiotic therapy is the first step to treat this infection, depending on its severity and symptoms.
Case Presentation: Amoxicillin/clavulanate (TID for 3 days), clindamycin (QID for 3 days), and a single local dose of an Iranian home remedy called metmeto, a mixture of toasted flour and ghee covered with a sterile piece of cotton fabric-, were respectively prescribed, for a 32-year-old male patient with a spreading periapical abscess. The first two antibiotics were not able to mitigate the symptoms (pain, inflammation,infection, etc.), while the abscess disappeared remarkably the morning after using a single dose of metmeto “as a dressing” for 6 hours. To eliminate the possible riskof recurrence, the patient underwent an endodontic retreatment after 2 weeks.
Conclusion: Some folk home remedies such as metmeto can be considered for treatment of dental problemsas noninvasive and safe choices. Further studies are necessary to conclude a causal association.
Siqueira JF, Rôças IN. Microbiology and treatment of acute apical abscesses. Clin Microbiol Rev. 2013;26(2):255-73.
Rôças IN, Siqueira JF. Frequency and levels of candidate endodontic pathogens in acute apical abscesses as compared to asymptomatic apical periodontitis. PloS one. 2018;13(1):e0190469-e0190469.
Quiñonez C, et al. Emergency department visits for dental care of nontraumatic origin. Community Dent Oral Epidemiol. 2009;37 (4):366-71.
Lewis MA. et al. A randomised trial of co-amoxiclav (Augmentin) versus penicillin V in the treatment of acute dentoalveolar abscess. Br Dent J. 1993;175(5):169-74.
Gill Y, Scully C. Orofacial odontogenic infections: review of microbiology and current treatment. Oral Surg Oral Med Oral Pathol. 1990;70(2):155-8.
Daramola OO, et al. Diagnosis and treatment of deep neck space abscesses. Otolaryngol Head Neck Surg, 2009;141 (1):123-30.
Glickman GN. AAE consensus conference on diagnostic terminology: Background and perspectives. Journal of endodontics. 2009;35(12):1619-1620.
Cope A et al., Systemic antibiotics for symptomatic apical periodontitis and acute apical abscess in adults. Cochrane Database of Systematic Reviews. 2014; (6).
Mosaffa-Jahromi, M, Firouzmandi M, Pasalar M, Origanum majorana L. as an Herbal medicine for the treatment of apical abscess: A Case Report and Literature Review. Galen Medical Journal. 2017;6(3).
Khamis M. Characterization and evaluation of heat treated wheat flours. Kansas State University: Manhattan; 2014.
Delcour JA, Hoseney RC. Principles of cereal science and technology. Saint Paul: AACC International. Inc; 2010.
Belitz HD, Grosch W, Schieberle P. Carbohydrates, in food chemistry, H.D. Belitz, W. Grosch, and P. Schieberle, Editors. Springer-Verlag: Heidelberg. 2009;315-328.
Goesaert H et al. Wheat flour constituents: How they impact bread quality and how to impact their functionality. Trends in food science & technology. 2005;16(1-3):12-30.