Indications for use
The ointment copes well with inflammatory processes and draws out pus. The main indication for use is the formation of purulent wounds.
The product treats wounds and boils. Also used for severe forms of hemorrhoids, herpes, purulent skin rashes. Can be used as local therapy for inflamed lymph nodes.
The patient is prescribed anti-allergy medications, vitamins, and calcium gluconate. In advanced cases, an operation is performed to open the pustules and carry out antibacterial treatment.
Some doctors prescribe ointment for a runny nose and sinusitis, when the problems are caused by a microbial infection.
The ointment showed excellent results in the treatment of purulent formations in the oral cavity. Levomekol will help fight stomatitis, periodontal disease, and inflammatory reactions. Also used as a pain reliever when removing or inserting teeth.
Efficacy of the drug
Levomekol will disinfect the treatment area and prevent infection from penetrating into the gum canals remaining from the roots. The ointment will effectively prevent dental defects caused by infection of the socket after tooth extraction:
- flux;
- alveolitis;
- pain;
- osteomyelitis.
After complex dental operations to remove several teeth or wisdom teeth, Levomekol will promote rapid healing of the gums.
In preparation for implantation and after removal of a wisdom tooth, Levomekol will prevent not only infection of the gums and canals, but also the mucous membranes located near the maxillary sinuses during removal in the upper jaw.
Instructions for use
The ointment can be used by adults and children from 3 years of age. The product is applied to the open wound using sterile cotton wool and secured with a bandage. You can inject ointment into a purulent wound using a syringe.
The dressing must be done every day until the pus is completely removed from the wound.
If the affected surface is large enough, then the permissible dose per day should not be more than 3 g.
The ointment should be used within 4 days from the moment of infection. In severe conditions, the course of treatment can be extended to a week. With prolonged use, osmotic shock may occur in healthy cells.
For sinusitis, ear inflammation and runny nose
If you have a runny nose, soak a cotton pad with ointment and insert it into your nasal passages. If possible, keep for 3-4 hours. For ear inflammation and sinusitis, you need to make a tourniquet out of gauze, soak it in ointment and insert it into the ear for 8-12 hours.
In dentistry
When a tooth is removed and the oral mucosa is damaged, you need to rub the ointment with light circular movements into the problem areas. You can use the ointment no more than 3 times a day.
For hemorrhoids
Before applying the product, you need to rinse the anal area with water at room temperature and dry with a towel. After this, you can apply the ointment.
For burns
Levomekol has proven itself well for burns of varying severity. In severe cases, the ointment is only an aid and cannot replace general treatment. Before applying the ointment, the affected area of the body should be washed and covered with a napkin treated with ointment. The bandage needs to be changed 4 times a day.
For acne
Acne appears as a result of bacterial and infectious infection. Dermatologists recommend applying a thin layer of ointment to small rashes and leaving for 3-4 hours. Afterwards, rinse with water. In this way, acne can be treated for no longer than 12-14 days. In case of isolated rashes, it is better to cover the treated area with a gauze bandage.
Why does the tooth socket hurt so much after a difficult extraction?
Six days ago, the twenty-sixth tooth was removed, it seems from the top left, without flux, it simply split between the roots and there was already perforation (the gums began to grow in), so it began to hurt, stuffing itself with food debris.
Removal, as the surgeon said, was difficult, because the roots were large. I fiddled with different tools for about 15-20 minutes until I removed it completely, piece by piece. After removal, it began to hurt, even more than before, radiating to the front. Was saved by Ketarol. Three days later, I went to the doctor to see how things were going. I took a picture at the same time, he looked and said that everything was fine in the picture, and I didn’t see anything special there, like a cyst or anything else.
After that, he looked at the hole and cleaned it, removing the blood clot that was there. Apparently he didn’t like something, or there was suspicion of alveolitis. Then he put the medicine there and put a tampon on it. After another day, he fell out of there along with the medicine, and the pain did not subside. The hole turned out to be dry and I did not observe any signs of healing, such as a fibril film.
I applied again, only there was a different surgeon. This one looked, said there was no obvious alveolitis, put a tampon with iodoform again, like he said, it should get better, but it may hurt for another week. It turns out that he also suggested eating Ketarol. Already at home, the tooth began to ache again, only as for me - even more, and radiating to the front teeth, pressing on them and a little higher, on the palate, I felt pain.
I thought that maybe the tampon was starting to hurt more and took it out. In this I was stupid, of course, the hole now remained open and dry. There is no swelling or redness. After that, I tried to rinse once with furatsilin, apply Levomekol, checked, maybe there was caries somewhere on the front, and the doctor looked at them earlier - everything was intact, nothing was swollen.
In the end, today I went to the same doctor who cleaned the hole for the first time. He looked, poured an antiseptic into it with a syringe and again inserted a tampon with medicine, deeper than that. He said that the hole was healing poorly, if it didn’t get better on Monday (the ninth day after removal), for examination. Now it seems that the pain has become even worse (I want to pull out the tampon), it still radiates to the front teeth, as if the entire upper left part of the jaw already hurts.
What exactly could I have? Why is there such pain? Maybe I should take a course of antibiotics and which ones?
Naturally, complex removal involves some discomfort, and possibly pain for several days. Firstly, it was necessary to rinse the mouth in the form of baths several times a day. The painkiller may be Nimesil, not Ketarol. If there is a suspicion of alveolitis, then naturally, antibiotics should have been prescribed. Now, like this, without an examination, I cannot tell you that right now you need an examination.
We invite you to familiarize yourself with Extraction of the front baby tooth: indications, features, consequences
special instructions
It is better to avoid simultaneous use with drugs that inhibit hematopoiesis.
After using the product, the reactive susceptibility of the skin may increase, which is why hypersensitive reactions may then appear at the time of using the ointment.
If you need to use the ointment for longer than a month, you will need to take a peripheral blood test.
The drug does not in any way affect the ability to drive a vehicle or operate other dangerous machinery.
There are no cases of negative effects when taken in parallel with other drugs.
If the ointment gets on the mucous membranes, you need to rinse them well with water. If the ointment gets inside, you need to rinse the stomach with activated charcoal.
Contraindications and adverse reactions
It is not recommended to use the medicine for a long time, since it can provoke an allergy to the drug in the future due to sensitization of the mucous membranes. It is recommended to continue treatment for no longer than four days.
Side effects may include:
- allergic reactions;
- skin rashes;
- swelling, hyperemia;
- hives.
Detection of any side effects is an indication to discontinue the drug and consult a dentist. It is not recommended to use the ointment on your own after dental procedures - you should first clarify whether the use of Levomekol is advisable in an individual case.
Reviews
We have selected some reviews from people who have used Levomekol ointment:
- Olga . I know that Levomekol is often used in gynecology. I tried the product on myself 10 years ago, when my stitches came apart after childbirth. The ointment heals perfectly, as if it draws out all the sores. Reviews from other women will confirm my words. I used the ointment several times after opening boils on my teenage son. The wounds healed quickly, without complications.
- Tatiana . I am very pleased with the use of Levomekol ointment. I suffered from hemorrhoids for several years. As prescribed by the doctor, I used an ointment that relieved inflammation and killed pathogenic microflora.
- Anatoly. A few months ago I got a burn on my hand. The wound began to fester. With the help of Levomekol ointment, it was possible in a short time not only to cleanse the wound of pus, but also to significantly heal it.
- Sasha . The surgeon applied ointment with levomekol to my ripening boil, plus antibiotics (Augmentin), plus brewer's yeast. And there was no need to open it - the purulent core came out on its own, then dressings were applied and the wound cleared. So applying it to the ulcers helps soften the skin above the pus and breaks through on its own, without the help of a scalpel.
Dry socket after tooth extraction: causes
There are many reasons why alveolitis develops. It can arise due to the fault of the doctor, the fault of the patient, and for reasons beyond anyone’s control. If we talk about the patient’s responsibility, then alveolitis can occur when -
- poor oral hygiene,
- the presence of untreated carious teeth,
- due to smoking after removal,
- when ignoring doctor's recommendations,
- if you rinse your mouth vigorously and simply rinse the blood clot out of the hole.
Alveolitis can also occur in women due to increased levels of estrogen in the blood during the menstrual cycle or as a result of taking oral contraceptives (birth control pills). A high concentration of estrogen leads to fibrinolysis of the blood clot in the socket, i.e. to degradation and destruction of the clot.
It is because of fibrinolysis that a blood clot is destroyed both with poor oral hygiene and with carious teeth. The fact is that pathogenic bacteria, which live in large numbers in dental plaque and in carious defects, secrete toxins, which, like estrogens, lead to fibrinolysis of the blood clot in the socket.
When alveolitis occurs due to the fault of the doctor -
- If the doctor left a tooth fragment, bone fragments, or inactive fragments of bone tissue in the socket, which lead to injury to the blood clot and its destruction.
- A large dose of a vasoconstrictor in an anesthetic - alveolitis can occur if, during anesthesia, the doctor injected a large volume of an anesthetic with a high content of a vasoconstrictor (for example, adrenaline). Too much of the latter will result in the hole simply not filling with blood after the tooth is extracted. If this happens, the surgeon must scrape the bone walls with an instrument and cause socket bleeding.
- If the doctor left a cyst/granulation in the socket, when removing a tooth with a diagnosis of periodontitis, the doctor must necessarily scrape out the cyst or granulations (Fig. 10), which might not come out with the tooth, but remain in the depths of the socket. If the doctor did not inspect the socket after extracting the tooth root and left a cyst in the socket, the blood clot will fester.
- Due to the large trauma to the bone during removal, this usually happens in two cases: firstly, when the doctor cuts out the bone with a drill without using water cooling of the bone at all (or when it is not cooled sufficiently). Overheating of the bone leads to its necrosis and the start of the process of destruction of the clot. Secondly, many doctors try to remove a tooth for 1-2 hours (using only forceps and elevators), which causes such trauma to the bone with these instruments that alveolitis is simply bound to develop. An experienced doctor, seeing a complex tooth, will sometimes immediately cut the crown into several parts and remove the tooth fragment by fragment (spending only 15-25 minutes), and thereby reduce the trauma caused to the bone.
- If, after a complex removal or removal against the background of purulent inflammation, the doctor did not prescribe antibiotics, which in these cases are considered mandatory.
We suggest you read: How to stop severe bleeding from the tongue
Conclusions: thus, the main causes of destruction (fibrinolysis) of a blood clot are pathogenic bacteria, excessive mechanical trauma to the bone, and estrogens.
Reasons of a different nature: smoking, loss of a clot while rinsing the mouth, and the fact that the hole did not fill with blood after the tooth was extracted.
There are also reasons that do not depend on either the patient or the doctor, for example, if a tooth is removed due to acute purulent inflammation - in this case it is stupid to blame the doctor for the development of alveolitis.
