Dental Abscess

An abscessed tooth is a tooth that has a bag of pus in the tissues near it. Pus appears when the body tries to fight bacterial infections.

To reduce pain and swelling of the face and jaw caused by an abscessed tooth, it is recommended to use compresses (bags) of ice on the outside of the cheek and to avoid heat.

Any trauma (impact) of a tooth, an untreated tooth decay or gum disease may be a cause of dental abscess. If a tooth cavity is not treated, on the interior – that is the tooth’s pulp – can become infected. Bacteria can spread from the tissues around the tooth and below, forming an abscess. Gum disorder may cause the gum near the tooth to be removed, leaving void areas. If in one of these areas food remains accumulate, bacteria will grow in that place, leading to the formation of an abscess. Abscess can even affect the bone around the tooth.

May occur:

– Significant pain, especially during chewing or when touching the tooth

– Red, inflamed gingiva

– A bad taste

– Swelling in any area of the mouth, face, top or bottom side of the cheek or neck

– Fever

– Change in tooth color, which becomes gray or pink

– A bulge like a chimney (a gathering of gum) from the cheek or gum from the tongue, near the tooth

– Consistent yellow pus or blood dripping from a red area, swollen like a pimple in your mouth

– The feeling that the tooth is extracted from its root and that the mouth cannot be closed properly

As the infection spreads, it is possible to feel intensive pain. This happens because the jawbone nearby begins to be exposed. If too much bone is lost, the tooth will become less fixed and it may require extraction.

Emergency consultation is recommended if the pain does not decrease in intensity after 2 hours after taking a painkiller at home. If it is a dental abscess, it may be a sign of spreading infection.



It is recommended to establish a dental checkup as soon as possible when the patient deals with:

– mild to moderate pain

– Dental pain associated with a fever of 38 degrees Celsius or above

– Swelling of the mouth, face or jaw

– A tooth that is very sensitive and hurts when pressure is on him (such as during chewing).

Dental abscess is treated by the dentist.

In case of a dental abscess it is recommended:

– Antibiotics to destroy the bacteria which caused infection

– Making a hole in the top or behind the tooth so the infection can be drained. Usually, this will lead to pain relief.

– If necessary, a small incision in the swollen area near the tooth is made in order to be able to make drainage.

If the interior of the tooth (pulp) is infected, the dentist needs to do a root canal treatment. Root canal tries to save the tooth by removing the infected pulp.

Antibiotic treatment is needed before a root canal is done:

If the canal dental treatment is not possible for various reasons or is ineffective, tooth extraction is recommended.

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