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Tooth abscess

Contents of this page:

Illustrations

Tooth anatomy
Tooth anatomy
Tooth abscess
Tooth abscess

Alternative Names    Return to top

Periapical abscess; Dental abscess; Tooth infection; Abscess - tooth

Definition    Return to top

A tooth abscess is a collection of infected material (pus) resulting from a bacterial infection in the center of a tooth.

Causes    Return to top

A tooth abscess is a complication of tooth decay. It may also result from trauma to the tooth, such as when a tooth is broken or chipped. Openings in the tooth enamel allow bacteria to infect the center of the tooth (the pulp). Infection may spread out from the root of the tooth and to the bones supporting the tooth.

Infection results in a collection of pus (dead tissue, live and dead bacteria, white blood cells) and swelling of the tissues within the tooth. This causes a painful toothache. If the root of the tooth dies, the toothache may stop, unless an abscess develops. This is especially true if the infection remains active and continues to spread and destroy tissue.

Symptoms    Return to top

The main symptom is a severe toothache. The pain is continuous and may be described as gnawing, sharp, shooting, or throbbing.

Other symptoms may include:

Exams and Tests    Return to top

The patient will feel pain when the dentist taps the tooth. Biting or closing the mouth tightly also increases the pain. The gums may be swollen and red and may drain thick material.

Treatment    Return to top

The goals of treatment are to cure the infection, save the tooth, and prevent complications.

Antibiotics may be given to fight the infection. Warm salt-water rinses may be soothing. Over-the-counter pain relievers may relieve the toothache and fever.

Do NOT place aspirin directly over the tooth or gums, because this increases irritation of the tissues and can result in mouth ulcers.

A root canal may be recommended in an attempt to save the tooth.

If there is a severe infection, the tooth may be removed or surgery may be needed to drain the abscess. Some people may need to be admitted to the hospital.

Outlook (Prognosis)    Return to top

Untreated abscesses may get worse and can lead to life-threatening complications.

Prompt treatment usually cures the infection. The tooth can usually be saved in many cases.

Possible Complications    Return to top

When to Contact a Medical Professional    Return to top

Call your dentist if you have a persistent, throbbing toothache.

Prevention    Return to top

Prompt treatment of dental caries reduces the risk of tooth abscess. Traumatized teeth should be examined promptly by the dentist.

Update Date: 5/28/2008

Updated by: Jason S. Baker, DMD, Oral and Maxillofacial Surgeon, Private Practice, Yonkers, New York. Review provided by VeriMed Healthcare Network.

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