Skip to main content
search

A tooth abscess is a painful condition that occurs as a result of infection in the tooth and surrounding tissues. Early diagnosis and treatment of dental abscesses is important. In this article, we will touch upon important issues such as what dental abscess is, what causes it, how to treat it, and how to prevent it.

What is a Dental Abscess?

A tooth abscess is a serious condition that occurs as a result of an infection in the tooth and surrounding tissues. This infection usually begins when bacteria damage tooth tissue. As the infection progresses, a pus-filled cavity forms in or around the tooth.

This condition can cause severe pain, swelling, and other uncomfortable symptoms. If left untreated, a tooth abscess can lead to serious complications and negatively affect overall health.

Types of Dental Abscess

Dental abscesses are generally divided into two basic types: periapical abscess and periodontal abscess. Periapical abscess occurs when infection occurs at the root tip of the tooth. When an infection begins in the pulp tissue (the area where nerves and blood vessels are located) located on the inside of the tooth, it can spread to the surrounding tissues and cause a periapical abscess. This condition usually occurs as a result of damage to the tooth, such as tooth decay or a broken tooth.

Periodontal abscess occurs when infection occurs in the periodontal pockets located under the gums. Factors such as gum diseases, gum recession or poor oral hygiene predispose to periodontal abscess. Both types of abscesses can cause serious discomfort and lead to complications if not treated in time.

How Does Tooth Abscess Affect General Health Apart from Oral Health?

A tooth abscess can negatively affect not only oral health but also general health. Abscesses can spread throughout the body and cause various complications. Here are the negative effects of dental abscesses on general health:

  • Systemic Infections: A dental abscess infection can cause bacteria in the body to spread to other organs and tissues through the bloodstream. This can lead to serious systemic infections such as septicemia (blood poisoning).
  • Heart Health Problems: Tooth abscess infection can affect heart valves and cause heart diseases such as endocarditis.
    Respiratory Problems: Infections in the mouth and throat area can affect the respiratory tract and cause breathing problems.
  • Lymph Circulation Problems: Infection can cause lymph nodes to swell and disrupt lymph circulation.
  • General Weakness and Weakness: Chronic infections can weaken the body, causing symptoms such as feelings of fatigue and general weakness.
  • Occurrence of Other Infections: Tooth abscess can weaken the body’s immune system and increase the risk of other infections.

Early diagnosis and treatment must be provided to prevent dental abscess from causing serious complications.

Tooth Abscess Symptoms

Tooth abscess can present with various symptoms and needs to be examined carefully to make a diagnosis. One of the most obvious symptoms of a tooth abscess is severe and persistent toothache. This pain can radiate to the tissues around the tooth and even extend to the head, neck, or ears.

There may be significant swelling and redness of the gum in the area where the infection occurs. Infected gums or teeth may become sensitive when they come into contact with hot, cold or pressurized foods and drinks.

A bad taste or odor may come from the infected area. This is usually caused by a pus-filled cavity. Tooth abscess may manifest itself with a general discomfort in the mouth or a feeling of pain in the mouth. It may cause pain and discomfort when swallowing.

Tooth abscess may cause an increase in body temperature as a result of advanced infection. In this case, fever may be observed. Tooth abscess, a chronic infection, can cause general weakness, fatigue and even feelings of restlessness.

What Causes Tooth Abscess?

Tooth abscess is a condition that occurs when various factors come together. Tooth decay occurs when bacteria destroy the tooth enamel and dentin layer. A decayed tooth can allow bacteria to reach the inside of the tooth and cause infection there. This may result in an infection at the tip of the tooth root, called a periapical abscess.

Fractures or cracks in the teeth allow bacteria to reach the inside of the tooth, causing infection. This may also cause periapical abscesses. Gum diseases, infections, and inflammations in the gums also predispose to the formation of infections under the gums.

Wrong oral hygiene habits, such as incorrect tooth brushing technique, insufficient tooth brushing frequency or not using dental floss, facilitate the formation of gum diseases and pave the way for tooth abscess. In people with a weak immune system, the body’s ability to fight infections is reduced. This may increase the risk of tooth abscess.

Dental Treatment Methods

Treatment of a dental abscess varies depending on the type of infection, its severity, and extent of spread. Here are some frequently used methods in the treatment of dental abscesses:

  • Drying and Drainage: A tooth abscess usually creates a pus-filled cavity. This draining is important to prevent the spread of infection. The dentist may make a small incision to drain the abscess or place a drain to drain the abscess.
  • Root Canal Treatment (Endodontic Treatment): In cases of periapical abscess, root canal treatment can be applied to clean the infection inside the tooth and protect the tooth. In this process, the nerve tissue and channels inside the tooth are cleaned, disinfected, and filled.
  • Tooth Extraction: When a tooth abscess is very serious or untreatable, tooth extraction may be necessary. This means complete removal of the infected tooth.
  • Antibiotic Treatment: Antibiotics can be used to control and combat the spread of infection. However, antibiotics are only a temporary solution and are often used in combination with other treatment methods.

Treatment of a dental abscess may be different for each patient, and many factors are taken into account when determining the treatment approach. Therefore, a dentist should be consulted to determine the most appropriate treatment option.

Does Tooth Abscess Heal on Its Own?

Usually, tooth abscesses do not go away on their own and require treatment. A tooth abscess left untreated can lead to the spread of infection and serious complications. Therefore, when symptoms of tooth abscess are noticed, a dentist should be visited without delay.

Does Tooth Abscess Recur?

Yes, tooth abscess can recur. The likelihood of a dental abscess recurring depends on correcting the underlying causes and appropriate treatment. Tooth abscesses usually occur as a result of underlying dental problems such as tooth decay, or broken or cracked teeth. If these problems are left untreated, the infection may reoccur.

Treatment for a tooth abscess involves cleaning the infection, restoring the tooth, and controlling the infection. If the treatment is not fully applied or the infection is not completely cleared, the risk of recurrence of the abscess increases. Regular tooth brushing, flossing, and regular check-ups with the dentist can reduce the risk of a recurrence of tooth abscess.

At what stage should you definitely go to the dentist?

When symptoms of dental abscess are noticed or any discomfort is felt in the mouth, a dentist should definitely be consulted. However, a dentist should be consulted immediately in the following cases:

  • Severe Toothache: Sudden and severe toothache may be a sign of a serious problem such as a tooth abscess. Pain may increase without any stimulus or upon contact with hot or cold foods.
  • Swelling and Redness: If there is significant swelling and redness in the gum or around the tooth, this may indicate that the infection has spread.
  • Fever: Infections such as a dental abscess often cause fever. If an increase in body temperature is observed, a dentist should be consulted immediately.
  • General Weakness and Fatigue: Chronic infections can cause a feeling of general weakness and fatigue. These symptoms may indicate that the infection has spread throughout the body.
  • Difficulty in Swallowing: Infections in the mouth can cause pain and difficulty during swallowing.
    Bad Taste or Odor: Bad taste or odor from the mouth may be a sign of an infection such as a dental abscess.

If any of these symptoms are noticed or any discomfort in the mouth is felt, a dentist should be consulted immediately. Early diagnosis and treatment can help prevent serious complications and preserve dental health.

What Relieves Tooth Abscess Pain?

Tooth abscess pain can be quite severe and uncomfortable. One or more of the following methods can be tried to relieve pain:

  • Painkillers: Over-the-counter painkillers such as acetaminophen (paracetamol), ibuprofen or naproxen can be effective in relieving the pain of a tooth abscess. However, before using these drugs, a doctor or pharmacist should be consulted.
  • Antibiotics: Tooth abscesses usually require a course of antibiotics. Regularly using the antibiotic prescribed by the doctor can help control the infection and therefore reduce the pain.
  • Cold Compress: A cold compress can be applied to the affected area to relieve pain and reduce swelling. An ice pack or a cloth soaked in cold water can be used for this. However, this application should be done without direct contact with the skin and long-term use should be avoided.
  • Heat Application: Some people may also benefit from heat applications, such as a warm compress or a hot drink, to relieve toothache. However, before using this method, a doctor should be consulted to prevent the spread of infection.
  • Rest and Stress Management: Tooth abscess pain may increase in situations of stress and tension. Resting, avoiding stress, and practicing stress management techniques can help reduce pain.

Tooth abscess pain is a serious condition and a dentist should be consulted for long-term solutions. Painkillers may be a temporary solution, but clearing and treating the infection will prevent the disease from recurring.

Merve Özkan Akagündüz

Specialist at Private Dore Oral and Dental Health Polyclinic, which I have founded since 2024. I continue to work as a Dentist. My areas of special interest are adult orthodontics, early orthodontic appliances, treatments with transparent aligners and orthognathic surgery. I am a member of the Turkish Orthodontic Association.

Konuşmayı Başlat
1
Tedavi fiyatlarımız hakkında bilgi alın.
Merhaba👋
Tedavilerimiz ve fiyatlarımız hakkında bilgi alabilirsiniz.