Dental Abscess 

A dental abscess is an infection of the tooth socket. It often starts with a crack or cavity in the tooth. A pocket of pus forms between the tooth and the bone. The infection causes pain and swelling of the gum, cheek, or jaw. The pain is often made worse by drinking hot or cold fluids, or biting on hard foods. Pain may be felt in the facial sinus or in the ear. A severe infection can cause problems with swallowing and breathing.

Causes

  • Cavities

  • Trauma

  • Previous dental work

Symptoms

  • Pain

  • Swelling around the tooth or face and cheek

  • Redness

  • Bad breath

  • Bad taste in the mouth

  • Fever

You will be started on an antibiotic. But, final treatment requires draining the pus. This can be done by removing the tooth or getting a root canal. An oral surgeon typically removes diseased teeth. An endodontist does a root canal. This involves drilling an opening in the tooth to get to access the canals in the root. Once these are reached, the pus can be drained. Then the canals are cleaned and shaped before filling them with a special material called gutta percha. After the infection has healed, a crown is placed over the tooth.

Home care

The following guidelines will help you care for your abscess at home:

  • Don't have hot or cold foods and liquids. Your tooth may be sensitive to temperature changes.

  • If your tooth is chipped or cracked, or if there is a large open cavity, apply oil of cloves directly to the tooth to reduce pain. Oil of cloves is sold over-the-counter in pharmacies. Some pharmacies carry an over-the-counter "toothache kit." This contains oil of cloves and a paste, which can be applied over the exposed tooth to decrease sensitivity.

  • Apply an ice pack (ice cubes in a plastic bag, wrapped in a towel) over the injured area for 10 to 20 minutes every 1 to 2 hours the first day for pain relief. Continue this 3 to 4 times a day until the pain and swelling goes away. To make an ice pack, put ice cubes in a plastic bag that seals at the top. Wrap the bag in a clean, thin towel or cloth. Never put ice or an ice pack directly on the skin.

  • You can take acetaminophen or ibuprofen for pain, unless you were given a different pain medicine to use. If you have chronic liver or kidney disease, have ever had a stomach ulcer or gastrointestinal bleeding, or are taking blood-thinning medicines, talk with your healthcare provider before using these medicines.

  • An antibiotic will be prescribed. Take it as directed until completed, even if you are feeling better sooner.

Follow-up care

Follow up as advised with an endodontist, or oral surgeon. Even though your pain may improve with the treatment given today, only a dentist, endodontist, or oral surgeon can provide full treatment for this problem.

  • If a culture was done, you will be told if the treatment needs to be changed. You can call in as directed for the results.

  • If X-rays were taken, they will be reviewed by a specialist. You will be given the results, especially if they affect treatment.

Call 911

Call 911 if any of these occur:

  • Trouble breathing or swallowing, or wheezing

  • Hoarse voice or trouble speaking

  • Confusion

  • Extreme drowsiness or trouble awakening

  • Fainting or loss of consciousness

  • Rapid heart rate

When to seek medical advice

Call your healthcare provider right away if any of these occur:

  • Swollen or red face or eyelid

  • Pain gets worse or spreads to the neck

  • You have a fever of 100.4ºF (38ºC) or higher, or as directed by your healthcare provider

  • Unusual drowsiness, a headache or stiff neck, or weakness

  • Pus drains from the gum or tooth

  • You can't open your mouth wide

© 2000-2021 The StayWell Company, LLC. All rights reserved. This information is not intended as a substitute for professional medical care. Always follow your healthcare professional's instructions.
Powered by Krames Patient Education - A Product of StayWell