A dental abscess is a serious bacterial infection. Left untreated, it can spread to the jaw, neck, or brain, with potentially life-threatening consequences. Understanding the warning signs and acting on them quickly is not something to put off until a convenient moment.
An abscess is a pocket of pus that forms as the body attempts to contain a bacterial infection. In dentistry, there are two main types.
A periapical abscess forms at the tip of a tooth root, usually as a result of decay that has reached the pulp and caused a pulp infection. The bacteria spread through the root canal system to the surrounding bone.
A periodontal abscess forms in the gum and bone alongside the tooth, often as a result of advanced gum disease trapping bacteria in a deep gum pocket.
Both types require professional treatment. Neither will resolve on its own.
Severe, throbbing pain that may radiate to the ear, jaw, or neck.
Swelling in the face, cheek, or jaw. Swelling that is increasing, particularly if it is affecting your ability to open your mouth or swallow, is a sign that the infection is spreading and should be treated as a medical emergency.
A pimple or bubble on the gum near the affected tooth. This is a sinus tract, a channel through which the abscess is draining. Its presence may temporarily relieve pain, but the infection itself is still present and still active.
Sensitivity to heat that lingers long after the stimulus has been removed.
Fever, sweating, or a general feeling of being unwell alongside dental pain. These systemic symptoms indicate that the infection is spreading beyond the local area.
A bitter, foul taste in the mouth that comes on suddenly, which may indicate that the abscess has spontaneously burst.
If you suspect a dental abscess, contact Berkhamsted Dental on 01442 865 646 immediately. We treat dental infections as a priority.
Do not try to burst the abscess or apply heat to the area; both can spread the infection. Over-the-counter ibuprofen (if appropriate) can help manage pain and reduce inflammation while you wait for an appointment.
If you have significant facial swelling, difficulty swallowing or breathing, or a high fever, go directly to a&e. These are signs of a spreading infection that requires immediate medical attention.
Treatment typically involves draining the abscess, prescribing antibiotics, and then addressing the cause: root canal treatment to save the tooth, or extraction if the tooth cannot be saved, followed by a discussion of replacement options, including dental implants.
Whether you’re booking your first appointment, have a question about our treatments, or simply want advice on your dental care — our friendly team is here to help.