An abscess is an area of puss that forms as part of the body’s effort to fight a bacterial infection. It can form in almost any part of the body. In the mouth, abscesses form in the gums, teeth, or roots of the teeth. People with a lowered resistance to infection are most likely to develop an abscess.
Bacteria can enter and cause an abscess through:
1. Trauma (food or any debris embedded deep in the gums)
2. Decay (a cavity) leading into the tooth nerve and blood vessels (dental pulp)
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3. Deep gap (pocket) between the teeth and gums
An abscessed tooth usually delivers a throbbing pain that just won’t go away. The tooth will be sensitive to pressure from chewing, as well as heat. A swollen face or jaw often signals a growing infection, and jaw pain from the swelling might be present, as well. Most people develop a fever, and lymph nodes found under the jaw or in the neck area may swell and become tender. If the abscess accidentally breaks open, a sudden rush of foul-tasting and foul-smelling fluid will spill into your mouth.
Saving an abscessed tooth begins with draining the infection. The dentist will need to open up the tooth to drain the infection (puss) and there will be a need to fill the canal. This procedure is called root canal treatment. If there is no swelling present, the infection can be drained directly from the inside of the tooth.
The treatment for an abscessed tooth should be done as soon as possible. If the tooth cannot be saved, it should be extracted (removed). In doing this, the source of the infection is completely removed and the jawbone and gums are allowed to heal.
In children’s primary teeth, the treatment depends on the extent of infection. If the abscessed primary tooth is still in the early stages of infection and is not moving in the tooth socket, the infection is usually cleared out within the pulp chamber. The space would be filled with a paste such as zinc oxide eugenol. However, if the infection is advanced and has caused the tooth to move, the best thing to do is to extract the tooth.
During pregnancy, a dental abscess requires immediate attention to minimize further spread of the infection at the soonest possible time. Any risk of infection during pregnancy is a concern as the infection can be more severe in pregnant women and could be detrimental to the fetus.
If the abscess is found in the gums, the dentist might suggest that you rinse with warm salt water few times a day for several days. You might also be prescribed antibiotics to help kill the infection lessen the swelling.
Following a root canal treatment, the dentist usually requires a dental X-ray six months later to see whether healthy bone and tissue are filling the area of the abscess. If the bone does not fill in after the said treatment, a visit to the specialist is the next best step.
Helpful Resources
For more information, visit the Canadian Dental Association Oral Health.
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Contact Pickering Square Dental to book your appointment with Dr. Marvin Lean. Call us at (905) 420-1777 or visit us at 1450 Kingston Rd, Unit #4, Pickering, ON.
Frequently Asked Questions
How often should I visit the dentist?
The Canadian Dental Association recommends visiting your dentist at least twice a year for regular check-ups and cleanings. Some patients may need more frequent visits depending on their oral health needs. Call Pickering Square Dental at (905) 420-1777 to schedule your next appointment.
Do you accept the Canadian Dental Care Plan (CDCP)?
Yes, Pickering Square Dental participates in the Canadian Dental Care Plan. Our team can help you understand your coverage and ensure you receive the dental care you need. Contact us for more details about CDCP eligibility and benefits.
What services does Pickering Square Dental offer?
We offer a full range of dental services including family dentistry, emergency dental care, sedation dentistry, dental implants, laser dentistry, teeth whitening, root canal therapy, dental extractions, periodontal care, and cosmetic dentistry. Dr. Lean and our team serve patients in Pickering, Ajax, Whitby, and Scarborough.