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Abscess
A

Abscess

AB-ses

A pocket of pus caused by bacterial infection, typically forming at the root tip of a tooth or in the gum tissue, requiring prompt treatment to prevent spread.

Understanding Dental Abscess

A dental abscess represents a localized collection of pus resulting from bacterial infection. Two primary types exist: periapical abscess originates from infected pulp tissue and forms at the root tip; periodontal abscess develops in the gum tissue, often from trapped debris in a periodontal pocket.

Both types can cause severe pain and, if untreated, may spread to surrounding tissues, the bloodstream (sepsis), or even the brain. Abscesses never resolve on their own—they require professional drainage and treatment of the underlying cause.

Clinical Significance

Abscesses indicate serious infection requiring urgent care. Untreated abscesses can lead to life-threatening complications including Ludwig’s angina and sepsis.

Common Causes

Untreated deep decay reaching the pulp, cracked or fractured teeth, failed root canal treatment, periodontal disease, and trapped food debris in gum pockets.

Signs & Symptoms

Severe throbbing pain, sensitivity to pressure and temperature, swelling of face or gum, fever, bad taste in mouth, difficulty swallowing or breathing (in severe cases), and a pimple-like bump on the gum (fistula).

How It's Detected

Clinical examination, percussion testing (tapping on tooth), palpation of surrounding tissues, periapical radiograph showing radiolucency, and vitality testing.

Treatment Options

Drainage of abscess (incision or through root canal), antibiotics if infection is spreading, root canal therapy to save tooth, extraction if non-restorable, and periodontal treatment for gum abscesses.

Prevention

Prompt treatment of cavities, regular dental checkups, good oral hygiene, treating periodontal disease, and wearing a mouthguard to prevent trauma.

Frequently Asked Questions

Q

Can an abscess go away on its own?

No—abscesses require professional treatment. Even if pain decreases, the infection remains and can spread or become chronic.

Q

Should I go to the ER for a tooth abscess?

If you have fever, facial swelling, difficulty breathing or swallowing, or can’t see a dentist immediately, yes. Otherwise, seek urgent dental care.

Q

Will antibiotics cure my abscess?

Antibiotics help control infection spread but cannot cure the abscess alone. The source must be treated (root canal or extraction).

CDT Codes

D7510
Incision and drainage of abscess – intraoral
D3310-D3330
Root canal therapy

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Medical Disclaimer: This glossary is provided for educational and informational purposes only. Pearl is not a dental or medical provider and cannot offer medical advice, diagnosis, or treatment recommendations. Always consult a qualified dental professional for questions about your oral health.

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