The Importance of Addressing an Abscess
  Winter 2008

PhotoThere are times when a toothache isn't just a toothache: it can sometimes be a serious infection with life-threatening implications. It's important to know the difference between a standard toothache and a more serious tooth abscess.

A tooth abscess is caused by a bacterial infection in the root of the tooth or in the surrounding gum tissue. The first indication of a problem would probably be the feeling of pressure, and an intense, persistent throbbing, due to pus under the surface. The tooth may be sensitive to heat, and the pressure of chewing or biting. As the infection becomes more severe, you may develop a fever, a swelling in your face or cheek, and tender, swollen lymph nodes under your jaw or in your neck. In some cases the abscess will rupture on its own, releasing a rush of foul fluid in your mouth. Even if the abscess does drain on its own, alleviating the pressure and the corresponding pain, you still need to come in for an assessment, and possibly antibiotics or further treatment.

Dental abscesses are serious infections that won't simply go away without treatment. It may be possible to drain the pus through the tooth itself so the tooth can be saved (with a root canal treatment), or if not, the tooth will need to be extracted to prevent a recurrence.

An abscessed tooth is the most dangerous of toothaches as, if not treated, the infection can spread into your bloodstream, leading to severe complications. It's always wise, with any toothache, to call us for advice. There are many reasons you may be feeling pain, and the best way to identify yours is with professional consultation.

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Rockville, MD 20852
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Near the Twinbrook
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