Dental Abscess

A dental abscess is also known as dental suppuration. It is a purulence regarding the tooth root and surrounding tissues, which advances with local fever and pain. Dental abscess generally starts with inflammation of the dental pulp due to tooth decay.


Upon the death of the dental nerve because of trauma, bacteria, chemical, and mechanical irritation; the infection spread from the root apex to the surrounding tissues. Over time, a localized  purulence build-up occurs in the bone around the root apex of the tooth. This is called a dental abscess. Over time, this purulence melts the bone and finds a way and turns into a swell on the gingiva full of suppuration. After this phase, the tooth might get lost.


Indications of Dental Abscess


When the dental abscess occurs, a discomfort appears in the tooth; it is felt that the tooth softly moves through the bone when it’s pushed in.


As the dental abscess advances, the pain increases due to the formation of swells in the surrounding soft tissues of the tooth root.


A swell in the face appears in time. The swell can be faraway from the starting point according to the position of the tooth and bone. In this phase, the tooth is painful, swinging, and pulled out.


When the dental abscess advances, the purulence finds a way outfrom the weakest points of the tissues and flows in and out of the mouth. So, a bad taste and smell occur in the mouth. When the purulence starts to flow, the pain reduces.


In case of dental abscess, a mild temperature, and swell in the adenoids may occur. General weakness is seen.


Treatment of Dental Abscess


You can take painkillers to heal the pain before seeing your dentist. However, never apply substances like aspirin, cologne or alcohol directly on your tooth or gingiva. In the past, the only treatment for the teeth with abscess was pulling them out. Although it is convenient way to pull out the teeth in some cases, they can be saved with various dental treatment methods nowadays. The first step of the dental abscess treatment is to take convenient antibiotics to eliminate and prevent the spread of infection. Besides, a painkiller can be taken to stop the toothache. After the infection is taken under the control with antibiotics treatment, the channels of the tooth are opened and cleared, and the purulence runs out. After the swell shrinks, inside of the channels are cleared and disinfected, and they are filled with a suitable dental filling material. Until the recovery is ensured, the temporary channel dental filling material is replaced periodically, and the wound is dressed. While complete recovery is achieved with this medical dressing in some cases, occasionally the infection cannot be treated totally. In such a case, the infected tissue surrounding the tooth root, and sometimes a small piece including the tip of the tooth root, is removed with a surgical operation.