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Dental Abscess

WHAT YOU SHOULD KNOW

A dental abscess (AB-sess) is an infection around the root of a tooth or in the gums or jawbone. The infection causes pus to collect, and a lump can appear.

Causes

Dental abscesses often get their start when bacteria invade a decayed tooth; the decay may then travel to the gums or jawbone. Decay can also begin in the mouth when teeth are not brushed or flossed properly.

Signs/Symptoms

Typically, you'll develop fever, redness and swelling of the gums or cheek. If you have a lump, it may feel hot. Other signs include tooth or mouth pain, a loose tooth, or inability to close your mouth all the way. If the abscess spreads, your face, neck, or chest may swell.

Care

Your dentist may need to drain the pus from the abscess. During this procedure, you're likely to be given gas or numbing medication to help you relax and to minimize the pain. You'll probably be given antibiotics to treat the infection, and pain medicine to ease your discomfort.

WHAT YOU SHOULD DO

  • Rinse your mouth with warm water every hour or as needed to ease the pain. This will help draw the infection from the abscess.
  • For pain, you may take over-the-counter medications, such as acetaminophen or ibuprofen.
  • To help ease the pain, avoid chewing on the affected side for at least 2 days; you may need to limit yourself to a liquid diet.
  • Putting ice on your face over the affected area may also relieve the pain. Apply the ice for 10 to 20 minutes out of every hour, as necessary.
  • If the abscess is drained, the dentist may leave a small hole or drain. Keep the area free of food by rinsing with water after eating. You'll need to return to the dentist to have the drain removed.
  • If an antibiotic is prescribed, take it as directed until you have finished all the medication. Do not stop taking it when you begin to feel better. If you end treatment too soon, some bacteria may survive and re-infect you.
  • To prevent abscesses:
    • Brush regularly with a toothbrush recommended by your dentist.
    • Floss daily and use a fluoride mouthwash, toothpaste, tablets, or supplements as instructed by your dentist or dental hygienist.
    • Reduce the amount of sugar in your diet.

Call Your Doctor If...

  • You have a high temperature.
  • Your pain becomes worse.
  • You have any new symptoms or problems that may be due to the medicine you are taking.

Seek Care Immediately If...

  • You have new or increased swelling in your face, jaw, cheek, eye, or neck.

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