Description
An abscess is a space in the body that contains pus. An abscess forms when the body is fighting a bacterial infection and there is no way for pus to drain. In the mouth, abscesses usually form in the gums next to teeth or roots of teeth. Bacteria can enter the mouth and cause an abscess through trauma, tooth decay, tooth or root fracture, or a deepened gap between teeth and gums caused by gum disease (periodontal pocket). If the abscess does not drain and is left untreated, the infection can spread to other areas of the head and neck. In this case, it becomes a serious and even life-threatening condition.
Symptoms
Swelling around the abscess, persistent throbbing pain, sensitivity, fever, swollen lymph nodes, sinus pain. If the abscess breaks open, a sudden rush of foul-smelling and foul-tasting fluid will spill into the mouth.
Tests
Common tests used for diagnosis and treatment
Workup:
A history and physical exam will be performed. A single-tooth or panoramic X-ray may be performed to show whether the abscess has spread to the bone A pulp test is carried out to find out whether the tooth's pulp is alive.
Tests:
X-ray
Other Specific Tests: Panorex X-ray, pulp vitality test
Specialists:
Oral and Maxillofacial Surgery, Dentistry, Dentistry - Pediatric, Endodontics
Workup:
A history and physical exam will be performed. A single-tooth or panoramic X-ray may be performed to show whether the abscess has spread to the bone A pulp test is carried out to find out whether the tooth's pulp is alive.
Tests:
X-ray
Other Specific Tests: Panorex X-ray, pulp vitality test
Specialists:
Oral and Maxillofacial Surgery, Dentistry, Dentistry - Pediatric, Endodontics
Treatment
Drainage of the abscess and antibiotics are necessary. A root canal or a tooth removal may be needed, depending on the cause of the abscess and how severe it is. The outlook is excellent if the right treatment is received promptly.