Abscess
Chapter 21. Dental Problems & Injuries

A tooth abscess is formed when there is inflammation and/or infection in the bone and/or the tooth's canals. This generally occurs in a tooth that has a deep cavity, a very deep filling, or one that has been injured. The pain caused by an abscessed tooth can be persistent, throbbing, and severe. Other symptoms include fever, earache, and swelling of the glands on one side of the face or neck. It can also cause a general ill feeling, bad breath, and a foul taste in the mouth.

A tooth abscess is usually treated with either a root canal or by pulling the tooth. A root canal is done if the dentist thinks the tooth can be saved. This procedure relieves the pain and pressure caused by a tooth abscess. An antibiotic will also be prescribed.

Tooth abscesses, for the most part, can be prevented with regular dental care. This includes daily brushing (with a fluoride toothpaste) and flossing, and regular dental checkups and cleanings.

Questions to Ask

Do you have 1 or more of these problems with the toothache?
Pain that lasts or throbs
Fever
Earache
Neck or jaw tenderness or swollen glands in the side where the tooth aches
General ill feeling
Bad breath and/or foul taste in the mouth

(Dentist)
Does the pain come and go or only occur when you are eating or drinking?

(Dentist)

Self-Care Tips

Take an over-the-counter medicine for pain. {Note: See Pain relievers in "Your Home Pharmacy".}
Hold an ice pack on the jaw. This will relieve some of the pain.
Never place a crushed aspirin on the tooth. Aspirin burns the gums and destroys tooth enamel.
Do not drink extremely hot or cold liquids.
Do not chew gum.
Avoid sweets and hot or spicy foods. A liquid diet may be necessary for a day or two until the pain subsides.
Gargle with warm salt water every hour.
See a dentist even if the pain subsides.

HEALTH AT HOME - Your Complete Guide to Symptoms, Solutions, and Self-Care © 1999 by Don R. Powell. American Institute for Preventive Medicine. 

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Date updated 02/01/99