What is an Abscessed Tooth?

When you start to have a toothache that won’t go away, it can make you feel lousy and miserable. This may be a sign of an infection or cavity. Tooth pain is not normal and should be evaluated by your dentist immediately. Left untreated, the infection may spread and lead to serious dental consequences.

WHAT IS AN ABSCESSED TOOTH?

An abscessed tooth, also known as a dental abscess, is a collection of pus that has formed around the tooth due to a bacterial infection. There are different types of abscesses depending on their location.

TYPES

A periapical abscess develops at the root of your tooth often from an infected cavity or fractured tooth. A periodontal abscess results from gum disease affecting the bone and soft tissues surrounding the tooth and develops in the gum pockets. Gingival abscesses develop on the gums but do not affect the surrounding soft tissue or tooth.

CAUSES

An abscessed tooth is caused by a bacterial infection. If an opening develops in your tooth or the surrounding tissues, the bacteria can enter the body and lead to infection. Severe tooth decay, cavities, fractured teeth, gum disease, and trauma to the gums and teeth can all increase your risk of developing a bacterial infection that can lead to an abscessed tooth.

SIGNS YOU MAY HAVE AN ABSCESSED TOOTH

The most visible sign is a swollen area or growth along the gums or tooth accompanied by a throbbing or sharp-shooting sensation of pain. Other symptoms of an abscessed tooth may include:

• Bad breath
• Bitter taste in the mouth
• Difficulty chewing, talking or opening your mouth
• Pain that spreads from the tooth, gums, jaw, ear, and neck
• Swollen or redness in gums
• Tender, discolored, or loose teeth
• Tooth sensitivity

In severe cases or if the infection spreads, you may also experience headaches, swollen lymph nodes, achiness, and fever.

TREATMENT OPTIONS

Treatment for an abscessed tooth focuses on relieving symptoms, eliminating the infection, and treating the cause.

It is important to seek treatment as dental abscesses do not disappear on their own, even if the abscess ruptures and the pus is drained, the infection can remain. The bacteria will continue to spread and destroy surrounding tissue.

Your dentist may recommend using a diagnostic imaging test to confirm your diagnosis such as an X-ray or CT scan. These tests can identify the location of the infection and possible cause as well as show any other areas that may be affected.

Your treatment options will depend on the location and severity of the infection. Possible treatment options can include:

• Incision and drainage – Your dentist will make an incision on the abscess to drain the pus. This will allow for immediate relief of symptoms. Medication will be used to treat the infection.
• Root canal – If your tooth’s inner pulp becomes infected, a root canal may be performed to remove the infected pulp and your tooth restored using a crown.
• Tooth extraction – If your tooth is too damaged from the infection, your dentist may remove it and replace it with an implant, fixed bridge, or denture.
• Antibiotics –Antibiotics will be used to help your body fight off the infection once your abscess has been drained.
• Removal of foreign body – If your abscess was caused by a foreign body wedge in your gums or between your teeth, your dentist will remove the object and disinfect the area.

You can reduce your risk of developing an abscessed tooth by attending routine cleanings and check-ups by your dentist. If you notice any tooth pain or if you damage your tooth, see your dentist. For more information on dental abscesses or to schedule an appointment, contact Los Alamitos Dental Care today.

John Wallace, DDS

Dr. John Wallace, a founding partner of Los Alamitos Dental Care, has over 25 years of experience in restorative dentistry. A UCLA School of Dentistry honors graduate, he is highly skilled in Invisalign treatment. He is recognized as a leading expert in managing airway disorders such as snoring and sleep apnea. Dr. Wallace's extensive experience and commitment to patient care have made him a trusted figure in the community, known for his authoritative approach and dedication to improving patients' oral health.

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Michael Zell, DDS

Dr. Michael Zell has been a key Los Alamitos Dental Care member since 1998, with a strong focus on ethical and high-quality patient care. He holds a degree in biology from UC Irvine and graduated from UCLA School of Dentistry, followed by advanced training in General Dentistry. Dr. Zell is primarily known for his work with children and his ability to build trust with adult patients. His experience and commitment to ethical practice solidify his reputation as a trustworthy and authoritative dental professional.

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Josh Winer, DDS

Since joining Los Alamitos Dental Care in 2000, Dr. Josh Winer has built a reputation for his expertise in repairing broken teeth and implant restoration. A USC School of Dentistry graduate, Dr. Winer is known for his patient-centered approach and dedication to providing high-quality dental care. His extensive experience and thorough understanding of a wide range of dental procedures make him a trusted and authoritative figure in dentistry.

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Kerry Hahn, DDS

Dr. Kerry Hahn is a highly respected dentist with a distinguished academic background, including being the valedictorian of his class at UCLA School of Dentistry. He completed additional training at the VA Medical Center of Long Beach, where he continues to provide specialized care to veterans. Dr. Hahn’s commitment to excellence and extensive experience in general and specialized dentistry underscore his authority and trustworthiness as a dental professional.

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Jake Sylwanowicz, DDS

Dr. Jake Sylwanowicz is a highly skilled general dentist known for his comprehensive approach to patient care. A UCLA School of Dentistry graduate with honors, Dr. Jake furthered his training at the VA Medical Center Long Beach, gaining expertise in treating complex dental cases. His focus on building lasting patient relationships and broad knowledge across all aspects of dentistry make him a trustworthy and authoritative figure in his field.

Dmitriy Ivanov, DDS

Dr. Dmitriy Ivanov is a specialist in Periodontics with advanced training in periodontal disease treatment, dental implantology, and IV sedation. Graduating summa cum laude from UC Santa Barbara and UCLA School of Dentistry, Dr. Ivanov completed a rigorous residency at the Veterans Hospital of West Los Angeles. His role as a former Clinical Instructor at UCLA and his expertise in managing complex cases highlight his authority in the field. Dr. Ivanov’s commitment to providing personalized, top-quality care ensures his patients receive the most trustworthy and effective treatment.

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