Tooth Abscess: When Is Emergency Room Visit Necessary?

does an abscessed tooth constitute as an emergency

A tooth abscess is a bacterial infection that can spread to other areas of the body if left untreated. It is caused by tooth decay, gum disease, injury to the tooth, or poor oral hygiene. While it is usually treated by a dentist, it can constitute a medical emergency if accompanied by a fever, facial swelling, difficulty swallowing, or trouble breathing. In such cases, it is recommended to go to the nearest emergency room or urgent care center.

Characteristics Values
Abscessed tooth causes Severe cavities, broken/chipped/cracked teeth, gum disease, injury to the tooth, poor oral hygiene, dry mouth, weakened immune system
Abscessed tooth symptoms Tooth pain, mouth pain, toothache, red/swollen bump on gums, swollen face, fever, difficulty swallowing, elevated heart rate, tooth sensitivity, bitter taste in mouth, bad breath, gum redness and swelling, loose teeth, swollen jaw, open draining sore on gums
Abscessed tooth treatment Dental treatment (root canal treatment, tooth removal, antibiotics, painkillers), home remedies (warm saltwater rinses, over-the-counter pain relievers)
Abscessed tooth prevention Regular dental check-ups and cleanings, brushing teeth twice a day with fluoride toothpaste, flossing daily, limiting sugary foods and drinks, using antiseptic/fluoride mouth rinse
Abscessed tooth complications Infection spreading to jaw, neck, head, sinuses, or entire body (sepsis), Ludwig's angina, cellulitis, osteomyelitis, parapharyngeal abscess, cavernous sinus thrombosis
Abscessed tooth emergency Requires emergency dental care, go to the emergency room if unable to reach a dentist, serious and life-threatening complications can occur without treatment

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When to seek emergency treatment

A tooth abscess is a pocket of pus caused by a bacterial infection of the tooth. It can occur in different areas of the tooth and usually happens when there is a buildup of pus beneath the teeth or gums. It is important to treat it because there is a chance it could spread to the jaw or other parts of the head and neck.

  • If you have a fever of 100.4 degrees Fahrenheit (38 degrees Celsius) or higher, along with facial swelling, seek emergency treatment. These symptoms indicate that the infection may be spreading beyond the tooth and into other areas of the body.
  • Difficulty swallowing, breathing, or opening the mouth are also signs that the infection may be spreading and require immediate medical attention.
  • If you are experiencing severe, persistent toothache that radiates along the side of the face, neck, jaw, or ear, this could be a sign of a periapical abscess, which requires urgent care.
  • If the abscess is larger than 1cm in diameter or has caused severe swelling or hard lumps on the gums or face, seek emergency treatment.
  • If you are experiencing severe pain that cannot be controlled with over-the-counter painkillers, go to the nearest emergency room.
  • If you are unable to reach your dentist and are experiencing any of the above symptoms, go to an urgent care center or emergency room.

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Potential complications

An abscessed tooth is a bacterial infection that can have serious health complications if left untreated. Here are some potential complications:

  • Spread of Infection: The infection can spread beyond the tooth to surrounding tissues, bone, and neighbouring teeth. In some cases, it can spread to the jaw, soft tissues of the face and neck, and other parts of the body. The longer the abscess is left untreated, the further the infection can spread.
  • Sinus Infection: If the abscessed tooth is near the maxillary sinus (the large spaces under the eyes and behind the cheeks), an opening can develop between the tooth abscess and the sinus. This can lead to a sinus infection, which can be difficult to treat and may require additional medical intervention.
  • Sepsis: In the worst-case scenario, the infection can spread throughout the body, leading to sepsis, a life-threatening condition. This is especially true for individuals with a weakened immune system.
  • Damage to Oral Tissues: The bacterial infection associated with an abscessed tooth can damage oral tissues, including the gums, bone, and other supporting structures. This damage can be permanent and may require extensive dental treatment to repair.
  • Pain and Discomfort: Even if the pain associated with an abscessed tooth subsides, it does not mean the infection has cleared. The pain may stop if the infection kills the pulp inside the tooth, causing the nerve to stop functioning. However, the infection will continue to spread and cause further damage.
  • Tooth Loss: In some cases, the tooth affected by the abscess may need to be extracted or removed if it cannot be saved through root canal treatment. This can result in tooth loss and potential cosmetic and functional issues.

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Causes of abscessed teeth

An abscessed tooth is a bacterial infection that occurs when there is a build-up of pus in the teeth or gums. This infection can spread to other areas of the head and neck and, in rare cases, can even lead to life-threatening complications such as sepsis.

There are several factors that can cause an abscessed tooth, including:

Severe Cavities

Tooth decay occurs when bacteria break down sugars in food and drink, creating acid that attacks the tooth's enamel. This destruction of the tooth's hard surface can create openings for bacteria to enter and spread to the pulp, causing an infection that can lead to an abscess.

Broken, Chipped, or Cracked Teeth

Any damage to the tooth can create an opening for bacteria to enter and spread, potentially causing an abscess. Even if there is no visible crack, trauma to a tooth can injure the inner pulp and make it susceptible to infection.

Gum Disease

Gum disease is an infection and inflammation of the tissues around the teeth. As gum disease progresses, bacteria can gain access to deeper tissues and potentially lead to an abscess. People with gum disease are more likely to develop an abscess than those without.

Injury to the Tooth

Trauma to a tooth, such as a chip or crack, can injure the inner pulp even if there is no visible damage. This injury can make the tooth susceptible to bacterial infection, which can then lead to an abscess.

Lifestyle Factors

Certain lifestyle factors can increase the risk of developing an abscessed tooth, including poor oral hygiene, a diet high in sugar, not receiving regular dental care, and dry mouth. Smoking is also a significant risk factor, with smokers being about twice as likely to develop an abscess as non-smokers.

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Symptoms of abscessed teeth

A tooth abscess is a bacterial infection that can occur in different areas, such as your gums or the root of a tooth. It is usually identified by a red, swollen bump, boil, or pimple, and it can spread to surrounding teeth and bones.

  • Tooth pain: Sensitivity to hot or cold temperatures, or a continuous dull ache.
  • Swelling: This can occur in the mouth, face, neck, or jaw.
  • Fever: A temperature of 100.4°F (38°C) or higher indicates a potential abscess.
  • Difficulty swallowing or breathing: This could be a sign that the infection has spread, and you should go to the emergency room.
  • Bitter taste in the mouth: This could be accompanied by a foul-smelling and salty fluid if the abscess ruptures.
  • Bad breath (halitosis).
  • Gum redness and swelling: This could indicate an infection in the gums, which can spread to deeper tissues.
  • Loosening of the affected tooth: This could be a result of the infection damaging the supporting structures.
  • Open, draining sore on the gums: This is a sign of a ruptured abscess, which can lead to further infection if not treated.

It is important to note that a tooth abscess will not go away on its own and can lead to severe complications if left untreated. Therefore, it is recommended to see a dentist as soon as possible if you experience any of these symptoms.

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Treatment options

Incision and Drainage

The dentist makes a small incision (cut) in the abscess to drain the pus. They may also place a small rubber drain to keep the area open for drainage while the swelling goes down.

Root Canal Treatment

This procedure removes the infected pulp and fills the space to prevent another infection. The infected central tissue (pulp) is important when the tooth is growing, but once it’s mature, the tooth can survive without it. After the procedure, the tooth should be back to normal, though you may need a dental crown to protect the root canal.

Tooth Extraction

If the abscessed tooth is damaged beyond repair, the dentist will pull (extract) the tooth and drain the abscess to get rid of the infection.

Antibiotics

Antibiotics are usually prescribed if the infection has spread to nearby teeth, the jaw, or other areas. They may also be recommended if you have a weakened immune system.

Painkillers

You may be offered painkillers to take for a few days after treatment.

Home Remedies

While waiting for your appointment, warm saltwater rinses and over-the-counter pain relievers (such as acetaminophen, naproxen, or ibuprofen) can help ease discomfort. Oil pulling and garlic paste are also recommended by some sources as home remedies to reduce bacteria and relieve symptoms. However, it is important to note that there is no tooth abscess home remedy that can permanently solve the issue.

Frequently asked questions

A tooth abscess is a pocket of pus caused by a bacterial infection of the tooth. It can occur in different areas of the tooth and is usually treated by a dentist.

Yes, a tooth abscess is considered a dental emergency. If left untreated, it can lead to severe and life-threatening complications. If you have any signs or symptoms of a tooth abscess, see your dentist right away. If you are unable to reach your dentist and are experiencing a fever, facial swelling, or difficulty swallowing or breathing, go to an emergency room.

Symptoms of a tooth abscess include severe, persistent, radiating pain along the face, neck, and jaw, swelling, fever, and difficulty eating, breathing, and swallowing.

Treatment for a tooth abscess usually involves draining the pus and treating the infection with antibiotics. If the tooth is restorable, a root canal treatment may be performed. Otherwise, the tooth may need to be removed.

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