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Dental Abscess
A pus-filled sac that develops in or around the root of a tooth
Poor oral hygiene and a diet high in sugar are risk factors
An accumulation of pus in or around the root of a tooth is known as a dental abscess. An abscess usually develops as a complication of
dental caries, which gradually destroys the layer of enamel on the outside of the tooth and the inner dentine, allowing bacteria to invade
the so central core, or pulp, of the tooth (see Pulpitis). Eventually, a dental abscess may form. The pulp may also become infected if a
tooth is damaged by a blow to the mouth (see Fractured tooth).
An abscess may also form as a result of certain types of gum disease (see Periodontitis). Periodontitis is usually caused by a build-up of
dental plaque (a deposit including food particles, saliva, and bacteria) in a pocket that forms between a tooth and gum.
A dental abscess can be extremely painful and may cause the tooth that is affected to loosen in its socket.
Dental abscess
Tooth decay and infection has spread through the tooth, and pus has gathered at the root of the tooth. If it is not treated, the tooth will
have to be extracted.
Red, tender swelling of the gum over the root of the tooth.
If untreated, the infection may make a channel from the tooth to the surface of the gum, and a painful swelling, known as a gumboil, may
form. If the gumboil bursts, foul-tasting pus is released and the pain decreases. In some cases, the channel may persist, leading to a
chronic (long-standing) abscess that discharges pus periodically.
If the infection spreads, the face may become swollen and painful, and a fever may also develop. If you suspect that you have a dental
abscess, you should consult your dentist as soon as possible.
If the abscess has been caused by decay, your dentist may try to save the tooth. Under a local anaesthetic, a hole is drilled through the
top of the tooth to release the pus and relieve the pain. If there is a gumboil, a small cut may be made to drain the pus and the cavity is
then cleaned with an antiseptic solution. You will probably also be given a course of antibiotics. Once the infection has cleared up, you
will probably need root canal treatment. If it is not possible to save the tooth, it will be extracted.
To treat an abscess caused by gum disease, your dentist may use a scaler to scrape out the plaque from the pocket between the affected
tooth and gum. The pocket is then washed out with an antiseptic solution. In a severe case, the affected tooth may need to be extracted.
From the 2010 revision of the Complete Home Medical Guide © Dorling Kindersley Limited.
The subjects, conditions and treatments covered in this encyclopaedia are for information only and may not be covered by your insurance product should you
make a claim.
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