Periapical Abscess – Causes, Symptoms, and Treatment

An abscess is a painful dental condition that can cause intense toothache and discomfort. It occurs as a result of an infection in the root of a tooth, known as periapical infection. Poor dental hygiene, such as not brushing and flossing regularly, can contribute to the development of this condition.

One of the main symptoms of a periapical abscess is swelling around the affected tooth. This swelling may be accompanied by a throbbing or constant pain, making it difficult to eat or drink. In some cases, the infection may cause a bump or pimple to form on the gums near the affected tooth.

Treatment options for a periapical abscess depend on the severity of the infection. In mild cases, antibiotics may be prescribed to help clear the infection. However, antibiotics alone cannot fully resolve the issue, and further dental intervention is often required.

In more severe cases, a root canal procedure may be necessary. This involves removing the infected pulp from the tooth and cleaning the root canal system. This is followed by filling and sealing the tooth to prevent further infection. In some instances, the affected tooth may need to be extracted if the infection has caused irreparable damage.

Prevention is key in avoiding periapical abscesses. Maintaining good dental hygiene practices, such as brushing twice a day and flossing regularly, can help prevent the development of tooth decay and infection. Regular dental check-ups and cleanings are also important in identifying and treating any dental issues before they worsen.

What is Periapical Abscess?

A periapical abscess is a dental infection that occurs at the tip of the tooth’s root, also known as the periapical region. This type of infection usually develops as a result of untreated tooth decay or a cracked tooth, allowing bacteria to enter the inner layers of the tooth.

Common symptoms of a periapical abscess include severe toothache, swelling in the affected area, and increased sensitivity to hot or cold temperatures. The infection can also cause pain while chewing or biting down on the tooth.

If left untreated, the periapical abscess can lead to further complications, such as the formation of a dental fistula or spreading of the infection to surrounding tissues or even the bloodstream.

Treatment options for a periapical abscess often involve a combination of dental procedures and medications. The most common treatment is a root canal procedure, which involves removing the infected pulp from the tooth and cleaning the root canal to prevent further infection.

In some cases, antibiotics may be prescribed to help reduce the infection and alleviate symptoms. Over-the-counter pain relievers can also help manage the pain and discomfort associated with a periapical abscess.

It is important to seek dental treatment as soon as possible if you suspect you have a periapical abscess. Delaying treatment can result in worsening symptoms and potential complications. Regular dental check-ups and practicing good oral hygiene can help prevent the development of periapical abscesses.

Causes of Periapical Abscess

A periapical abscess is a localized swelling filled with pus that forms at the root of a tooth. It is usually caused by an infection, which can occur for several reasons.

• Untreated tooth decay: When a cavity is left untreated, the bacteria can spread to the pulp of the tooth, leading to infection and the formation of a periapical abscess.
• Inadequate dental care: Poor oral hygiene, including infrequent brushing and flossing, can increase the risk of developing a periapical abscess.
• Root canal problems: A failed or improperly performed root canal treatment can leave bacteria behind, leading to infection and the development of an abscess.
• Tooth trauma: Injuries to the teeth, such as cracks or fractures, can expose the pulp to bacteria, causing an infection and the formation of an abscess.
• Compromised immune system: People with weakened immune systems are more susceptible to infections, including periapical abscesses.

The most common symptoms of a periapical abscess include severe toothache, swelling of the face or gums, sensitivity to hot or cold foods and drinks, and a foul taste in the mouth. If left untreated, the infection can spread to other parts of the body and lead to more serious complications.

Treatment for a periapical abscess typically involves draining the abscess, either through a root canal procedure or by extracting the affected tooth. Antibiotics may also be prescribed to help clear the infection. Good oral hygiene practices, such as regular brushing and flossing, can help prevent periapical abscesses from forming.

Symptoms of Periapical Abscess

Periapical abscess is a dental condition that is characterized by the formation of an abscess at the tip of the tooth’s root. This condition is usually the result of an untreated tooth decay or a tooth fracture that allows bacteria to enter the root canal, leading to infection.

One of the most common symptoms of periapical abscess is a severe toothache. The pain is usually sharp and throbbing and can worsen when biting down or applying pressure to the affected tooth. It can also radiate to the surrounding areas, such as the jaw and ear.

In addition to toothache, periapical abscess can cause swelling in the affected area. The gum tissue around the abscess may become red, tender, and swollen. This swelling can sometimes be visible as a bump on the gums near the affected tooth.

If left untreated, the infection can spread to the surrounding tissues and lead to more severe symptoms. This can include a persistent bad taste in the mouth, fever, and general malaise. In some cases, the swelling can become so severe that it causes difficulty in opening the mouth or swallowing.

It is important to seek dental care if you experience any of these symptoms. A dentist can diagnose and treat periapical abscess by draining the abscess, performing root canal therapy, or in some cases, extracting the affected tooth. Antibiotics may also be prescribed to help control the infection.

To prevent periapical abscess and other dental problems, it is crucial to maintain good dental hygiene practices. This includes regular brushing and flossing, as well as scheduling regular dental check-ups to identify and address any dental issues early on.

Dental Infection and Periapical Abscess

A periapical abscess often occurs as a result of dental infection. When the root canal of a tooth becomes infected, it can lead to severe pain and discomfort. This infection is usually caused by bacteria entering the tooth through a cavity or a crack. Poor dental hygiene and neglecting regular dental check-ups can increase the risk of developing a dental infection.

The initial symptoms of a dental infection commonly include toothache and sensitivity to hot and cold temperatures. As the infection progresses, the affected area may become swollen and tender to the touch. In some cases, the infection can spread to the surrounding tissues and cause an abscess to form.

An abscess is a pocket of pus that develops as a result of the body’s immune response to the infection. It is usually accompanied by severe throbbing pain, swelling, and redness. The abscess can also cause bad breath and a foul taste in the mouth.

To treat a periapical abscess, the underlying dental infection needs to be addressed. This usually involves a root canal procedure, where the infected pulp is removed and the root canal is thoroughly cleaned and disinfected. In some cases, extraction of the affected tooth may be necessary if the infection is severe and cannot be treated with a root canal.

In addition to the dental treatment, antibiotics may be prescribed to help eliminate the infection and prevent its spread. It is important to complete the full course of antibiotics as directed by the dentist to ensure the infection is fully eradicated.

Preventing dental infections and periapical abscesses is possible through good dental hygiene practices. This includes brushing and flossing regularly, using a fluoride toothpaste, and visiting the dentist for routine check-ups and cleanings. It is also important to address any cavities or cracks in the teeth promptly to prevent bacterial invasion and the development of infections.

If you are experiencing toothache or swelling, it is important to seek dental treatment as soon as possible. Prompt intervention can prevent the infection from spreading and causing further damage to the teeth and surrounding tissues.

Diagnosing Periapical Abscess

Periapical abscess is a common dental condition that can cause severe toothache and swelling in the affected area. If you are experiencing these symptoms, it is important to seek professional dental care to determine if you have a periapical abscess.

When diagnosing a periapical abscess, your dentist will perform a thorough examination of your teeth and gums. They will look for signs of infection, such as redness, swelling, and pain in the affected tooth. They may also use dental X-rays to get a clearer view of the tooth and determine the extent of the infection.

In some cases, your dentist may need to perform additional tests to confirm the diagnosis or rule out other possible causes of your symptoms. These tests may include a pulp vitality test, which measures the health of the tooth’s nerve, or a percussion test, which checks for tenderness or discomfort when the tooth is tapped.

Once a periapical abscess is diagnosed, treatment options will be discussed. In some cases, antibiotics may be prescribed to help fight the infection and reduce swelling. However, antibiotics alone will not fully resolve the abscess, and further treatment will be necessary.

The most common treatment for a periapical abscess is a root canal procedure. This involves removing the infected pulp from the tooth and cleaning out the root canal to eliminate the source of the infection. After the root canal, a crown may be placed on the tooth to strengthen and protect it.

In certain cases, if the abscess is severe or if the tooth cannot be saved, extraction may be necessary. Your dentist will discuss the best treatment option for your specific case.

To prevent periapical abscesses and other dental infections, it is important to practice good dental hygiene. This includes brushing your teeth twice a day, flossing daily, and visiting your dentist regularly for check-ups and cleanings.

In conclusion, if you are experiencing toothache, swelling, or other symptoms of a periapical abscess, it is crucial to seek professional dental care for diagnosis and treatment. Early intervention can help prevent further complications and alleviate your symptoms.

Treatment Options for Periapical Abscess

When it comes to treating a periapical abscess, the main goal is to alleviate pain, eliminate infection, and restore the health of the affected tooth and surrounding tissues. There are several treatment options available, including:

1. Dental Hygiene:

Improving dental hygiene practices, such as brushing and flossing regularly, can help prevent periapical abscesses from occurring. Maintaining good oral health can prevent tooth decay and gum disease, which are common underlying causes of abscess formation.

2. Root Canal Treatment:

In cases where the infection has reached the pulp of the tooth, a root canal procedure may be necessary. This involves removing the infected pulp, cleaning the root canals, and sealing them to prevent further infection. Root canal treatment eliminates the source of the abscess and can save the affected tooth from extraction.

3. Drainage of the Abscess:

If the abscess has already formed, it may need to be drained to relieve pain and reduce swelling. This is typically done by making a small incision in the abscess to allow the pus to escape. The area is then thoroughly cleaned, and antibiotics may be prescribed to control the infection.

4. Antibiotics:

In some cases, antibiotics may be prescribed to help control the infection associated with a periapical abscess. Antibiotics are typically used in conjunction with other treatments, such as root canal therapy, to eliminate the infection completely.

It’s important to seek prompt dental care if you suspect you have a periapical abscess. Left untreated, the infection can spread and cause serious complications. Your dentist will evaluate the extent of the abscess and recommend the most appropriate course of treatment based on your individual needs and circumstances.

Root Canal Therapy for Periapical Abscess

Root canal therapy is a common treatment option for periapical abscess, a condition characterized by severe toothache, pain, and infection. This procedure is usually recommended when the infection in the tooth has spread to the tip of the root, causing an abscess.

During a root canal, a dentist or an endodontist will remove the infected pulp of the tooth, clean and shape the root canals, and then seal them to prevent re-infection. This procedure is typically performed under local anesthesia to ensure comfort and minimize pain.

Root canal therapy is an effective way to eliminate the infection and alleviate the associated symptoms. By removing the infected pulp and sealing the root canals, the dentist can prevent the spread of the infection to surrounding tissues and prevent the need for tooth extraction in many cases.

While the toothache and pain may subside after a root canal procedure, it is essential to maintain good dental hygiene to prevent further complications. Regular brushing, flossing, and visits to the dentist are crucial to prevent future infections and abscess formation.

In some cases, antibiotics may be prescribed before or after the root canal procedure to control the infection and reduce swelling. It is important to follow the dentist’s instructions and complete the full course of antibiotics if they are prescribed.

Root canal therapy is a safe and effective treatment option for periapical abscess. It not only eliminates the infection but also helps preserve the natural tooth, allowing for normal chewing and biting function. Consulting a dentist as soon as possible when experiencing toothache and pain is crucial to determine the appropriate treatment, including root canal therapy if necessary.

Antibiotics for Periapical Abscess

When a periapical abscess occurs, it is often accompanied by severe pain and discomfort. This type of abscess is typically caused by a bacterial infection in the tooth’s root canal. The infection can result from dental decay, trauma to the tooth, or poor dental hygiene.

If you are experiencing symptoms such as toothache, throbbing pain, sensitivity to hot or cold, or swelling in the surrounding area, it is important to seek dental treatment as soon as possible. In some cases, the dentist may prescribe antibiotics to help fight the infection.

How do antibiotics help with a periapical abscess?

Antibiotics are medications that can kill or inhibit the growth of bacteria. When taken as prescribed, antibiotics can help reduce the infection and alleviate the associated pain. However, it’s important to note that antibiotics alone cannot heal a periapical abscess. The underlying cause, such as dental decay or trauma, must also be addressed.

There are different types of antibiotics that may be prescribed, depending on the severity of the infection and the patient’s medical history. Commonly prescribed antibiotics for periapical abscess include penicillin, amoxicillin, and clindamycin.

Important considerations when taking antibiotics

It is crucial to take the prescribed antibiotics exactly as instructed by the dentist. This includes taking the correct dosage at the recommended intervals for the entire duration of the prescription, even if the symptoms improve or disappear before completing the course.

Additionally, it is important to notify the dentist of any allergies or adverse reactions to antibiotics that you may have. This will help them choose an alternative medication that is safe and effective for you.

Conclusion:

While antibiotics can play a role in the treatment of periapical abscesses, it is important to understand that they are just one part of a comprehensive treatment plan. It is essential to address the underlying cause of the abscess and maintain proper dental hygiene to prevent further infections.

If you are experiencing symptoms of a periapical abscess, it is important to consult a dentist for a proper diagnosis and treatment plan.

Drainage Procedures for Periapical Abscess

When a periapical abscess develops, it can cause severe pain and swelling in the affected area. In some cases, the abscess may need to be drained to alleviate symptoms and promote healing.

The most common drainage procedure for a periapical abscess is a root canal. During this procedure, the dentist numbs the area with a local anesthetic and then creates an opening in the tooth to access the infected pulp and remove it. This effectively eliminates the source of the infection and allows for drainage of the abscess.

In cases where a root canal is not feasible or if the abscess is particularly large, an incision and drainage procedure may be necessary. This involves making a small incision in the swollen area to allow for the drainage of pus and fluid. The dentist will then thoroughly clean the area and may place a small drain to promote continued drainage.

After the drainage procedure, it is important to continue with appropriate treatment to eliminate the infection and prevent further complications. This may involve taking antibiotics to combat the infection and reduce inflammation. It is also crucial to practice good dental hygiene, including regular brushing and flossing, to help prevent future abscesses.

Procedure	Advantages	Disadvantages
Root canal	– Eliminates source of infection – Preserves natural tooth – Promotes healing	– Requires multiple visits – May be costly – May require additional dental work
Incision and drainage	– Provides immediate relief – Allows for drainage of large abscesses	– May leave a scar – May require additional treatment – Risk of recurrence

It is important to consult with a dental professional if you are experiencing symptoms of a periapical abscess, such as severe toothache and swelling. They will be able to determine the necessary drainage procedure and provide appropriate treatment to address the infection and promote oral health.

Pain Management for Periapical Abscess

Dealing with the pain associated with a periapical abscess can be extremely uncomfortable. However, there are several options available for pain management that can help alleviate symptoms and promote healing.

1. Dental Hygiene

Maintaining good oral hygiene is essential for managing pain due to a periapical abscess. Brushing your teeth gently twice a day, flossing, and using an antiseptic mouthwash can help reduce the risk of further infection and relieve pain.

2. Root Canal Treatment

If the periapical abscess is caused by an infection in the tooth pulp, a root canal treatment may be necessary. This procedure involves removing the infected pulp and cleaning the root canal, which can provide significant pain relief and promote healing.

It is important to note that a root canal treatment should be performed by a qualified dentist or endodontist.

3. Pain Medication

Over-the-counter pain relievers, such as acetaminophen or ibuprofen, can help manage the pain associated with a periapical abscess. However, it is important to follow the recommended dosage and consult a healthcare professional if the pain persists or worsens.

4. Antibiotics

In cases where the periapical abscess is severe and accompanied by swelling and signs of infection, antibiotics may be prescribed by a healthcare professional. Antibiotics can help control the infection and reduce the associated pain and swelling.

It is crucial to complete the full course of antibiotics as prescribed to ensure effective treatment.

Remember, if you are experiencing severe pain or swelling due to a periapical abscess, it is essential to seek professional dental care as soon as possible. Prompt treatment can help manage the pain effectively and prevent further complications.

Prevention of Periapical Abscess

Preventing periapical abscesses involves taking precautions to avoid and treat dental infections that can lead to this condition. The following measures can help prevent periapical abscesses:

1. Maintain good dental hygiene:	Brushing your teeth at least twice a day and flossing daily can help remove plaque, bacteria, and food particles that can lead to dental infections and abscesses.
2. Visit your dentist regularly:	Regular dental check-ups and cleanings can help identify and treat dental issues before they become abscesses. Your dentist can also perform root canal treatment if necessary.
3. Treat dental infections promptly:	If you experience toothache or swelling in the gums, it is important to seek dental care as soon as possible. Timely treatment with antibiotics or a root canal can help prevent the spread of infection.
4. Avoid dental trauma:	Avoiding injuries to the teeth and gums can help prevent periapical abscesses. Use protective gear if you participate in contact sports or activities that carry a risk of dental trauma.
5. Eat a balanced diet:	A healthy diet rich in fruits, vegetables, and whole grains can help strengthen your immune system and promote good oral health, reducing the risk of dental infections.

By following these preventive measures, you can reduce the risk of periapical abscesses and maintain optimal dental health.

Complications of Periapical Abscess

Periapical abscess is a dental condition that can lead to several complications if left untreated. It occurs when bacteria infect the root canal of a tooth, causing a collection of pus at the tip of the root. If not addressed promptly, periapical abscess can result in the following complications:

1. Spread of Infection

The infection from a periapical abscess can spread to other nearby areas, such as the jawbone, sinuses, or even the bloodstream. This can lead to more severe infections, including deep neck infections or infections in other parts of the body. If the infection reaches the bloodstream, it can potentially result in sepsis, a life-threatening condition.

2. Dental Hygiene Problems

Periapical abscess can make it difficult to maintain proper dental hygiene. The pain and swelling associated with the abscess may make it challenging to brush and floss properly, resulting in the accumulation of plaque and bacteria. This can lead to further dental problems, such as tooth decay or gum disease.

Additionally, the abscess itself can cause damage to the surrounding teeth. The pressure from the pus-filled pocket can cause displacement or damage to adjacent teeth, affecting their alignment and function.

3. Persistent Pain and Discomfort

The primary symptom of a periapical abscess is intense toothache. If left untreated, the infection can worsen, leading to persistent and severe pain. This can greatly impact a person’s quality of life, making it difficult to eat, speak, or even sleep comfortably.

Furthermore, the abscess can cause swelling and inflammation in the surrounding tissues, resulting in facial swelling and tenderness.

4. Systemic Infection

In rare cases, a periapical abscess can lead to a systemic infection. This occurs when the bacteria from the abscess spread throughout the body via the bloodstream. Symptoms of a systemic infection may include fever, chills, fatigue, and rapid heartbeat. If you experience these symptoms, it is crucial to seek immediate medical attention.

If you suspect you have a periapical abscess, it is important to see a dentist as soon as possible. They can perform a proper examination and recommend appropriate treatment, which may involve root canal therapy, antibiotics, and addressing the underlying cause of the infection.

When to Seek Medical Attention for Periapical Abscess

If you are experiencing a toothache that is persistent and accompanied by severe pain, it may indicate the presence of a periapical abscess. A periapical abscess is a dental infection that develops at the tip of the tooth’s root.

If you notice any of the following symptoms, it is important to seek medical attention promptly:

1. Severe and persistent toothache: If the pain is intense and does not subside after taking over-the-counter pain medication, it could be a sign of a periapical abscess.

2. Swelling and redness: If you observe swelling and redness in the area around the affected tooth, it may indicate an infection. The swelling may be accompanied by tenderness and localized heat.

3. Difficulty in chewing: If you experience pain or discomfort while chewing, it may be due to an abscess. The pressure exerted during chewing can exacerbate the pain and make eating difficult.

4. Fever and general malaise: An abscessed tooth can lead to the spread of infection, resulting in a fever and overall feeling of illness. If you have a high temperature and feel unwell, it is advisable to seek immediate medical attention.

5. Bad breath and unpleasant taste: The presence of an abscess can cause an unpleasant taste or odor in your mouth, often described as “bad breath.” This is a result of the infection and the accumulation of pus.

When you seek medical attention for a periapical abscess, a dental professional will evaluate your condition and provide appropriate treatment. Treatment options may include antibiotics to fight the infection, a root canal procedure to remove the infected pulp, or in more severe cases, extraction of the affected tooth.

Prevention is always better than cure, and maintaining good dental hygiene can help reduce the risk of developing a periapical abscess. It is important to brush your teeth twice a day, floss regularly, and visit your dentist for routine checkups and cleanings. By keeping your teeth and gums healthy, you can minimize the chances of developing dental infections such as periapical abscesses.

Periapical Abscess in Children

A periapical abscess is a common dental problem in both children and adults. It is a painful condition that occurs when the dental pulp, which is the innermost part of the tooth, becomes infected.

In children, periapical abscesses are often caused by dental caries or tooth decay. When left untreated, tooth decay can spread to the root canal and lead to an infection. The bacteria that cause the infection can enter the dental pulp through tiny openings in the tooth enamel and dentin.

The most common symptoms of periapical abscess in children include swelling and pain around the affected tooth. The area may be sensitive to pressure and touching. The child may also experience a throbbing or pulsating pain.

Treatment options for periapical abscess in children typically involve a combination of dental procedures and medications. In some cases, a root canal may be necessary to remove the infected dental pulp. This involves cleaning and disinfecting the root canal and filling it with a biocompatible material.

Antibiotics may also be prescribed to help fight the infection. However, they are usually used in conjunction with other dental treatments and are not a standalone solution for periapical abscess.

In addition to treatment, it is important for parents to teach their children good dental hygiene practices. Regular brushing and flossing can help prevent tooth decay and the subsequent periapical abscess. The child should also visit the dentist regularly for check-ups and cleanings.

If left untreated, a periapical abscess in children can lead to more serious complications, such as the spread of infection to other parts of the body. Therefore, it is crucial to seek prompt dental care if your child is experiencing symptoms of a periapical abscess.

In conclusion, periapical abscesses are not uncommon in children and can be caused by dental caries. Prompt treatment, including dental procedures and medications, is essential to alleviate the symptoms and prevent further complications. Good dental hygiene practices and regular dental check-ups can also help prevent the development of periapical abscess in children.

Periapical Abscess vs. Periodontal Abscess

When it comes to dental hygiene, understanding the difference between periapical abscess and periodontal abscess is crucial. While both conditions involve infection and pain in the mouth, they affect different parts of the tooth.

Periapical Abscess

A periapical abscess is an infection that occurs at the root tip of a tooth. It usually develops as a result of untreated dental decay or a deep cavity that allows bacteria to enter the pulp chamber. The infection then spreads to the surrounding tissues, causing inflammation and the formation of an abscess.

Common symptoms of a periapical abscess include severe toothache, swelling of the gums, sensitivity to hot and cold substances, and a foul taste in the mouth. If left untreated, it can lead to the destruction of the tooth and spread of infection to other areas of the body.

The treatment for a periapical abscess typically involves a root canal procedure. During this procedure, the infected pulp is removed, and the root canal is thoroughly cleaned and sealed. Antibiotics may also be prescribed to ensure that the infection is fully eradicated.

Periodontal Abscess

A periodontal abscess, on the other hand, affects the gums and the tissues surrounding the tooth. It is usually caused by gum disease, which allows bacteria to enter the space between the tooth and the gumline. This can occur due to poor oral hygiene, plaque buildup, or injury to the gums.

Common symptoms of a periodontal abscess include redness and swelling of the gums, a bad taste in the mouth, pain while chewing, and the formation of a pus-filled swelling. In some cases, a periodontal abscess might also cause a tooth to become loose.

To treat a periodontal abscess, a dentist may perform a periodontal cleaning to remove the bacteria and debris from the gum pocket. They may also prescribe antibiotics to help clear the infection. In severe cases, a surgical procedure may be required to drain the abscess and clean out the affected area.

In summary, understanding the differences between periapical abscess and periodontal abscess is important in order to receive the appropriate treatment. While both conditions involve infection and pain in the mouth, they affect different parts of the tooth. If you are experiencing dental pain or signs of an abscess, it is important to seek prompt dental care to prevent further complications.

Q&A:

What is a periapical abscess?

A periapical abscess is a pocket of pus that forms at the tip of a tooth’s root, usually as a result of a bacterial infection. It can cause severe pain and swelling.

What are the symptoms of a periapical abscess?

The symptoms of a periapical abscess may include severe toothache, sensitivity to hot and cold temperatures, swelling of the gum or face, pus drainage, and a bad taste in the mouth.

How is a periapical abscess diagnosed?

A dentist can diagnose a periapical abscess by examining the affected tooth and reviewing the patient’s symptoms. They may also take dental X-rays to confirm the presence of an abscess.

What causes a periapical abscess?

A periapical abscess is usually caused by untreated tooth decay or a dental infection. Poor oral hygiene, trauma to the tooth, and autoimmune conditions can also contribute to the development of an abscess.

What are the treatment options for a periapical abscess?

Treatment options for a periapical abscess may include draining the abscess, root canal therapy, or extraction of the affected tooth. Antibiotics may also be prescribed to help fight the infection.

What is a periapical abscess?

A periapical abscess is a pocket of pus that forms at the tip of the root of a tooth. It occurs as a result of an infection in the tooth’s pulp, which is the soft tissue inside the tooth.

What causes a periapical abscess?

A periapical abscess is usually caused by untreated tooth decay or a dental injury that allows bacteria to enter the tooth’s pulp. Other causes may include gum disease, cracked tooth, or a failed root canal treatment.

What are the symptoms of a periapical abscess?

Common symptoms of a periapical abscess include severe toothache, swelling of the face or gums, sensitivity to hot and cold, fever, bad breath, and a bitter taste in the mouth. In some cases, a small bump may appear on the gum near the affected tooth.

How is a periapical abscess treated?

The treatment of a periapical abscess usually involves draining the pus and eliminating the infection. This can be done through a root canal procedure or by extracting the affected tooth. Antibiotics may also be prescribed to control the infection. Pain relief medications and warm saltwater rinses may help alleviate symptoms.