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Symptoms, Causes, and Treatment for a Tooth Abscess

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Some patients who have severe dental anxiety don’t go to the dentist when the first signs of a problem begin, this can eventually result in a tooth abscess.

Tooth Abscess Symptoms
Our adult daughter has cerebral palsy and requires being fully sedated when having anything done. The DAC was such a positive experience. Dr Hoffmann and his staff were kind and did great explaining things. As a mom, I had a lot of questions about how certain things would be done as usually she’s in her chair when getting examined at her local dentist and they had everything under control including transferring from her chair to the dentist chair and keeping her secured in the dentist chair as well as keeping her neck and legs comfortable. Many thanks to them!
Response from the owner:Thank you so much for your kind words. We’re grateful for your trust and happy to hear that you had such a positive experience with our team. Our goal is always to provide compassionate, attentive care in a safe and comfortable environment. We truly appreciate you taking the time to share your experience.
TWENTY YEARS! That is how long our special needs son has been seeing Dr Hoffman and his dedicated team! Our son suffers from an intellectual disability, is non-verbal, and is unable to cooperate for dental cleaning, x-rays, or other routine dental work. He requires general anesthesia. It is such a blessing to avoid a hospital setting just for dental work.

The team is always well staffed, friendly, personable and very professional. Every single year we have been supported by a deeply caring team who are dedicated to patients with a very wide range of disabilities and needs. They have shared useful dental advice and tools (3 sided toothbrushes, blocks to hold open their mouth for daily at-home care, etc.) which improved our son’s daily dental care. We always receive a call back the day after to check his recovery-even on weekends!

Highly recommended and so appreciative to have this team supporting our ever long road of raising a special needs son.
Response from the owner:Wow — thank you for sharing such a heartfelt review! We are so grateful for your trust and for allowing our team to be part of your family’s journey over the years. It means so much to us to know that our care and support have made a difference. We truly appreciate your kind words and recommendation!
We've been coming to Dr.Hoffman for twenty years. There's a reason we keep coming back! He's great. His staff is great. He's double boarded as an MD (Anesthesia) and DDS!!! Our son with special needs needs sedation for even a cleaning. You get what you pay for. He's expensive and... we know he's getting the best care!
Response from the owner:Thank you for trusting our team over the years and for your kind words about Dr. Hoffmann and our staff. We truly value your confidence in the care we provide!
Omg!! This place is Amazing! The people who work here are so very nice and understanding. I love this team
Response from the owner:Thank you so much for your kind words! We truly appreciate your support and are grateful to have such wonderful patients.
Searching for a new dental clinic is challenging for someone who has
dental anxiety, fear, and traumatic experiences in a dental chair. The staff and doctors at the Dental Anesthesia Center were immediately very welcoming. Dr. Thoms put together a very detailed plan to repair and replace the previous work that I had in the past that was now causing problems. Putting my faith in him was the best thing that I could have done for my situation. I am more than completely satisfied with all of the extensive dental work that I’ve had with Dr.Thoms. I had my fourth sleep dentistry experience yesterday and I’m very happy with my results. I highly recommend this practice and truly want to give them more than five stars! Thank you for giving me back my health and confidence.
Response from the owner:We know it isn’t always easy to find a dental office where you feel at ease, so your words mean the world to us. We’re so glad you feel comfortable with our team and truly appreciate your trust and recommendation!

A tooth abscess is a pocket of pus that can form in different parts of a tooth as a result of a bacterial infection. It is sometimes called a dental abscess. There are two types of abscesses, a periapical abscess and a periodontal abscess. A periapical abscess occurs at the tip of the root whereas a periodontal abscess occurs in the gums at the side of a tooth root.

But how can you identify the symptoms of an abscess, what causes them and how can they be treated?

Symptoms of a Tooth Abscess

There are a number of signs and symptoms of a tooth abscess. Some of them include:

  • Pain when biting or chewing
  • Severe and persistent tooth pain which can radiate to the jawbone, neck, or ear
  • Hot and cold sensitivity
  • Swelling in your face or cheek
  • Tender or swollen lymph nodes under your jaw
  • Discolored or loose tooth
  • If the abscess ruptures you could have a sudden rush of foul-smelling or bad tasting fluid in your mouth
  • Fever
  • Difficulty swallowing or breathing

If you have any signs and symptoms of a tooth abscess, you should contact your dentist immediately. In addition, if you have a fever and swelling in your face but you can’t reach your dentist, you need to go to the emergency room. A tooth abscess left untreated can lead to serious, even life-threatening complications.

Causes of a Tooth Abscess

The innermost part of the teeth that contains blood vessel, nerves, and connective tissues is the dental pulp. When bacteria invades this area, a periapical tooth abscess occurs.

Bacteria can enter through a dental cavity or a crack or chip in the tooth. It can then spread all the way down to the root. The infection can cause pain, inflammation, and swelling at the tip of the root.

It is not uncommon for patients with special needs to develop an abscess. This may be due to fact that they can’t care for their teeth properly perhaps because of a physical or mental disability. Other patients have severe dental anxiety and they don’t go to the dentist when the first signs of a problem begins.

Treatment for a Tooth Abscess

Treatment for a tooth abscess focuses on treating the infection and relieving the pain. Your dentist will likely start with taking an X-ray, depending on your symptoms. This will help him see whether or not the infection has spread to other areas.

Some of the possible treatment options include:

  • Draining the abscess – To get rid of the pus, your dentist will make a small incision to drain it. Then, they will clean the area with a saline solution.
  • Root canal – A root canal in when your dentist drills into the affected tooth to drain the abscess and remove any infected pulp in the area. Then, your dentist will fill and seal the chamber.
  • Tooth extraction – If the tooth is too damaged, your dentist may have to pull the tooth before draining the abscess.
  • Prescription antibiotics – If the abscess has spread beyond the abscessed area, your dentist may prescribe oral antibiotics to help your tooth heal completely.

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Updated: August 15, 2024

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