dental tooth abscess signs symptoms treatment and cost

What is a Dental Abscess?

A dental abscess is a dangerous infection in the pulp of the tooth, which is the bundle of nerves and blood vessels located in the centre of each tooth. 

A dental abscess should be treated as soon as possible because an untreated tooth abscess can spread infection to other parts of your body.

When germs in the mouth cause an infection in the space between the teeth and the gums as a result of periodontal disease, which is caused by poor dental hygiene, a gum abscess develops.

A tooth abscess can form near the root tip or in the gums surrounding the tooth root. 

The pus from the infection can accumulate behind the gums, producing swelling and forming a small hole (fistula) that allows the pus to escape.

Diagnosis of Dental Abscess

In addition to looking for symptoms of infection in the tooth and surrounding tissue, the dentist may:

Recommend an X-ray to help identify the source of the oral condition that may have caused the infection. X-rays can also be used to see if the illness has spread to or is affecting other parts of the body.

Suggest a CT scan to determine whether the infection has spread to other parts of the neck and to determine the degree of the infection.

Tap and press on the teeth since an abscessed tooth is usually sensitive to touch or pressure.

Recommend Thermal tests are used to assess the health of the pulpal tissues.

Signs and Symptoms of Dental Abscess 

The following are the signs and symptoms of a dental abscess:

  • When biting or contacting the affected area, it causes agony.

  • Food and liquid sensitivity to cold or hot temperatures

  • A bad taste in the mouth fever an overall sense of being unwell difficulty opening the mouth swallowing difficulties

  • Insomnia

  • Pain is the most common symptom of a tooth abscess. This might be a throbbing, excruciating discomfort. The pain usually begins quickly and intensifies over the next few hours or days. The pain may radiate to the ear, jawbone, and neck in rare situations.

take free smile assessment

Dental Abscess Treatment 

There are numerous dental issues that can cause tooth pain, gum pain, and even an abscess on the roof of the mouth. An abscess is a pocket of fluid that develops as a result of an infection. 

The abscess develops in size as the infection spreads. A serious infection might spread to the jawbone and cause a hole. If you suspect an abscess, get medical attention immediately. 

Infections can spread to other parts of your body and cause serious sickness. Dentists may drain an abscess or administer medications to help it recover faster. 

Following a comprehensive assessment, your dentist will propose a treatment plan.

Anyone experiencing signs associated with a dental abscess ought to visit a dentist right away. A skilled dentist can identify dental abscesses with ease.

Individuals experiencing difficulty eating or breathing ought to proceed directly to the emergency room of their nearby hospital.

See your family physician in case you are unable to see a dentist right away.

An abscess cannot be treated by a doctor, but they can give medication, offer advice on pain management and self-care, and, in the event that emergency care is needed, they probably know the quickest route to receive it.

1. Incision

The pus, including bacteria, must be drained away once the abscess is removed. A local anaesthetic will be administered by the physician.

Managing a periapical abscess: The abscess will be extracted via root canal therapy. To allow the pus to exit the dead tooth, a drill hole is made in it. 

From the pulp, any damaged tissue will be extracted. To stop further infections, a root filler is then placed into the gap.

A periodontal abscess will be cleansed and the abscess will be drained as part of the treatment. 

Below the gum line, scaling and planing will be used to smooth up the surfaces of the tooth's roots. This promotes tooth healing and guards against developing new infections.

2. Surgery

Individuals who have a periapical abscess and recurrent infection may require surgery to remove the infected tissue. An oral surgeon will do this procedure.

Gum tissue reshaping and periodontal pocket removal may be necessary for patients with recurrent infections and periodontal abscesses. An oral surgeon will carry out this surgery.

A dental abscess may require extraction if it recurs even after treatment.

3. Pain control

While awaiting treatment, over-the-counter (OTC) medicines may assist ease the patient's discomfort. It's crucial to carefully follow the instructions on the packet. 

Painkillers are not a substitute for visiting the dentist; they are simply meant to lessen pain.

Pain relievers like aspirin, ibuprofen, or Tylenol (paracetamol) work well. But some are inappropriate for specific patient groups (see below):

Ibuprofen and asthma: Avoid using ibuprofen if you have asthma.

Ibuprofen and stomach ulcers: If you have now or have ever had stomach ulcers, avoid using ibuprofen.

Children and aspirin: Children younger than 16 should not use aspirin.

Pregnancy and breastfeeding: If you are expecting or nursing a baby, avoid using aspirin.

4. Antibiotics 

Antibiotics may be provided in conjunction with painkillers to stop the infection from spreading. 

Metronidazole and amoxicillin are two examples of antibiotics. Antibiotics should never be used as a stand-in for dental care or as a means of delaying care.

5. Keeping a Dental Abscess at Bay

Most dental abscesses are avoidable since they are a result of tooth decay or gum disease. 

Both of these can be avoided by practising good oral hygiene. In a nutshell, this entails brushing and flossing your teeth regularly.

Other treatments that may be useful for dental abscesses are:

  1. Mouthwash is being used.
  2. You should clean your tongue.
  3. Eating a nutritious diet.
  4. Sugary drinks and foods should be avoided.
  5. Quitting smoking (which will enhance your oral hygiene).
  6. Having a dental examination at least once a year.

Difficulties and discomfort have been observed in the days following therapy. Some people, however, develop a minor temperature and exhaustion. 

In certain circumstances, the taste of the mouth may change following treatment for a few days. 

A dull ache in the treated tooth may last for a week. It is critical to approach the treatment with extreme caution. 

A possible negative effect of the operation is the formation of fissures in the tooth's root. The crack in the tooth's root is then vulnerable to bacterial infection. 

The loosening of the crown also raises the likelihood of bacterial infection since germs can easily enter the root canal.

What is the Dental Abscess Treatment Cost? 

Root canal therapy is a low-cost procedure. The cost of root canal treatment ranges between Rs. 3000 to Rs. 7000. 

This sum, however, does not include the cost of the crown. The crown could cost the patient anything between Rs. 4000 to Rs. 8000. 

Tooth extraction costs between Rs. 3000 and Rs. 8000. The price of tooth removal treatments varies depending on several criteria. 

The cost of therapy varies depending on the doctor's skill, the severity of the infection, and the accessibility to the diseased tooth. 

This refers to where the tooth will be treated. The inner teeth are more difficult to treat than the front teeth.


As soon as you notice any tooth pain or get a toothache, make an appointment with your dentist. A tooth abscess is not something that will simply go away. 

If you get the condition recognised and addressed as soon as possible, you will save yourself a lot of trouble and excruciating agony.

take free smile assessment

What is a dental abscess?

A dental abscess is an accumulation of pus brought on by a bacterial infection that develops in the gums, teeth, or surrounding tissues. Severe pain and swelling may result from it.

Why do dental abscesses occur?

Bacterial infections from untreated cavities, gum disease, or oral trauma usually cause dental abscesses. 

An abscess may result from the bacteria's invasion of the dental pulp.

What are the symptoms of a dental abscess?

Severe toothache, facial or gum swelling, fever, sensitivity to warmth and cold, and foul taste in the mouth are common symptoms. 

Pus may occasionally drain from the abscess.

How is an abscess in the mouth diagnosed?

Dental X-rays, clinical examinations, and occasionally additional imaging methods are used by dentists to identify dental abscesses. 

The X-rays assist in determining the proper course of treatment and the extent of the infection.

What consequences arise from a tooth abscess that is left untreated?

A tooth abscess can cause major consequences if left untreated, including the infection spreading to nearby tissues, bones, or even the bloodstream. Severe circumstances may lead to systemic health problems.

How is an abscess in the mouth treated?

To remove the pus and cure the illness, draining the abscess is a common treatment method. 

This might be accomplished by removing the damaged tooth or performing a root canal. To manage the infection, prescription antibiotics are also given.

Can an abscess in the teeth be avoided?

Dental abscesses can be avoided by maintaining appropriate oral hygiene practices, such as routine flossing, brushing, and dental examinations. 

Treating gum disease and cavities as soon as possible can help lower the chance of an abscess forming.

Is an abscess in the mouth an emergency?

A tooth abscess is regarded as a dental emergency because of the excruciating pain and its consequences. 

It's critical to get dental care right away if you think you may have a dental abscess to stop the infection.