Tooth abscess: how to identify, treat, and prevent

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January 17, 2019

Will that tooth pain goes away or is it a tooth abscess which requires attention from your dentist? learn how to identify, treat, and prevent a tooth abscess.

Are you in the worst tooth pain of your life? Is your gum swollen and sore to the touch? Are you unable to sleep, or even sit still? Have you taken painkillers, but to no avail? Hours later, are you still writhing in pain, unable to eat and barely able to think?

Sounds like a tooth abscess, alright. To say that an abscessed tooth can be painful is an understatement. Untreated tooth abscesses can be agonizing and quite possibly the worst pain you’ve ever felt.

The good news? Most abscessed tooth pain can be remedied quickly and with a lot less pain than you’re suffering through right now.

In fact, the most painful part of treating an abscessed tooth is getting yourself to the dentist. But the dentist is exactly where you need to be—as soon as possible— to get rid of the pain and also get rid of the underlying infection causing it.

While you’re making that emergency appointment for your dentist, let’s talk about what an abscessed tooth is, what causes it, and how it’s treated, so you know what to expect at your appointment.

What is a tooth abscess?

A tooth abscess is an infection within the tooth. The pain from an abscess can hit you quite suddenly. Although the pain seems to out of nowhere, a tooth abscess has likely been in the making for years.

What’s the difference between a tooth abscess and a gum abscess?

Tooth abscess (periapical): This is when the abscess occurs inside of the tooth.

Gum abscess (periodontal): This is when the abscess is between the tooth and the gum. Especially for those with gingivitis or severe gum disease, food can get trapped between the gum and the tooth. An invasion of bacteria then leads to an infection.

How do i know if i have an abscessed tooth?

Pain. Not sure if you have an abscessed tooth or not? If you truly have an abscess, you won’t be wondering what’s wrong with your tooth…you’ll know that something is very wrong. The pain is that intense. It’ll start out slow, maybe, as a dull throb, but it amps up very quickly.

The telltale symptoms of an abscessed tooth is pain that you can’t ignore. The pain can vary from an annoying, but tolerable, throbbing pain to a shooting pain that brings you to your knees, the emergency room, or both.

This pain may also be accompanied by one or several other symptoms, such as:

  • Sensitivity to cold or hot
  • General malaise
  • Swollen upper or lower jaw
  • Swollen lymph nodes in the neck or under your jaw
  • Fever
  • Bad breath
  • Bitter taste (often described as salty)
  • A draining sore on the gum
  • Painful chewing or biting
  • Ache in the bone around your affected tooth

What causes an abscessed tooth?

So, what forces conspired together to create your agonizing tooth infection?

There are two main causes that can lead to a dental abscess. The first (and most common) cause is severe tooth decay. This tooth decay is most always related to a poor diet consisting of high sugar, processed foods, and refined carbohydrates.

The second cause of tooth abscess is physical trauma to the tooth. If the tooth absorbs a blow, and is subsequently chipped or broken, it’s vulnerable to infection.

An untreated cavity, chip, or crack in your teeth can “open the door” for bacteria to enter inside of your dental pulp, which is in the center of your tooth. The dental pulp contains everything vital to the “life” of your tooth, such as blood vessels and nerves.

When bacteria gets into the pulp, it leads to swelling, inflammation, and pus. This eventually causes pressure to build up, which is why you feel throbbing or sharp pain. When the abscess is drained, the pain will dissipate almost immediately. However, pain relief does not mean that you’re free and clear. The infection is still there and needs to be addressed.

How do you treat an abscessed tooth?

Not sure what you should expect when you go to the dentist to treat your dental infection?

First, the dentist will do a physical examination of your tooth. Abscessed teeth are usually accompanied by red, swollen gums. He or she will also probe the offending tooth gently. You will feel slight discomfort but the good news is that your pain is almost over.

Your dentist typically will take an X-ray of the bone surrounding the abscess to check for bone loss at the tip of the root of the tooth—this is what verifies that you do, indeed, have an abscess, and something else causing all that pain.

The dentist’s main goal in treating your tooth abscess is to get rid of the infection and prevent the tooth from needing to be extracted.

The dentist will likely prescribe a round of antibiotics to fight the infection. To combat the pain, your dentist may recommend ibuprofen. For particularly acute pain, your dentist may also write a prescription for a stronger painkiller.

Potential treatments

Root canal: Your dentist will attempt to save your tooth with a root canal treatment. During this treatment, the root canal of your tooth is cleaned and disinfected.  The dentist will then seal the tooth’s pulp and root canals, and “cap” the tooth with a crown.

Extraction: a root canal is not advisable if it is not possible to restore the tooth. If that is the case, a tooth extraction must be performed.

Can i “wait it out”?

You’re probably wrestling with yourself on whether you need to go to the dentist, or if you could just tough it out and wait for the pain to subside.

The last thing you want to do is “wait it out”. The pain associated with your tooth infection may stop because the pulp in the root of your tooth has died. But that doesn’t stop the infection. Even without pain, the infection will continue to spread. And in its wake, it will destroy the surrounding tissue, leading to even bigger problems.

How to get out of pain while you’re waiting? You can try my 3-3-3 method for tooth pain (using 200mg tablets of Advil). Keep in mind that this method does not cure an abscess—you will still need to see your dentist immediately so that you can get on an antibiotic as soon as possible, even if the pain goes away!

That’s why it’s still crucial to visit a dentist if you suspect an abscessed tooth infection— even if you’re not experiencing any more pain. Abscesses don’t go away on their own. This infection will continue to spread, and may eventually corrupt other teeth or worse.

Are there any home remedies for an abscessed tooth?

Tooth abscesses cannot be treated at home. You will need to seek proper dental treatment to get rid of the infection, although these home remedies can help alleviate the pain temporarily:

  • Take over the counter pain killers for temporary relief until your dental appointment. Don’t exceed the daily amount unless directed by your dentist.
  • Sleep (if you can) with your head elevated so that you relieve some of the pressure and thus have less pain. I highly recommend keeping your head elevated with a wedge pillow like this one.

What happens if i don’t treat a dental abscess?

Even if the pain subsides, you should always see the dentist to get a tooth abscess checked out.

When ignored, teeth infections can lead to dire consequences. Even though you may not feel it, the infection is still there and can spread quickly to the rest of your body. One rare but serious tooth abscess complication is sepsis, a life-threatening infection that can be caused by allowing your tooth infection to go unchecked. Just don’t risk it.

How do i prevent a tooth abscess?

The best prevention against dental abscess is diet first, along with good oral hygiene.

  1. A cavity-preventing diet: Good diet means eating a whole foods diet that minimizes or eliminates processed foods and refined carbohydrates (for more details on what kind of diet prevents decay and abscesses, read my article How to Never Get a Cavity: Remineralization 101). Even if you’re an expert flosser and brusher, your diet can still make you prone to cavities (and dental abscesses)! Remember, it’s diet first, and oral hygiene second.
  2. Proper technique: As for good oral hygiene, when was the last time you checked in on your flossing and brushing routine? Make sure you’re using proper technique for both (see my videos on how to floss and how to brush—you may be surprised that your technique could use an update!)
  3. Prevent tooth trauma: What do I mean by “tooth trauma”? Trauma to the tooth is anytime the tooth gets hit—a fall off a bicycle, getting knocked in the face, etc. Wear a mouthguard during exercise, don’t do anything with your teeth that’s not chewing (never try to rip open packaging with your teeth!) and try to avoid situations where you can get bopped in the face (common ones include concerts, or even holding up a wine glass to your mouth and getting bumped at a cocktail party.) After tooth trauma, I always recommend my 3-3-3 method even if you don’t have any pain! The 3-3-3 method reduces inflammation inside the tooth, which is what is responsible for killing the pulp. The pain can often come later, after it’s too late. By doing the 3-3-3 preventatively after trauma to the tooth, you may be able to prevent damaging the pulp, and thus, causing a tooth abscess. And always see your dentist immediately after tooth trauma! The sooner, the better, to prevent irreversible damage to the tooth.
  4. Regular check-ups: Your dentist or hygienist may notice warning signs that you can’t see for yourself—so make sure you’re seeing your dentist for regular check-ups and teeth cleanings.

Final thoughts

Pain in the mouth always indicates a problem—and these problems don’t go away on their own. Fortunately, this is the kind of problem that can be treated quite easily.

If you suspect a dental abscess, don’t wait—seek help immediately. The sooner you get things checked out by your dentist, the sooner you can get back to your life. You will feel like yourself again, promise!

Dr. Mark Burhenne
askthedentist.com

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Evelyn Garcia (Greenacres, FL)

The best dental office and dentist Highly recommend for my friends and family ❤️

Valentina Zhdan

I finally found a great dentist who does its all, root canals, caps, and implants. I needed major work on my mouth all at once, although it was expensive because... Read more

Diane O’Brocki (Loxahatchee, FL)

My experience, couldn’t ask for any better, great office, wonderful people. Professional in his field, with pleasant energy in his office Dr. Gorbatov, his assistant, Lidi, without whom all the... Read more

Kirill Krassikov

I am grateful to reach the hands of Dr. Gorvatov,my dental surgery has been successful, he was very professional when deciding what to do with my tooth, thinking about the... Read more

EP TECH USA

Very happy with quick service, suggestions & prices. Will be a repeat customer

Jaclyn Franceschini (Fort Lauderdale, FL)

I don’t usually post reviews but wanted to give a shot out to DR. Gorbatov and his staff at the office. While vacationing in Florida last week, I had unbearable... Read more

Alla Cotler

I'm so happy . This place are so Profesional. Doctor and assistant Lidy was wonderful. Amazing cosmetic dentist office. I 100% recommend doctor Gorbatov and His assistant Lidy. Thank you... Read more

Sosima Sanabria

For me, dental work always came with the presumption of pain and discomfort. That's why it was always very difficult to get any recommended work done, because all I'd have... Read more

Iry T. (Hallandale Beach, FL)

Dr. GORBATOV is the most charismatic, cheerful Dentist with tremendous energy. Today I can confirm that he is the best dentist in Florida. He had been looking for a good... Read more

Myriam Harter

Dr. Gorbatov Dmitry - Doctor with a capital letter. Many thanks to the doctor and his team. The clinic employs real experts in their field.It's amazing, but after visiting Dr.... Read more

Yulia Dobrynina

My experience here was absolutely great!. From Anna who I first spoke to about an appointment to Lida and Patricia who made me feel relaxed and comfortable during my procedure.... Read more

sean scott

Everyone in the office is super amazingly fantastic! They're informative and understanding. Dr. Gorbatov has done great work on my teeth! The dental hygienist has been a charm, makes every... Read more

John Kern (Hollywood, FL)

This is the best dentist in the world who really cares about each and every patient and makes your smile look perfect! After visiting the new office you will be... Read more

Kseniia Dursinova (Sunny Isles, FL)

I absolutely LOVE the attentive and friendly customer service and quality of work they provide here at Dr.Gorbatov’s office!! I would highly recommend them to anyone looking for a touch... Read more

Serena Morrisey

Dr Gorbatov is an amazingly talented dentist. I had the porcelain veneers done in his office and have a feeling like I have never had such beautiful smile in my... Read more

Julia Soldatova

Dr. Gorbatov is one of the most wonderful professionals I’ve ever been to. His team is very kind, professional and caring. One of the best dentist’s experiences I’ve ever had.

Yana Dmitrieva

First visit with the Dentist recommended by a friend. Dentist was helpful and staff was friendly. Clean office . Doctor is gentle and knowledgeable.

Fetta Republic

Thanks to Dr.Gorbatov and his team to save my teeth! They helped me to revise other dentist's mistake.Team very professiinal, attentive to my needs and details of case. Will continue... Read more

Sergii Cherednyk

I always have a great experience when I come here, the staff is wonderful and I would not change my dental office for anything in the world.. Jessica is amazing... Read more

Shiloh Robinson (Wellington, FL)

I came to Dr. Gorbatov as a referral and everyone has been so friendly, kind, helpful and understanding about my nervousness. I greatly appreciate everyone’s kindness during both of my... Read more

Rachel Fludd

Amazing experience! Everyone in the office is so sweet and friendly! My husband was freaking out because he had a bad experience somewhere else but the whole team worked together... Read more

Laura Painchault

I had a wonderful experience at the office of Dr Gorbatov , great attitude of all here , the work I have done was painless, I would highly recommend Dr... Read more

Hans Werner

Entire office & staff is very accommodating and attentive to all your needs. The dentist was very nice and professional and really took the time to explain to me everything... Read more

Tiffany D. (Hollywood, FL)

I want to say that I never write reviews. However I have to say that this dentist center is amazing! From the moment you enter you feel like family. Everyone... Read more

Lisa Jerkins (Wellington, FL)

Fantastic service. Dr. Gorbatov is very skilled, and make your experience such a pleasure. Definitely go to Dr. Gorbatov for your dentistry needs.

Raul Alvarez

Since me and my wife moved to Florida from Nj several years ago, we were looking for good dentist, the one we can trust. We tried a few but were... Read more

Tatiana Lapushchik (Hollywood, FL)

This is IT!!!! As good as it gets!!! If you want a celebrity smile call his number.

Jacob F. (Miami)

The best service and people ever! I love the atmosphere here and the work that was done! Thank you! Highly recommended!!!❤️

Ulka Hovyc

Dr. Gorbatov and his team are amazing! All were very kind and excellent professionals. 100% recommended!

Ylianne Vela

One of the best dental offices in my life. Very professional and cordial staff from the front desk to the dentistry team.

Вадик-Ванадик Vadik-Vanadik

This was my first visit at Dr. Gorbatov office and I could not be more pleased with the excellent customer service they provided for me. The entire staff was extremely... Read more

Katherine Barrenechea

Thank you doctor for my beautiful smile!

V V (Hollywood, FL)

I want to say that this office and the staff are by far the best professionals in dentistry in Hollywood!! they become family!! I want to thank you all for... Read more

norma masoud

Great Dentist and Team. Fantastic experience and service. My husband had a dental emergency while on vacation and Anna got us in immediately. Dr. Gorbatov is very attentative and caring... Read more

Giannotti Jessi

I switched my dentist because i was dissatisfied with their service and decided to go to Dr.Gorbotov's office for my wisdom tooth extraction. I never thought I would see the... Read more

Oleg Solovey (Sunny Isles, FL)

Jessica at the front has helped me tremendously and the Dr has made the large amount of work that I have had done painless

Celeste Clossin (Wellington, FL)

What a great experience at the dentist!! I wish I had found these guys years ago, maybe I wouldn't be so afraid of the dentist. Thought I needed a root... Read more

Craig Balsam (Wellington, FL)

Great staff I was nervous but they made me feel at ease. I am confident that they will give me the smile that I airways wanted. The receptionist personality is... Read more

Uuggh uggh (West Palm Beach, FL)

Im from out of state visiting Florida. Broke my front crown. Searched the internet and Dr Gorbatov came up first. I walked in the next morning and they fixed my... Read more

Michael Jonas

Dr. Dmitry Gorbatov and his team provided an exceptional dental experience. Their attention to detail, gentle approach, and thorough explanations made me feel at ease throughout the procedure. Truly a... Read more

LANA C

Very friendly and professional attitude by Dr Gorbatov and his team!Thanks a lot!Will recommend to my friand relatives.

Ada Friedman

Great experience! Really felt like Dr Gorbatov and his staff took time to explain and perform my procedures on a very short notice. Highly recommend!

Suzanne Ireland

I've been looking for a good dentist since So. FL lacks them. Not anymore, great professional services, and best of all, you will find a personal touch. You will truly... Read more

ML GG (Aventura, FL)

Thanks to Dr. Gorbatov and his assistant Lidi for my dazzling Hollywood smile and caring atmosphere during procedures. Highly recommend this clinic 😁🎉

Cornelia Gordila

Me atendieron de urgencia, excelente atencion y servicio. Lidi y carolina, muy simpaticas y una atencion de lujo!

Jonatan G. Samoluk

Fantastico me atendieron como en ninguna parte. Excelent Servicio . Atentencion y profesionales' los recomiendo ampliamente. Dr. Gorbatov es un Sol . Su asistente un Amor, y todo su equipo.... Read more

Mery Sanchez

Dr. Gorbatov was very thorough and went over all concerns I had (I'm not really a fan of the dentist). He is definitely the nicest Dentist I have ever been... Read more

Sofia Rodriguez (Hallandale Beach, FL)

Painless, professional and efficient. Dr Gorbatov is great!

Suzanne Wilt (West Palm Beach, FL)

I have been Dr. Gorbatov's patient for over 8 years and have always received excellent service. The facility and staff are wonderful. I would highly recommend A Center for Dental... Read more

Teresita Camacho (Lake Worth, FL)

I am extremely happy I found Dr.Gorbatov! He saved my vacation and helped me in emergency mode(I broke my front tooth) I am changing my dentist to Dr.Gorbatov, convenience, no... Read more

Tatiana Vaccaro

The best Doctor and assistants, who really care about their patients and work professionally. They helped me to save a tooth, when other doctor refused to do so, and what... Read more

A

Great office. Dr. Gorbatov is an excellent dentist. The staffs are really nice and helpful.One of the best experience. Highly recommend.

Phicha M

Fast service and the best staff! I highly recommend this Dentist. I've been going to this Dentist for 2 years and I travel far now just to come here. They... Read more

Christine (Orlando, FL)

Dr. Gorbatov including his entire office staff is extremely professional and does amazing cosmetic as well as implant and emergency work. The office operates in a timely manner with no... Read more

Yuri Kalachnik

Loved coming here, very nice Doctor and wonderful experience with a great cleaning. Receptionist is awesome too.

Lina Lobo (Greenacres, FL)

Every time I visit its always a pleasant experience, the employees are welcoming and the service is outstanding. Its the only dentist i recommend to my friends and family

Alejandro Figueredo

The best doctor and very kind team❤️The best New Special Cleaning with Air - Flow! Amazing👌🏻😀

Victoria Volkova

I love this dentist office the service here is very fast and comfortable. The staff is extremely nice and caring. I recommend this dentistry to everyone :)

Анна Anna

The best dentist ever!!! I have been living with a drill lodged in my mouth for more than two years after it snapped off during a routine visit to the... Read more

Kristina Rakova

Excellent service , friendly & professional !!!

Mauricio Bonifacio (Sunny Isles, FL)

Most beautiful veneers ! Dr. Gorbatov is the most talented doctor ever !Air flow cleaning is the best in their clinic ❤️

Julia Zhguleva

Today I visited Dr. Gorbatov office for the first time. I am from Moscow, last time I had my dental exam in Russia I was pleased however coming to this... Read more

Roman AR

Wonderful dental office and staff. Dr. Gorbatov is one of the best in the industry, very knowledgeable and patient. Highly recommend.

Eugenia Mize

This is the Best Dental Office I ever was. Great personality, gentle touch and perfectionism in all aspects of cosmetic dentistry. Thank you Dr. Gorbatov for creating Smile I always... Read more

Yuriy Gorobets (Hallandale Beach, FL)

My experience was very smooth. When I called for appt, the next available time was in two days, I didn’t expect it will be that soon.Everybody in the office is... Read more

Daria Tis

An Incredibly patient-centered practice. Compassionate, skilled, knowledgeable, and convient.

Melissa Casey

One of my greatest experiences at the dentist, had Lidi as an asisstant very friendly and professional, for my cleaning i’ve had my hygienist Carolina was one of the best... Read more

irina condrea

I went to the office to get teeth cleaning! The receptionist was overwhelmed with something, but she was the sweetest. My dental hygienist did great job, made sure I feel... Read more

Elizaveta C. (Miami, FL)

Friendly and the caring stuffOK gentle professional careComfortable and election dental experience

Albert Volchek

Very impressed with Dr. Gorbatov's ethics. He truly cared about my situation, the fact that I was from another city and had limited time off of work to address my... Read more

Tatiana Safonova (Sunny Isles Beach, FL)

The clinic employs professionals in their field, received assistance efficiently and promptly, I advise.

Egor Fedorov

Great doctor, excellent service, very friendly, proffecionalHighly recommend!!!

Kisa Kisa

I had an urgent dental issue while on vacation in Miami and was able to schedule an emergency visit for my treatment with Dr. Gorbatov. The staff was friendly, the... Read more

Marina Greenberg

My experience at Dr Gorbatov's practice was rapid and pain free. He does great work I am so pleased with my results. The staff is wonderful because they treated me... Read more

Kadi Karam

I absolutely loved my experience with Dr G and his amazing staff 🌸 so very welcoming and thorough 🌸🌸🌸

Kelly Spillman

I recommend this place to anyone that needs any type of dental work done , I always feel welcome from the moment i sign in untill my visit is over... Read more

Lyn F (Wellington, FL)

Well I’ve been going to Dr. Gorbatov since 1996.... Yes ! I’m a loyal. With all the dental issues I’ve had, he’s been able to resolve them and been keeping... Read more

Burke Crump (Wellington, FL)

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