Following the death of the nerve of the tooth by trauma, bacteria, and chemical or mechanical irritation, the infection spreads from the root tip to the surrounding tissues. Over time, a localized pus accumulation occurs in the bone around the root tip of the tooth. This condition is called a dental abscess. In time, this pus finds a way by melting the bone and turns into a pus-filled swelling on the gum. After this stage, teeth can be lost.
• When a tooth abscess occurs, a discomfort occurs in the tooth. When pressed, the tooth is felt to move slightly into the bone.
• As the tooth abscess progresses, the pain increases as the soft tissues around the root swell.
• Face swelling occurs over time. The swelling may be far from the starting point, depending on the condition of the tooth and bone. At this stage, the tooth is more painful, elongated and swinging.
• When the dental abscess progresses, it finds a way from the weakest part of the existing pus tissues and flows into or out of the mouth. Therefore, bad taste and odor occurs in the mouth. When the pus starts to flow, the pain decreases.
• There may be mild fever and swelling in the lymph glands in the formation of dental abscess. There is general malaise.
Before going to your dentist, you can take pain relievers to relieve pain in the tooth. However, never apply aspirin, cologne and alcohol substances directly on your teeth or gums. In the past, the only treatment option for abscessed teeth was extraction of that tooth. Although extraction of the tooth is a suitable option in some cases, abscessed teeth can be saved by various treatment methods today. The first step in the treatment of abscess is the use of an appropriate antibiotic to eliminate the infection and prevent its spread. In addition, a suitable pain reliever can be taken to relieve the pain. After the infection is controlled with antibiotic treatment, the canals of the tooth are opened and the inflammation is drained. After the swelling subsides, the inside of the canals are cleaned, disinfected and filled with a suitable temporary canal filler. The dressing is performed by changing the temporary canal filling material at regular intervals until recovery occurs. In some cases, complete recovery is provided with these dressings, sometimes the infection cannot be completely cured. In this case, the infected tissue around the root and sometimes a small part containing the root tip is removed with a surgical operation.