An abscessed tooth is usually painful and is often accompanied by swelling around the tooth. This swelling can become severe and can compromise the body’s immune system. If an abscess is left untreated it can become life threatening.

 

An abscessed tooth occurs when the internal life support system (the pulp) of the tooth becomes infected and dies. When the blood vessels and nerve inside the tooth die, this tissue becomes necrotic and forms gas and liquid (puss) that go outside of the tooth and into the jaw bone.

                                  

 

An abscess usually results from deep decay in the tooth, and the bacteria from the decay cause an infection. Trauma (an accident) to the tooth can cause it to die even if the accident took place many years ago. A large filling in a tooth even if placed many years ago can also cause a tooth to die. Periodontitis can also cause a tooth to abscess. An x-ray is often needed to diagnose the cause and extent of the abscess.

An abscess will require either a root canal therapy or an extraction. In most cases antibiotic therapy will also be needed.

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