A tooth abscess is a pocket of pus that's caused by a bacterial infection. The abscess can occur at different regions of the tooth for different reasons. A periapical (per-e-AP-ih-kul) abscess occurs at the tip of the root, whereas a periodontal (per-e-o-DON-tul) abscess occurs in the gums next to a tooth root. The information here refers specifically to periapical abscesses.
A periapical tooth abscess usually occurs as a result of an untreated dental cavity, injury or prior dental work.
Dentists will treat a tooth abscess by draining it and getting rid of the infection. They may be able to save your tooth with a root canal treatment, but in some instances it may need to be pulled. Leaving a tooth abscess untreated can lead to serious, even life-threatening, complications.
Feb. 07, 2013
- Yadav S, et al. Facial necrotizing fasciitis from an odontogenic infection. Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology. 2012;113:e1.
- Levi ME, et al. Oral infections and antibiotic therapy. Otolaryngologic Clinics of North America. 2011;44:57.
- Oral health fact sheet N°318. World Health Organization. http://www.who.int/mediacentre/factsheets/fs318/en/. Accessed Dec. 27, 2012.
- Root canal. American Dental Association. http://www.mouthhealthy.org/en/az-topics/r/root-canals.aspx. Accessed Dec. 27, 2012.
- Toothache and infection. The Merck Manuals: The Merck Manual for Healthcare Professionals. http://www.merckmanuals.com/professional/dental_disorders/symptoms_of_dental_and_oral_disorders/toothache_and_infection.html. Accessed Dec. 27, 2012.
- Cavities. American Dental Association. http://www.mouthhealthy.org/en/az-topics/c/cavities.aspx. Accessed Dec. 27, 2012.
- Brushing your teeth. American Dental Association. http://www.mouthhealthy.org/en/az-topics/b/brushing-your-teeth.aspx. Accessed Dec. 27, 2012.
- AskMayoExpert. What are the primary causes of a dental abscess? Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2012.
- AskMayoExpert. When should patients with a dental abscess be referred for evaluation or treatment? Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2012.
- AskMayoExpert. When are patients with a dental abscess considered for operative procedures? Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2012.
- Sheridan PJ (expert opinion). Mayo Clinic, Rochester, Minn. Jan. 21, 2013.
- Roberts JR, et al. Clinical Procedures in Emergency Medicine. 5th ed. Philadelphia, Pa.: Saunders Elsevier; 2010. http://www.mdconsult.com/books/page.do?eid=4-u1.0-B978-1-4160-3623-4..00065-1&isbn=978-1-4160-3623-4&sid=1401051032&uniqId=397705187-6#4-u1.0-B978-1-4160-3623-4..00065-1. Accessed Jan. 22, 2013.
- Carr AB (expert opinion). Mayo Clinic, Rochester, Minn. Jan. 21, 2013.