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Gum abscess – symptoms and how to get rid of it

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A gum abscess is a painful condition in which pus collects in the soft tissues around a tooth. It is caused by a bacterial infection and needs prompt dental treatment. Ignoring an abscess can lead to serious complications, which is why it is so important to see a dentist as soon as you notice symptoms.

What is a gum abscess?

A gum abscess is a painful condition in which pus collects in the soft tissues around a tooth. The inflammation caused by a bacterial infection leads to severe pain, swelling and redness. There may be one abscess or several, and they can range in size from a few millimetres to a few centimetres.

It most often forms in the gum pockets, the spaces between the tooth and the gum. Over time it can spread to the tissues around the tooth and even to other tissues in the mouth. An untreated abscess can lead to serious complications, such as:

  • the infection spreading to other tissues, including the jawbone
  • tooth loss
  • inflammation of the soft tissues of the face
  • sepsis

That is why it is so important to see a dentist as soon as you notice the symptoms of a gum abscess. Early treatment can relieve pain, prevent complications and save the tooth.

Types of gum abscess and their features

Gum abscesses can be divided into three main types, depending on their location and how far the inflammation has progressed:

1. Periapical abscess:

This is the first stage of the abscess. It forms at the tip of the tooth root, near the end of the pulp. It causes extremely severe, throbbing, bursting toothache. The pain may spread to the head, the whole jaw or the ears. The inflamed area is sensitive to hot and cold. An untreated periapical abscess can develop into a subperiosteal abscess.

Symptoms of a periapical abscess:

  • Severe, throbbing toothache
  • Pain spreading to the head, jaw or ears
  • Sensitivity to hot and cold

2. Subperiosteal abscess:

It develops when the inflammation from a periapical abscess spreads. It is located between the jawbone and the periosteum, the thin membrane covering the bone. The pain spreads to neighbouring teeth, and chills and a mild fever may appear. Typical signs are swollen, red gums that are tender to the touch. An untreated subperiosteal abscess can develop into a submucosal abscess.

Symptoms of a subperiosteal abscess:

  • Pain spreading to neighbouring teeth
  • Chills
  • Mild fever
  • Swollen gums
  • Red gums
  • Gums tender to the touch

3. Submucosal abscess:

This is the most severe and advanced stage. It forms when a subperiosteal abscess breaks through the periosteum and pus gets under the lining of the mouth. It causes significant swelling of the gum, which may also involve the cheek or lip. The pain is severe, throbbing and spreads to the face. Fever and general weakness may occur. An untreated submucosal abscess can lead to serious complications, such as sepsis.

Symptoms of a submucosal abscess:

  • Significant gum swelling that may involve the cheek or lip
  • Severe, throbbing pain spreading to the face
  • Fever
  • General weakness

Remember that the information above does not replace a dental consultation. If you think you may have a gum abscess, see a dentist as soon as possible for professional help.

How is a gum abscess treated?

A gum abscess should always be treated under the supervision of a dentist. The aim of treatment is to remove the infection and relieve the pain. Depending on how advanced the abscess is, the dentist may use different methods:

Incision and drainage: The most common method is to cut open the abscess and drain the pus and bacteria. In some cases the gum pocket may also need to be rinsed with an antiseptic solution.

Antibiotics: To fight the bacterial infection, the dentist may prescribe oral or local antibiotics.

Root canal treatment: If the abscess is linked to an infection of the tooth pulp, root canal treatment may be needed. It involves removing the infected pulp and filling the root canals with a special material.

Tooth extraction: In extreme cases, when the tooth is badly damaged or the infection is extensive, the tooth may need to be removed.

Pain relief: The dentist may prescribe painkillers to ease pain and discomfort.

Home care: Alongside dental treatment, proper oral care at home is also important. Regular brushing and flossing help remove bacteria and plaque from the gums and teeth, which speeds up healing.

Remember that treating a gum abscess yourself can be dangerous and lead to serious complications. That is why it is so important to see a dentist as soon as you notice symptoms. Quick diagnosis and the right treatment will get rid of the problem and bring back your comfort.