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Symptoms

By Mayo Clinic staff

Signs and symptoms of a tooth abscess include:

  • Severe, persistent, throbbing toothache
  • Sensitivity to hot and cold temperatures
  • Sensitivity to the pressure of chewing or biting
  • Fever
  • Swelling in your face or cheek
  • Tender, swollen lymph nodes under your jaw or in your neck
  • Sudden rush of foul-smelling and foul-tasting fluid in your mouth and pain relief if the abscess ruptures

When to see a doctor
See your dentist promptly if you have any signs or symptoms of a tooth abscess. If you have a fever and swelling in your face and you can't reach your dentist, go to an emergency room. Also go to the emergency room if you have trouble breathing or swallowing. These symptoms may indicate that the infection has spread deeper into your jaw and surrounding tissue or even to other areas of your body.

References
  1. Yadav S, et al. Facial necrotizing fasciitis from an odontogenic infection. Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology. 2012;113:e1.
  2. Levi ME, et al. Oral infections and antibiotic therapy. Otolaryngologic Clinics of North America. 2011;44:57.
  3. Oral health fact sheet N°318. World Health Organization. http://www.who.int/mediacentre/factsheets/fs318/en/. Accessed Dec. 27, 2012.
  4. Root canal. American Dental Association. http://www.mouthhealthy.org/en/az-topics/r/root-canals.aspx. Accessed Dec. 27, 2012.
  5. 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.
  6. Cavities. American Dental Association. http://www.mouthhealthy.org/en/az-topics/c/cavities.aspx. Accessed Dec. 27, 2012.
  7. Brushing your teeth. American Dental Association. http://www.mouthhealthy.org/en/az-topics/b/brushing-your-teeth.aspx. Accessed Dec. 27, 2012.
  8. AskMayoExpert. What are the primary causes of a dental abscess? Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2012.
  9. AskMayoExpert. When should patients with a dental abscess be referred for evaluation or treatment? Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2012.
  10. AskMayoExpert. When are patients with a dental abscess considered for operative procedures? Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2012.
  11. Sheridan PJ (expert opinion). Mayo Clinic, Rochester, Minn. Jan. 21, 2013.
  12. 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.
  13. Carr AB (expert opinion). Mayo Clinic, Rochester, Minn. Jan. 21, 2013.
DS01189 Feb. 7, 2013

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