Abscessed Tooth Complications and Dangers
June 27th, 2008
An abscessed tooth is an infected tooth. When you have tooth decay or gum disease, you can get infection deep within the tooth or gum. This infection is an abscessed tooth and can be very painful.
Alternative names of tooth abscess are periapical abscess, dental abscess, tooth infection, abscess - tooth.
Tooth Abscess Causes
The dental pulp, the only part of the tooth that’s sensitive to pain, is often well protected. The outer layers of the tooth - enamel, and dentin, the main part of the tooth - surround the fleshy, nerve-filled center. But if a tooth cracks or develops a deep cavity, the pulp can be exposed. Before long, bacteria will invade the center of the tooth and the pulp will start to die. As the tooth infection progresses, pockets of pus will form at the root of the tooth. This is called tooth abscess.
Sometimes a tooth abscess is excruciatingly painful and/or swollen, and at other times a patient will not even know it exists until he or she has a routine exam and/or x-ray.
Tooth Abscess Symptoms
- Toothache, dental pain
- Pain when chewing
- Sensitivity of the teeth to hot or cold
- Bitter taste in the mouth
- Bad breath, breath odor
- Possible fever
- Swollen glands of the neck
- General discomfort, uneasiness, or ill feeling
- Swollen area of the upper or lower jaw - a very serious symptom
Tooth Abscess Misdiagnosis
Misdiagnosis can and does occur and is reasonably common with error rates ranging from 1.4% in cancer biopsies to a high 20-40% misdiagnosis rate in emergency or ICU care. Surveys of patients also indicate the chance of experiencing a misdiagnosis to range from 8% to 40%. This makes misdiagnosis one of the most common types of medical mistakes.
With a tooth abscess diagnosis, it is important to consider whether there is an underlying condition causing tooth abscess. These are other medical conditions that may possibly cause tooth abscess. Other conditions that might have Tooth abscess as a complication might be potential underlying conditions.
Tooth abscess misdiagnosis need not be a feared outcome. There are various ways to prevent tooth abscess misdiagnosis such as seeking a second opinion or a dental specialist referral. Getting educated about the possible alternative or underlying diagnoses for a condition is useful information to discuss with your dentist.
Abscessed Tooth Complications and Dangers
Untreated tooth abscess is very dangerous. If abscessed tooth left untreated, the tooth infection can spread and you can lose your tooth or have other health problems. Left untreated, tooth abscess may compromise the immune system and in some cases may become life-threatening.
A tooth abscess complication includes tooth loss, jaw bone damage, neighboring tooth damage or loss, sinus problems, brain abscess, heart damage, hospitalization, coma, and even death.
Some more tooth abscess complications that have been very much explained already: Facial Disfigurement as it eats away the facial bones; teeth falling out as the tooth abscess destroys the jaw holding the tooth; the picture is pretty gruesome.
Here is the list of abscessed tooth complications:
- Loss of the tooth
- Spread of infection to soft tissue (facial cellulitis, Ludwig’s angina)
- Spread of infection to the jaw bone (osteomyelitis of the mandible or maxilla)
- Sinusitis, it is any infection or inflammation of the sinus cavities behind the nose and eyes. It is very common with an estimated 37 million cases annually in the USA. Symptoms vary according to which sinus cavity is infected.
- Spread of infection to other areas of the body resulting in cerebral abscess, endocarditis, pneumonia, or other disorders
A rare abscessed tooth complications - Ludwig’s angina and mediastinitis. While a life-threatening deep neck infection is an uncommon complication of tooth abscess, dentists should be able to recognize the signs and symptoms. The patient should be examined for swelling below the inferior border of the mandible, fever, excessive trismus, floor of mouth or tongue elevations, and deviation of the pharyngeal walls. In addition, the signs of an impending airway disaster, including muffled voice, inability to tolerate secretions and protruding tongue, should be carefully evaluated. Quick referral to an oral and maxillofacial surgeon and early definitive care will minimize the morbidity and mortality of these serious infections.
The Worst Abscessed Tooth Danger - Death
Tooth abscess can cause the death of the tooth and it can literally be the death of you. If a tooth abscess if left untreated it can grow and spread through the soft tissue of the face and cause dramatic outward facial swelling called cellulitis.
If a person waits until the gum is so swollen that they have difficulty breathing or opening their mouth, the situation is very dangerous. It is not the “poison” of infection that makes the tooth abscess deadly, but its growth that can choke off our ability to breathe. That is the type of tooth abscess that can kill if left untreated.
Tooth Abscess Prevention
Prompt treatment of dental caries reduces the risk of tooth abscess. Traumatized teeth should be examined promptly by the dentist. Never leave tooth abscess to it’s own end and where-ever possible, get to a dentist as soon as possible.
Categories: Gums, Teeth
It’s really horrible to die from abscessed tooth… is there any statistic about this?
I have a swollen, infected tooth as of last night. It is pretty big, am using warm salt water. How long does it take for infection to disappear? thank you Randy
Randy, beware of tooth infection complication, rinsing with salt water has no guarantee that tooth infection will disappear. You may need more effective remedy. Try to kill your tooth infection by finding answer on this article, but best way is to consult dentist.
I have just completed my first root canal (deep filling and infection occuring after a few months). My concern is that I was informed that there is still infection in the jaw. I have a two very slight heart valve murmers and a hip replacement. Shouldn’t I be on antibiotics, and if so what is the usual protocol?
i had an abscessed tooth the did a root canal but after the pain is very bad. feels like their has been a jack hammer in my mouth-is this normal?
I have a abscecced tooth that has not a lot of pain but its in my sinus on the side of my bad tooth, its very yellow and smells.. how bad is this i have had it for over 3 weeks and no dental insurance. what is going on??
Yes this is bad. Any time you have bad smells eminating from living tissue that means there is a colony of bacteria living inside the tissue. In the case of an abcess in the mouth this infection can spread to the brain, the face or the bone and cause the loss of part of your mouth, face and death. Go to the hospital ER (YOU CAN DIE) they can give you antibiotics and drain the abcess.
my step brother is in a coma right now from what started as a tooth abcess. and it was all because he was afraid the dentist was going to have to give him a shot. i know he wishes he would have gotten it taken care of when it was a small thing. now his mother is considering taking him off of life support.
please don’t let this happen to you. see a doctor as soon as you think something is wrong.
I have several bad cavities, the most recent being in the front. My whole right side of my face is swollen, I have a black eye because of it. The absess is so large that I can not even open my mouth much. I keep going to the ER and trying to find dental clinics that will help but the dentists have refused me and the hospital keeps giving me antibiotics that are not effective? I am scarred this is much more serious, any advice on getting a dentist involved with no dental insurance?
Please advise! When my son was 3 years old, he had 5 cavities which were taken care of under sedation. Over the past 2 years (he is now 5 years old), 3 of the five former cavities have already been pulled due to abscess (2 of them within the past 2 weeks!) Is this normal? I’m not sure what to make of it, & his dentist doesn’t seem to know, either. He has had regular cleanings & checkups. Should I be concerned of underlying health problems? Is there something I can do to prevent any of the other filled teeth from abscessing?
i have been on antibiotics for 3 weeks now for an abscessed tooth…i havent been to the dentist yet due to no dental insurance..my jaw is swollen and the swelling is now going down the left side of my neck…i am miserable!!!!!!!!!!!!
We advise you go to the dentist immediately: “Left untreated, tooth abscess may compromise the immune system and in some cases may become life-threatening.”
I have had have my tooth missing down to my gums for two years now,whith the rest of my theeth filling like they may all break when I try and eat anything hard.And a painfull time trying to eat on that side. At the same time my tooth started falling apart I started having a strange filling in my fingers when I tuch certen fabrics.I am just woundering If this may have any thing to do with my exterme use of laxtive and dieting in the past. I did not have the money when my filling frist came out and caused a big whole in my tooth, due to loosing both my parents to cancer, and just trying to make a living right after high school.
hi all, i have been having alot of serious dental work for about 7 months, the pain continued after treatment was completed, was diagnosed with trigeminal neuralgia and startes tablets, pain continued, last sat pain got very bad, then my cheek began to swell from my jaw, i felt so ill but put it down to t neuralgia, but had high fever could not swallow any food or drink and my cheek from jaw swollen, decided that vthis could not possibly be neuralgia, went back to dentist who immediately put me on amoxillin 500mg 3x day for 5 days and have to go back to dentist to sort out tooth, is this enough antibiotic? how long untill swelling goes down? how much rest do i need? when will pain go away? please help me out.