Basic information

abscess caused of paradontium

abscess caused of paradontium

Dental abscess is the term for acute purulent inflammation of tissues around the tip of the tooth root. This is colloquially called a „tank” of puss that forms in the mouth due to the passage of bacteria. Abscesses can be effectively treated by incision.

Absesses can be distinguished by cause and location:

  • abscesses caused by injury (excessive brushing, improper use of toothpicks, some foods – popcorn, bones)
  • abscesses formed by the development of deep cavities that connect with tooth pulp (nerve of the tooth) and blood vessels
  • abscesses caused by the penetration of bacteria from deep gaps (periodontal pockets) between the teeth and gums, occurring in many periodontal diseases, e.g. parodontium

There are two types of abscess that can occur in the mouth:

  • tooth abscesses (periapical abscesses and subperiosteal abscesses) usually occur when the nerve of the tooth is dead or when it is slowly, gradually dying
  • gum abscesses, which are located on the gum with no contact with the tooth, and are most frequently located between the gum and the tooth or high on the gum



Symptoms indicating the presence of an abscess:

  • very painful growths (usually spherically shaped) filled with pus
  • swelling around the area where the growth occurs
  • severe pain when drinking hot or cold drinks
  • unpleasant smell
  • pulsating, spreading pain that does not go away
  • possible fever
  • lymph nodes under the mandible or on the neck can swell and become sensitive to touch
  • possible pain in the area of paranasal sinuses and the temple

The course of treatment

The course of treatment

Treatment of abscesses begins with the removal of pus.

With a gum abscess, the soft tissue will be perforated (by making an incision in the gum) to dry the infection. In advanced cases – usually in patients who have long delayed treatment or attempted to treat it at home – it may also be necessary to cut the skin of the face in order to evacuate the pus stored under it.

1. abscess caused periodontium, 2. abscess incision by gum incision

1. abscess caused periodontium                        2. abscess incision by gum incision

3. drain placement, 4. sutures placement

3. drain placement                                                             4. sutures placement

  5. drain removal, sutures removal, 6. scaling - removal of abscess cause

                            5. drain removal, sutures removal           6. scaling – removal of abscess cause

If the abscess is caused by a tooth, it requires opening. The dentist will remove the nerves and  infected pulp inside the canals in the roots of the teeth, through the so-called treatment of canals with infected pulp.

Treatment should be undertaken as soon as possible to remove the infected tissue. If the tooth abscess cannot be cured, the tooth should be removed.


If the abscess is in the gum, the dentist may recommend rinsing (several times a day, for several days) the mouth with warm water mixed with salt.

In certain scenarios, the dentist can also prescribe an antibiotic that will help to relieve the infection.

After 6 months, an X-ray of the treated area should be taken so that the dentist can see if healthy bone and tissue is filling the area destroyed by the abscess. If bone is not filling the area after surgery, the surgeon can fill the surgical site with bone-forming material.

Oral abscesses can lead to numerous local and general complications. The inflammatory process can spread through the blood and lymph vessels to nearby and distant organs, so do not treat abscesses using home methods and visit a dentist as soon as possible!