What could be done to manage a toothache and acute abscess?

Question

Hello doctor,

I had toothache a week ago, so I took the tablets Ibuprofen and Amoxicillin. Later, I noticed that the right side of my face was swollen because I had an acute abscess. Do I need to consult a dentist first?

Please help.

Thank you.

Answer 1

Hi,

Welcome to icliniq.com.

You have swelling because of an abscess. However, based on the sites involved, it could be cellulitis (inflammation reaching deeper tissues or spaces). Do you have pain, breathing, or swallowing difficulties?

If you have breathing or swallowing difficulties, please visit the emergency department. Is the swelling painful or pitting? This is just for your information, and nothing to be paranoid about. Mostly, it will be an abscess only. Can you please send me a photo of the tooth involved and the swelling of the face?

Secondly, take an IOPA (intraoral periapical radiograph) and send me as soon as possible. I suggest you consult your nearby dentist soon, as the dental abscess will need antibiotic coverage, root canal treatment, or extraction. I suggest you take a Metronidazole tablet for abscess, as you have already taken Amoxicillin for inflammation and infection.

I hope that you get your answer.

Please let me know if you need any help.

Thank you.