Common "Periapical Abscess" queries answered by top doctors | iCliniq

Periapical Abscess

A periapical or dental abscess is the locally formed infection or pus in the periapical region of an infected or carious tooth. In a long-standing carious tooth, caries invade the enamel and spreads to dentin. The infection then involves the pulp, thereby entering into the root and invades the periapical tissues causing periapical infection. Symptoms include pain in the affected tooth, swelling, pain on the involved side of the face, fever, pus discharge, etc. An intraoral periapical radiograph can reveal the extent of the abscess. Though antibiotics and painkillers can temporarily relieve the pain or swelling, removing the etiology through a root canal treatment or tooth extraction is the permanent treatment.

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I have been experiencing severe pain in my tooth due to an abscess under the tooth for the past few months. Please help.

Query: Hello doctor, I am a 23-year-old female, and I have been dealing with severe pain in my tooth. I was supposed to have it extracted a few months ago, but I never got around to it. Finally, I went to the dentist yesterday, and they suspect there is an abscess under the tooth. They prescribed antibioti...  Read Full »


Dr. J. Mariano Anto Bruno Mascarenhas

Answer: Hi, Welcome to iCliniq.com I read your query and can understand your concern. Based on the information provided, it is crucial that you seek immediate attention from your dental surgeon. Please do not postpone your visit. I wish you a speedy recovery, and please let me know if there is anything ...  Read Full »

Should I be concerned about the small bump present on my gum?

Query: Hello doctor, So, I found one small bump on my gum right before the tooth. I barely touched it and it started bleeding but it was only one bump. Should I be concerned?  Read Full »


Dr. Muzaffer Hussain Parray

Answer: Hi, Welcome to icliniq.com. As per your history, it seems to me that you are having acute apical periodontitis with a gingival abscess. For that, you need to take antibiotics for at least five days. The tenderness of the tooth is also because of the same reason.  Read Full »

Why am I having toothache with hard bump in the gum?

Query: Hi doctor, I have pain in my molar tooth on lower right side and under it is a hard bump in my gum. The pain is only when I eat or touch bump or tooth. Please help.  Read Full »


Dr. Ummah Mohammad

Answer: Hi, Welcome to icliniq.com. That bump seems to be an abscess collection from your explanation and the infection in your tooth has reached pulp. You should go to your dentist at the earliest, he or she will get your X-ray done and then treatment will begin. First of all, abscess drainage is a must ...  Read Full »

What can be done for severe pain in back tooth?

Query: Hello doctor, My lower back tooth hurts severely. I have taken Tylenol and it is still not helping.  Read Full »


Dr. Naveen Thomas

Answer: Hello, Welcome to icliniq.com. You may have an abscess with infection. You need antibiotics along with painkillers like Tylenol. Get an early appointment with your dentist and get an X-ray done to find which wisdom tooth or other molars are infected. You may need extraction or root canal treatment...  Read Full »

What could cause undetectable throbbing pain in tooth or gums with sleep disturbance?

Query: Hello doctor, I think I am suffering from a tooth or gum infection. My left upper jaw started to hurt last month. It felt like it was one of the teeth at the end of the left upper jaw. I checked for cavities but nothing was visible. The pain stopped after a few days but I have been suffering from...  Read Full »


Dr. Arya Kaushik Bharat

Answer: Hello, Welcome to icliniq.com. Based on the information you have provided, it looks like you might be suffering from a dental infection due to severe dental decay causing inflammation of the dental pulp. Since the decay is not visible directly, it might be between two teeth or perhaps your upper...  Read Full »

I have pain in my first premolar. Kindly assist

Query: Hi doctor,My dentist tried to do a root canal (1st premolar), but it did not work; the second time, he got a microscope and went back in. As soon as he was done the second time, I asked him if it should still be hurting because it was, and he said no, it should not be. So I went to an Endodontist in...  Read Full »


Dr. Muzaffer Hussain Parray

Answer: Hi, Welcome to icliniq.com. I understand your concern. In case you can upload the CT (computed tomography) scan picture or its report, I may be in a better position to tell you what is wrong there, both about perforation and the prognosis of the tooth. Yes, it is an infection and needs antibiotic...  Read Full »

Why do I get recurrent abscesses in a filled tooth?

Query: Hi doctor, I had an infection in my tooth and it was treated with a filling after a course of antibiotics. After the filling, an abscess reoccurred twice which was treated with antibiotics. It seemed to settle for a while and then I could feel a pain and pressure inside the tooth. Now a small pimpl...  Read Full »


Dr. Muzaffer Hussain Parray

Answer: Hi, Welcome to icliniq.com. I have gone through your question. I can understand your concern. As per your history, it seems to me that you are having recurrent apical periodontitis. If the filling is still there, it needs to be removed. The recurrent apical abscess is because of this infectious to...  Read Full »

How to get rid of the swelling and pain caused due to the abscess in my upper right tooth?

Query: Hello doctor, I have an abscess behind my upper right tooth. It is really painful and swollen. I cannot go to the dentist until next week. How long will it take for the swelling to go down and the pain to reduce?  Read Full »


Dr. Himayoon Majeed Mir

Answer: Hello, Welcome to icliniq.com. Thank you for your query. I have gone through your query and I can understand your concern. Abscess is due to the carious tooth with an infected pulp and it generally causes acute pain. I would advise you to make an appointment with your dentist as soon as possible...  Read Full »

Is it harmful if I accidentally swallow the pus drained from a tooth abscess?

Query: Hello doctor,I have an abscess on my tooth. I went to the emergency room, and the doctor poked a hole in the abscess and drained the content. But it did not drain fully, and he did not prescribe me antibiotics and pain medicine. I am just wondering if it would hurt if it were not drained completely?...  Read Full »


Dr. Rakshana Devi M

Answer: Hello, Welcome to icliniq.com. It will not do any harm if you swallow the pus. The pus will discharge at night while sleeping, and it is normal. It is not related to incomplete pus drainage. Only a certain limits of pus can be removed by applying pressure. We can wait and see if it con...  Read Full »

I have an abscessed tooth with swollen face. Is it serious?

Query: Hello doctor, I have an abscessed tooth and have been on antibiotics for three days. I woke up this morning with an extremely swollen face, should I go to the ER?  Read Full »


Dr. Muzaffer Hussain Parray

Answer: Hi, Welcome to icliniq.com. I have gone through your question and I can understand your concern about your toothache and facial swelling. You need IV (intravenous) route antibiotics like Ceftriaxone one gram after allergic test and for that, you must visit either a dentist or an emergency room. Af...  Read Full »

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