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Tooth root abscess

(30 Posts)
silverlining48 Tue 06-May-25 08:22:39

I have been in the same situation and my advice is not to delay treatment.
Anti biotics do not always help and swift action is important.
I know of someone with this problem who died of sepsis , he was young and it was a tragedy.

Everdene Tue 06-May-25 07:52:58

Please get it treated properly as soon as possible. The serious complications listed above, whilst rare, are very real and the symptoms are not always noticeable until major irreversible damage has been done.

One of my relatives was told by the dentist (after a short course of antibiotics) that the tooth abscess/ infection had “gone” and therefore extraction wasn’t needed immediately. In fact the infection had spread to the brain - causing a large brain abscess which required surgery. My relative ended up in hospital for 3 months and was left with permanent life changing disabilities.

NotSpaghetti Mon 05-May-25 17:15:37

Just want to reiterate- your dentist knows your mouth best. Be guided by them.

🤞

NotSpaghetti Mon 05-May-25 17:13:57

Mine had to come out.
Ask your dentist as they have seen the x-ray and know you.
She/He may say you will be OK for a while but personally I'd want to get mine sorted.
Here's some info from the Mayo Clinic which I think is always reliable:
www.mayoclinic.org/diseases-conditions/tooth-abscess/symptoms-causes/syc-20350901?hl=en-GB

I also just looked up (with Gemini) about untreated abscesses and this is what it said (below) - obviously some of these are quite extreme!

Leaving a tooth abscess untreated can lead to serious and potentially life-threatening complications as the infection can spread to other parts of the body. Here are some of the serious complications that can arise:
Local Spread:
* Spread to surrounding soft tissues (Cellulitis): The infection can spread to the skin and subcutaneous tissues of the face and neck, causing redness, swelling, pain, and warmth. Facial cellulitis can become severe and even lead to sepsis.
* Ludwig's Angina (Submandibular Space Infection): This is a severe and rapidly progressing infection of the floor of the mouth, under the tongue, and in the neck. The swelling can obstruct the airway, making breathing extremely difficult and potentially fatal. This is a medical emergency.
* Parapharyngeal Abscess: An abscess that forms in the space at the back of the mouth, near the throat. This can cause severe sore throat, fever, and neck swelling, and can also compromise the airway.
* Osteomyelitis: The infection can spread to the jawbone, causing a serious bone infection that is difficult to treat and can lead to bone loss.
* Sinusitis: If the abscess is in an upper tooth, the infection can spread to the maxillary sinus, causing a sinus infection.
Systemic Spread (through the bloodstream):
* Sepsis (Blood Poisoning): This is a life-threatening condition where the body has an overwhelming and toxic response to an infection. It can lead to organ damage, shock, and death. Signs of sepsis include fever, chills, rapid heart rate, rapid breathing, confusion, and red streaks on the skin.
* Endocarditis: In rare cases, bacteria from a tooth abscess can travel through the bloodstream to the heart and infect the inner lining of the heart chambers and valves. This can cause serious heart damage.
* Brain Abscess: Although rare, the infection can spread to the brain, forming a brain abscess, which is a collection of pus in the brain. This can cause severe neurological symptoms, including headache, fever, confusion, seizures, and even coma.
* Cavernous Sinus Thrombosis: This is a very rare but serious condition where a blood clot forms in the cavernous sinus, a large vein at the base of the brain, due to the spread of infection. It can cause severe headache, eye pain, swelling around the eyes, vision problems, and neurological deficits.
* Pneumonia: In very rare cases, the infection could potentially spread to the lungs, leading to pneumonia.
Other Complications:
* Difficulty breathing or swallowing: Swelling from the infection, especially in the neck or floor of the mouth, can obstruct the airway or make swallowing very painful and difficult. This requires immediate medical attention.
* Dehydration: Difficulty swallowing due to pain can lead to dehydration.
* Weakening of the immune system: A persistent infection can put a strain on the immune system, making the body more susceptible to other infections.
* Tooth loss: The abscess itself and the resulting bone loss can lead to the loss of the affected tooth.
It is crucial to seek immediate dental or medical attention if you suspect you have a tooth abscess or if you experience any of the serious symptoms mentioned above. Prompt treatment can prevent these dangerous complications and save your life.

Drama Sun 04-May-25 17:07:21

Hi. I wondered if anyone could advise me?,
I had a checkup at the dentist last week and she found a tooth abcess when she xrayed as I was feeling pain if I pushed on the tooth. Lower front tooth.
Root canal is not an option as the tooth is in poor condition and there is severe gum recession. I will opt for extraction and will have the one next to it extracted as well.
I have had a 5 day course of Amoxicillin which doesn't seem to have helped.
My problem is that I am going on holiday (UK) in 4 weeks time and I don't want to go while not having front teeth. Vanity!
I will get it extracted in about 5 weeks time.
Has anyone left it that long to have an abscess treated? I know that can flare up very quickly.
I have to have a filling next week on another tooth so will discuss it with dentist but any opinions would be gratefully received.