Is a Tooth Abscess Considered a Dental Emergency? Tooth abscess is absolutely a dental emergency. If you have a tooth abscess, you need to seek treatment immediately. Left untreated, abscess can lead to infection that spreads through the body causing serious and even life-threatening effects.
Although they are not usually life threatening, you should seek medical help if you notice an abscess on your body. If you discover a lump or unusual spot on your skin or in your mouth that is sore, red or inflamed and warm to the touch, you should see an emergency room doctor to examine the affected area.
Abscesses occur when bacteria get under your skin and form a pocket of pus. Symptoms include tenderness, pain and swelling, often on an arm or leg where there's been a cut or scrape. Seek medical attention right away if you suspect you may have an abscess.
Often, an abscess is simple and can be drained in the emergency department. Occasionally, abscesses are complicated and require surgical consultation. In some cases, complicated abscesses may be better drained in the operating room.
The patient should seek emergency help if the infection has become so painful and cannot be managed with over-the-counter medication. If the patient has developed a fever, has chills, is vomiting, or exhibiting other symptoms of having a dental abscess.
Tooth abscess is absolutely a dental emergency. If you have a tooth abscess, you need to seek treatment immediately. Left untreated, abscess can lead to infection that spreads through the body causing serious and even life-threatening effects. The sooner these issues are treated the better!
Medical Treatment
The area will be covered with an antiseptic solution and sterile towels placed around it. The doctor will cut open the abscess and totally drain it of pus and debris. Once the sore has drained, the doctor may insert some packing into the remaining cavity to allow the infection to continue to drain.
Superficial abscesses are commonly seen in the emergency department. In most cases, they can be adequately treated by the emergency physician without hospital admission. Treatment consists of surgical drainage with the addition of antibiotics in selected cases.
Time Span of an Untreated Abscess
In case a person does not treat a dental abscess in its initial stage, then the infection may last anywhere between 5 months to 12 months or even more. Moreover, if no treatment is meted out to the condition, the precious dental pulp will die away and may get another abscess.
Abscesses usually are red, swollen, and warm to the touch, and might leak fluid. They can develop on top of the skin, under the skin, in a tooth, or even deep inside the body. On top of the skin, an abscess might look like an unhealed wound or a pimple; underneath the skin, it may create a swollen bump.
Call your doctor if your abscess fails to heal after two weeks, or if it increases in size and pain over time. You should also contact your doctor if your abscess is accompanied by: A fever. Increasing pain, or a throbbing sensation.
Sometimes this basic treatment is enough for an abscess to resolve. But, if your abscess continues to get bigger and more painful, you'll need to drain it. Here are other signs you may need your abscess drained: It has been more than 1 week, and it's not getting better on its own.
Once the abscess has been located, the surgeon drains the pus using the needle. They may make a small incision in your skin over the abscess, then insert a thin plastic tube called a drainage catheter into it. The catheter allows the pus to drain out into a bag and may have to be left in place for up to a week.
A small skin abscess may drain naturally, or simply shrink, dry up and disappear without any treatment. However, larger abscesses may need to be treated with antibiotics to clear the infection, and the pus may need to be drained.
Untreated tooth abscesses can kill you. Untreated infections can spread to surrounding tissues in your body. This can cause serious complications including sepsis and necrotizing fasciitis, which can lead to death. The outlook for internal abscesses depends on the location and treatment.
As a nurse practitioner, you will likely only deal with draining cutaneous (skin) abscesses. Abscesses present as pustules or boils of varying size often with surrounding redness and induration. Drainage may or may not be present.
How quickly does a tooth abscess progress? Abscesses can develop relatively quickly - as little as one or two days after the first signs of infection. They may progress undetected and therefore untreated, and develop for months or even years.
If an abscess ruptures, you may notice a sudden foul taste or even salty fluid in your mouth. You'll probably also notice that your pain subsides and think that you are out of the woods. Unfortunately, this isn't necessarily true. The rupture can be one of the first signs that the infection is beginning to spread.
If it's something where the pain is so severe, you just cannot get it under control, you can come to the ER. Just keep in mind we won't be able to do a whole lot more than maybe put you on some antibiotics to cool down that infection in your tooth, get you some pain medication, get you feeling a little better.
An untreated tooth infection can spread to other tissues in your body within weeks or months and lead to potentially life-threatening complications.
You SHOULD go to the emergency room if: You have swelling from a toothache that has spread to other parts of your face, especially your eye or below your jaw line. You have a toothache accompanied by a high fever (>101). You have bleeding that can't be controlled with pressure (more on this below).
How Are Abscesses Treated? Most abscesses can be managed at home. If you think you have a skin abscess, avoid touching, pushing, popping, or squeezing it. Doing that can spread the infection or push it deeper inside the body, making things worse.
If the abscess cannot be drained effectively at bedside, or if the pain is too great for local anesthesia to be helpful, or other reasons, the procedure can be drained in the operating room under sedation or general anesthesia.