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Throbbing pain, a gum pimple or swelling near a tooth can mean an abscess. Wilsonville patients should call our Port Dover office promptly for an assessment.
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See every dental service for WilsonvilleInfection needs prompt attention
A dental abscess is a pocket of infection that forms at the tip of a tooth root or in the gum beside a tooth. It often causes throbbing pain, tenderness when biting and swelling, though some abscesses are surprisingly painless. Because the infection can spread, an abscess needs professional treatment even if the discomfort seems to ease.
If you are in Wilsonville and suspect an abscess, call our Port Dover office as soon as you can and describe your symptoms. The team will discuss urgency and availability. Severe or rapidly worsening swelling, fever or difficulty swallowing need emergency medical care rather than waiting for an appointment.

Warning signs
Common signs include persistent or throbbing toothache, pain when chewing, a bad taste or smell, a small pimple-like bump on the gum that may drain, and a tooth that feels raised or loose. Sometimes sensitivity to hot or cold comes before swelling. Note when symptoms started and whether they are getting worse.
Swelling that extends into the cheek, jaw, under the chin or around the eye, along with fever, feeling unwell or difficulty opening your mouth, suggests the infection may be spreading. These signs need urgent attention. If breathing or swallowing becomes difficult, call 911 or go directly to the emergency department.
Assessment
The dentist will examine the area, check the tooth with gentle tapping and temperature tests and usually take an X-ray to see the root and surrounding bone. Your medical history, including medications and conditions that affect healing or immunity, is reviewed, since these influence how the infection is managed.
An abscess may start inside the tooth when decay or injury lets bacteria reach the nerve, or it may develop in the gum tissue around the tooth. The source affects which treatment is appropriate. Your dentist will explain the findings and the options for removing the infection and relieving pressure.
Treatment
Depending on the situation, the dentist may drain the abscess, begin root canal treatment to clean the inside of the tooth or recommend extracting a tooth that cannot be saved. Gum abscesses may be treated by cleaning the area thoroughly. The goal is to eliminate the infection and stop it from returning.
Antibiotics may be prescribed in some cases, particularly when there is spreading swelling or systemic symptoms. They are not a substitute for treating the tooth itself, since the source of infection usually remains. Take any prescribed medication exactly as directed and complete the course unless told otherwise.
Recovery
After treatment, tenderness may linger for a few days. Over-the-counter pain relief used according to the label and warm saltwater rinses may help, if appropriate for you. Eat softer foods and chew on the other side. Call the office if swelling increases, fever develops or pain worsens rather than improving.
If root canal treatment was started, return to complete it and discuss a crown or other restoration to protect the tooth. If a tooth was removed, ask about replacement options. Keeping follow-up appointments is important, because infections that are only partly treated can return.
Planning your appointment
Phone our Port Dover office promptly and describe the swelling, pain and any fever. The team will discuss how quickly you should be seen. Do not wait for symptoms to settle before seeking advice.
Have a list of your medications and allergies ready, and mention any medical conditions that affect your immune system or healing.
Before you book
Have a question about your situation? Our team can help you plan a visit.
Antibiotics can help control spreading infection, but they usually do not remove the source inside the tooth or gum. Dental treatment such as drainage, root canal therapy or extraction is typically still needed.
Not necessarily. Pain can ease if the nerve dies or the abscess drains, but the infection may still be present. Have the tooth examined to confirm whether treatment is needed.
Left untreated, an abscess can spread to surrounding tissues and, rarely, become serious. Prompt dental care is important, and severe swelling or difficulty breathing or swallowing requires emergency medical attention.
Often, root canal treatment can save the tooth. If the tooth is badly damaged or the supporting bone is affected severely, extraction may be recommended. Your dentist will explain the options.
Avoid applying heat to facial swelling, as it may encourage the infection to spread. A cold compress on the outside of the face may help with comfort until you are seen.
Root canal treatment can save a tooth with an infected or inflamed nerve. Wilsonville patients can learn about symptoms, the procedure and recovery in Port Dover.
Swelling in the cheek, jaw or gum can signal a dental infection. Wilsonville patients can learn when to call our Port Dover office and when to go to emergency.
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