A 37-year-old female asked:
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when does dental abscess become an emergency? in severe cases is incision, drainage, removal best done immediately or after a course of oral abx?

3 doctor answers
Dr. Arnold Malerman
52 years experience Orthodontics
Emergency: An infected tooth is an emergency. If there's pain, bleeding, swelling, fever, it's an emergency. I;d and/or antibiotics may help limit spread of infection, but only root canal treatment or extraction will cure the infection. Course of treatment depends on your dentist's diagnostic findings. Follow your dentist's instructions to the letter.
Answered on Jan 20, 2017
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Dr. Saleh Elahwal
34 years experience Endodontics
Dangerous triangle : Dental abscess becomes very dangerous if it lies very close to brain .. Like upper area where premolars and molars are. I;d should be performed when the swelling is becoming ripe or soft to establish an exit for the pus ..This procedure should be followed with course if antibiotic .. Then the cause of the infection should be assessed and dealt with
Answered on Apr 5, 2016
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Dr. Daniel Quon
41 years experience Oral and Maxillofacial Surgery
Emergency when: A dental abscess requires immediate attention when it has entered into the soft tissue planes of the head and neck with limited opening of the mouth, difficulty swallowing, and/or elevation of the floor of the mouth compromising the airway. The decision to treat with antibiotics first or antibiotics first is based on a detailed clinical exam and possible CT scan to localize the abscess.
Answered on Jun 26, 2015

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