Dental Abscesses

Sussex Emergency dentist can offer immediate assessment and treatment of Dental abscesses caused by the build up of puss due to bacterial infection.

Draining an infected tooth or swelling, is a procedure to remove pus caused by a bacterial infection and alleviate pressure and pain caused by the infection. It can occur in different parts of the tooth with the most common being a Periapical Abscess, located at the tip of the tooth’s root and a Periodontal Abscess in the gums at the side of the tooth root.

Procedure for Draining an Abscess

1. Initial Examination
   • The dentist will examine the affected area and may take an X-ray to determine the extent and location of the abscess.
2. Anaesthetic
   • Incision: The dentist makes a small cut in the gum to allow the pus to drain out.
   • Drainage: The pus is gently pressed out, and the area is cleaned thoroughly to remove all infected material.
3. Incision and Drainage
   • Once loosened, forceps are used to grasp the tooth and remove it from the socket.
4. Cleaning the Area
   • The dentist may irrigate the area with saline solution or an antiseptic to ensure all pus and debris are removed.
5. Placement of Drain (if needed)
   • In some cases, a small rubber drain may be placed in the incision to keep it open and allow any remaining pus to drain out. This is usually removed after a few days.
6. Treatment of the Underlying Cause
   If the abscess is caused by a dental infection, further treatment may be required:
   • Root Canal Therapy: To remove the infected pulp if the abscess is periapical.
   • Tooth Extraction: If the tooth is severely damaged and cannot be saved.
   • Periodontal Treatment: To treat gum disease if the abscess is periodontal.
7. Antibiotics
   • Antibiotics may be prescribed to help clear the infection, especially if it has spread or there is a significant amount of swelling.
8. Pain Management
   • Over-the-counter pain relievers or prescribed medications may be recommended to manage discomfort.

Complex Dental Extraction Likely Procedure

1. Anesthesia
   • Small incisions are made in the gum to expose the tooth and surrounding bone.
2. Incisions
   • The dentist uses an elevator to loosen the tooth from the surrounding bone and periodontal ligament.
3. Bone Removal
   • Sometimes, a portion of the bone around the tooth needs to be removed to access the tooth.
4. Tooth Sectioning
   • The tooth may be divided into sections to facilitate easier removal, especially in cases of impacted or multi-rooted teeth.
5. Removal
   • Each section of the tooth is carefully removed.
6. Stitches
   • The gum incisions are typically stitched to promote healing.
7. Post-Extraction Care
   • Instructions are given for managing pain, swelling, and preventing infection. Follow-up visits may be necessary.
8. Recovery
   • Recovery can take longer and may involve more discomfort compared to simple extractions. Pain management may include prescription pain relievers, and post-operative care is crucial to prevent complications such as dry socket or infection.