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Dental abscess is a tooth infection rendering pain at its root or between them and the gum. The inner part of the tooth gets infected by such type of disorders which allow the bacteria to enter in the gaps of tooth enamel. Continuous toothache that causes throbbing and severe pain are the common signs of dental abscess. The gums and the tooth may be more sensitive to the touch of cold and hot food items and beverages. Dental abscess makes chewing and biting activities sensitive to pressure and causes pain each time one engages in the above activities. When the dental abscess ruptures, then the pus- like fluids with putrid smell and taste which are present in the gums and tooth come out in torrents. Dental abscess is caused due to bacterial infection in the tooth pulp, which is the innermost part of tooth, containing the soft connective tissues, the nerves, and the blood vessels. Chips and cracks in tooth make room for the bacteria to enter causing the decay of tooth which enter the root of tooth slowly and cause inflammation and swelling inside the tight space of tooth.
If enough dental care is not given by brushing twice a day, it can lead to tooth and gum decay, and can cause other dental diseases along with dental abscesses. The risk of getting dental abscess is more for those who are in the habit of consuming a diet that has high sugar content such as sweet dishes and chocolates.
Diabetes and autoimmune diseases reduce the strength of the immune system and thereby hasten cases of dental abscess. Treatment for dental abscess focuses on draining the abscess of the pus and clearing all infections in the tooth.
For treating and saving the tooth, root canalling is one of the best ways, wherein the infected tooth is drilled, the pulp is removed and the abscess is drained; after which the pulp chamber is filled, closed and sealed.
Administering antibiotics is not required if the infection remains isolated to a single tooth.
Dental abscess antibiotics can be taken alongside painkillers but both of them are given only under the advice of qualified medical practitioner . Apart from rinsing the mouth with warm salt water, pain killers may be prescribed during the treatment.
Good oral hygiene habits such as daily brushing and flossing, changing the toothbrush every few months, regular dental checkup and a balanced diet are some of the best ways to prevent tooth decay and the spread of dental abscess. This website is purely for information purpose and gives information that is general in nature. It results in the collection of pus in the center of the tooth generally referred to as the pulp.

Unattended tooth cavity, gum infection, or gingivitis, chipped or broken tooth would also cause dental abscess. Such infection by bacteria and other microorganisms ultimately spread to other parts of the tooth including its root and the supporting bones. Such bursting of the dental abscesses results in subsiding of the pain which slowly decreases and then completely vanishes. The infection then continues to spread to other regions of the body such as the head, neck, jaw, etc. Such inflammation results in the formation of pus which is pushed into an abscess or a gap that develops at the tip of the root. In case, there is spread of infection to other regions and tissues, then antibiotics are prescribed to treat the infection and prevent it from spreading any further. The antibiotics prescribed are amoxicillin and metronidazole only if the face is swollen, you contract fever or swollen glands, you are at risk of complications due to diseases like diabetes or if you have a weak immune system.  Do not take antibiotics as replacement for dental treatment for tooth abscess because only a dentist can treat the issue. Please contact your health care provider for specialized medical advice, diagnosis and treatment. After this repair work, proper dental care and hygiene would ensure its safety for life time. It appears as hard nodules in the helix or antihelix and may discharge chalky white crystals through the skin. Histologi- cally, it is usually either (1) an epidermoid cyst, common on the face and neck, or (2) a pilar (trichilemmal) cyst, com- mon in the scalp.
They are classified as central perforations, which do not extend to the margin of the drum, and marginal perforations, which do involve the margin. The more common central perforation is illustrated here. A reddened ring of granulation tissue surrounds the perforation, indicating chronic infection.
It is typical of tympanosclerosis: a deposition of hyaline material within the layers of the tympanic membrane that sometimes follows a severe episode of otitis media.
It does not usually impair hearing and is seldom clinically significant. Other abnormalities in this eardrum include a healed perforation (the large oval area in the upper posterior drum) and signs of a retracted drum. A retracted drum is pulled medially, away from the examiner’s eye, and the malleolar folds are tightened into sharp outlines. The eustachian tube cannot equalize the air pressure in the middle ear with that of the outside air.
Air is partly or completely absorbed from the middle ear into the bloodstream, and serous fluid accumulates there instead. Symptoms include fullness and popping sensations in the ear, mild conduction hearing loss, and perhaps some pain. Amber fluid behind the eardrum is characteristic, as in this patient with otitic barotrauma.

A fluid level, a line between air above and amber fluid below, can be seen on either side of the short process.
Redness is most obvious near the umbo, but dilated vessels can be seen in all segments of the drum. Spontaneous rupture (perforation) of the drum may follow, with discharge of purulent material into the ear canal. Hearing loss is of the conductive type. Symptoms include earache, blood-tinged discharge from the ear, and hearing loss of the conductive type. In this right ear, at least two large vesicles (bullae) are discernible on the drum. The inner ear or cochlear nerve is less able to transmit impulses regardless of how the vibrations reach the cochlea. It may be due to nutritional deficiency or, more commonly, to overclosure of the mouth, as in people with no teeth or with ill-fitting dentures. The lip loses its normal redness and may become scaly, somewhat thickened, and slightly everted. It may appear as a scaly plaque, as an ulcer with or without a crust, or as a nodular lesion, illustrated here.
This, together with fever and enlarged cervical nodes, increases the probability of group A streptococcal infection or infectious mononucleosis. The throat is dull red, and a gray exudate (pseudomembrane) is present on the uvula, pharynx, and tongue. Petechiae in the buccal mucosa, as shown, are often caused by accidentally biting the cheek. The extensive example shown on this buccal mucosa resulted from frequent chewing of tobacco, a local irritant.
The gingival margins are reddened and swollen, and the interdental papillae are blunted, swollen, and red. Then the destructive (necrotizing) process spreads along the gum margins, where a grayish pseudomembrane develops.
Note here the erosion of the enamel from the lingual surfaces of the upper incisors, exposing the yellow- brown dentin. The upper central incisors of the permanent (not the deciduous) teeth are most often affected.

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