Swelling in your face, neck, or trouble breathing? Go to the nearest ER immediately.
Emergency Guide

Severe Tooth Infection: Act Fast to Stop It Spreading

A dental abscess is a pocket of pus caused by a bacterial infection. It can spread to your jaw, neck, or brain if left untreated. Do not ignore this pain.

2M+
Dental ER Visits Yearly
27%
Adults with Untreated Decay
100%
Require Professional Care

What is a
Dental Abscess?

An abscess forms when bacteria infect the center of your tooth (the pulp) or the gums. This creates a painful pocket of pus. The infection will not go away on its own.

Without treatment, the infection can spread to your jawbone, surrounding tissues, and even your bloodstream, causing a life-threatening condition called sepsis.

Signs the Infection is Spreading

Difficulty Breathing or Swallowing

The infection may be blocking your airway. Go to the ER now.

Severe Facial or Neck Swelling

Swelling that spreads beyond your mouth is a sign of a dangerous infection.

Fever and Chills

A high fever indicates the infection has entered your system.

Rapid Heart Rate or Confusion

These are warning signs of sepsis, a life-threatening response to infection.

Foul Taste or Sudden Pain Relief

The abscess may have ruptured. You still need immediate dental care to clean the area.

What to do right now

Follow these steps immediately. Time matters.

1

Call an Emergency Dentist

Immediately

You need professional treatment to drain the infection and prescribe antibiotics. Call right away.

2

Rinse with Salt Water

Every few hours

Mix half a teaspoon of salt in warm water. Rinse gently to help draw out pus and soothe the area.

3

Take Pain Relievers

As needed

Use over-the-counter pain medicine like ibuprofen or acetaminophen to manage the pain.

4

Apply a Cold Compress

15 mins on/off

If your face is swollen, hold an ice pack wrapped in a towel to your cheek for 15 minutes at a time.

5

Keep Your Head Elevated

While resting

Prop your head up with pillows when resting to reduce pressure and throbbing pain.

Do not try to pop or drain the abscess yourself. This can push the infection deeper.

Dos and don'ts

Do

Call a dentist immediately

Rinse with warm salt water

Take over-the-counter pain relievers

Use a cold compress for swelling

Eat soft foods on the opposite side

Don't

Do not try to pop or drain the abscess

Do not put aspirin directly on your gums

Do not ignore the pain or swelling

Do not eat hard, crunchy, or hot foods

Do not stop taking prescribed antibiotics early

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When to Seek Emergency Care

A dental abscess is always an emergency. Knowing where to go can save your life.

Go to the ER if you have trouble breathing or swallowing.

Go to the ER if swelling spreads to your neck or eye.

Go to the ER if you have a high fever or feel confused.

See an emergency dentist today for severe, throbbing tooth pain.

See a dentist even if the abscess ruptures and the pain stops.

Frequently asked questions

Will a dental abscess go away on its own?
No. The infection will not heal without professional treatment. Even if the pain stops, the infection is still there and can spread.
Do I need a root canal or an extraction?
It depends on the damage. A root canal can save the tooth by removing the infected pulp. If the tooth cannot be saved, it must be extracted.
Can I just take antibiotics?
Antibiotics alone will not cure an abscess. The source of the infection must be removed by draining the pus and treating the tooth.
What are the signs of sepsis from a tooth infection?
Signs include a high fever, rapid heart rate, confusion, shortness of breath, and extreme pain. Sepsis is a medical emergency.
How can I prevent a dental abscess?
Brush twice a day, floss daily, and see your dentist for regular checkups. Treat cavities early before they reach the center of the tooth.

Don't wait when it hurts.

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