Reviewed by Dr. J. Travis Thompson, DDS

Pulling an abscessed tooth may seem like the fastest way to relieve pain, but removing an infected tooth can lead to complications if not handled properly. In some cases, extraction can allow infection to spread, affect surrounding bone, or create additional oral health concerns. Understanding the potential risks helps determine when extraction is appropriate and when other treatment options may be safer.

Table of Contents

What Are the Risks of Extracting an Abscessed Tooth?

A tooth extraction should only be considered a last resort when faced with a dental abscess. Pulling an infected tooth can lead to serious consequences.

1. Impact Neighboring Teeth

The gap created by a missing tooth can cause the neighboring teeth to shift and tilt, leading to misalignment issues. Shifting teeth can result in difficulty chewing, jaw pain, and even further tooth loss.

2. Increase Risk of Gum Disease

When a tooth is pulled out, it leaves an empty socket in the gum. An empty socket can become a breeding ground for bacteria, leading to various dental and oral health issues. The risk of infection in the area increases, and it can even trigger gum disease in people who have never had it before.

3. Loss of Bone Structure and Bone Shrinkage

Tooth roots stimulate and preserve the bone structure in your jaw. Without a tooth root, the underlying bone can shrink over time, leading to facial changes and a weakened jawbone, making it challenging to support dentures or dental implants.

4. Open Pathways to the Maxillary Sinus

The upper back teeth are located close to the maxillary sinus, and when a tooth is extracted, it can create an opening between the mouth and sinus. This open pathway can result in infection of the sinus and cause chronic sinusitis. Infections in this area can be challenging to treat and may require surgery.

What Does an Abscessed Tooth Look Like?

An abscessed tooth is an infection within the tooth that has spread to the root tip or around the root. This bacterial infection originates from the tooth’s inner chamber, or the pulp chamber, which houses the tooth’s nerve and blood supply. The infection can result from severe tooth decay, injury to the tooth, or previous dental work. The abscess is a defensive body response that creates a pocket of pus to localize the infection.

The symptoms of a tooth abscess can vary depending on the severity and location of the infection but generally include:

  • Constant, severe toothache that radiates to the neck, jawbone, or ear
  • Sensitive to hot and cold temperatures
  • Sensitive to the pressure of biting and chewing
  • Swelling in your cheek or face
  • Fever
  • Tender, swollen lymph nodes under your jaw or in your neck
  • Difficulty breathing or swallowing (if the infection is severe)

If you are experiencing any of these symptoms, it is important to seek immediate dental care.

Treating an Abscessed Tooth

Treating a dental abscess involves eliminating the infection and preserving as much of the natural tooth and surrounding bone structure as possible. The appropriate treatment can vary depending on the extent of the infection and the tooth’s condition.

Common treatment options include:

  1. Antibiotics: Antibiotics may be prescribed to fight and stop the infection from spreading. They are not a cure, but a temporary measure until the definitive treatment can be performed.
  2. Abscess drainage: In severe cases where there is significant swelling and pus formation, a surgical procedure to incise and drain the abscess might be necessary to relieve pressure and begin the process of infection control.
  3. Root canal treatment: A root canal is often the preferred treatment for saving an abscessed tooth. The procedure involves removing the infected pulp from the tooth, cleaning and disinfecting the inner chambers, and then filling and sealing them. A dental crown might be necessary to protect the tooth from future damage.
  4. Tooth extraction: If all other treatment options have been exhausted, extraction may be necessary to remove the infection entirely.

Abscessed Tooth Care at Oral Facial & Implant Specialists

An abscessed tooth can spread beyond the tooth itself and affect surrounding bone and soft tissue. Early evaluation helps control infection, reduce complications, and determine the most appropriate treatment.

At Oral Facial & Implant Specialists, Dr. J. Travis Thompson, DDS provides expert care for dental infections, including abscessed teeth. As an oral and maxillofacial surgeon, he has advanced training in managing complex infections, performing surgical drainage when necessary, and determining whether a tooth can be preserved or requires removal.

Using advanced imaging and careful surgical planning, treatment focuses on eliminating infection while protecting surrounding bone, nerves, and nearby teeth. Sedation and anesthesia options are also available to help ensure patient comfort during treatment.

Oral Facial & Implant Specialists: Your Oral Surgeon in Deer Park, IL

An abscessed tooth is a severe dental condition that requires immediate treatment. While extraction may seem like a quick fix, it can have significant risks that can affect your oral health in the long term.

To book a dental implant consultation at our oral surgeons office in Deer Park, IL, call (847) 381-0106 or visit us at 21660 W. Field Parkway, Suite 220, Deer Park, IL.

FAQs

Is it safe to have a tooth pulled with an abscess?

In some cases, a tooth with an abscess can be removed safely. However, if the infection has spread or significant swelling is present, treatment such as antibiotics or drainage may be recommended first to reduce the risk of complications.

What are the first signs of sepsis from a tooth abscess?

Early signs may include fever, chills, rapid heart rate, confusion, fatigue, and difficulty breathing. Swelling that spreads to the face or neck is also a warning sign and requires immediate medical attention.

How long is too long to have a tooth abscess?

A tooth abscess should be treated as soon as possible. Delaying treatment increases the risk of infection spreading to surrounding tissues, bone, or other areas of the body.

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