Have you ever experienced a sudden stabbing pain in your mouth for no apparent reason? You probe your mouth in the mirror and see nothing wrong – or so you thought. If pain becomes evident and you can’t seem to find anything wrong when you do your self check in the bathroom mirror, chances are, there is an abscess tooth somewhere.
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An abscess tooth may look just as healthy as adjacent and opposing healthy teeth. The infection usually settles at the tip of the root, at the area nearest the root opening at the embedded end. The presence of an abscessed tooth may be due to several factors:
• Severe tooth decay. Extensive decay or dental caries that has been untouched for the longest time may eventually lead to the formation of abscess at the root tip. At times, this is not very visible because decay works on a reverse pattern. A small black speck on the outside enamel may lead to a huge cavity inside. This is because dentin is softer, thereby being the easier bacterial target than the enamel on the outside.
Which is why, at times, there are patients who would come into the clinic telling their dentists that they didn’t see any cavity when they checked their mouths in the mirror. With pain and swelling as part of the equation, it has become an abscess tooth because that small opening was taken for granted, thinking that it will never progress.
• Trauma. Dental distress may either be due to sports induced injuries or simple accidents. A simple fall face down on the soccer field may cause pressure to the teeth. There may not be any indications at first. But hairline fractures are hardly seen unless a radiography or x-ray is obtained. A simple one-time pressure can be hard enough for the tooth to eventually develop an abscess.
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Therefore, a chipped tooth is not the only indication that infection is in the horizon. At times, those that do not display any symptom become the most problematic issue. An abscess tooth may even look very normal on the outside, and the only indication that there could be some underlying infection is a swollen area near the root canal tip. Chronic cases would not even show signs at times.
• Gum diseases. The gums or gingiva are sources of support for the teeth. The equation is rather simple: A weak support system will eventually affect the subject. Therefore, gums that are not in the pink of health may predispose the progression of an abscessed tooth.
• Improper root canal treatment. Root canal therapy requires precision and meticulousness. Canals that are not thoroughly cleaned and filled can lead to the development of an abscess tooth. This can be made impossible by giving attention to detail. The procedure is tedious enough indeed, but it should be performed thoroughly to eliminate the chances of developing a root abscess.
Never be misled by a seemingly normal tooth. Assuming that all your teeth are seemingly normal without any serious decay, it doesn’t mean that there is nothing wrong. Always anticipate the negative just as much as the positive so that you wouldn’t be caught flatfooted and jump out of that comfortable couch once you bite on something hard. Abscess most often settles at the root tip. And with the pressures of chewing, it is pretty imaginable how an abscessed tooth can be a source of severe pain.
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