Dental abscess (Paediatrics)

Low urgency
Common-

Collection of pus in the gum secondary to a dental infection.

The most frequent cause is caries, but it can also appear as a result of trauma or infection of the tissues that support the tooth.  

It manifests with pain in one area of the mouth that is aggravated by chewing or temperature changes when eating and drinking. It may cause swelling of one side of the face, inflammation of local lymph nodes and in more severe cases fever.

It is diagnosed by clinical examination and close inspection of the teeth, gums, mouth and neck.

Treatment is primarily aimed at reducing pain with analgesics and treating the infection with antibiotics. In a second stage, endodontics or tooth extraction will be carried out depending on the viability of the tooth.

Bibliographic references
  1. Anthony W Chow. Complications, diagnosis, and treatment of odontogenic infections. UpToDate. Octubre 2016
  2. Albandar JM. Destructive periodontal disease in adults 30 years of age and older in the United States, 1988-1994. J Periodontol 1999; 70:13.
  3. Chow AW. Infections of the oral cavity, neck and head. In: Principles and Practice of Infectious Diseases, 7, Mandell GL, Bennet JE, Dolin R. (Eds), Elsevier Churchill Livingstone, Philadelphia 2009.
  4. Samuel C. Durso. Manifestaciones bucales de enfermedades. Harrison. Principios de Medicina Interna, 19e. Capítulo 45
Author
Dr. Maria Trabazo
Copyright
© TeckelMedical 2026

Symptoms

    Swollen face


    Swollen gums


    Toothache


    Bad breath


    Pain in mouth

Symptoms to watch out for

Fever that doesn't subside with antipyretics (paracetamol, ibuprofen)
Excessive sudoration
Unilateral neck pain and swelling

Self-care

Consume over-the-counter pain relievers or anti-inflammatories.
Rinse your mouth with half a teaspoon of salt and a cup of warm water.
Maintain hydration of 2L per day. Avoid soft drinks and fruit juices with high sugar content.
Check with your general practitioner about the prescription for antibiotics.