Root abscess

From WikiMD's Food, Medicine & Wellness Encyclopedia

Root Abscess

A root abscess is a localized collection of pus surrounding the root of a tooth. It is a type of dental abscess that primarily affects the apex of a tooth's root, leading to severe pain, swelling, and often, the spread of infection to surrounding tissues. Root abscesses are typically caused by bacterial infection that has spread from the tooth's decayed or damaged areas into the pulp chamber, through the root canal system, and finally reaching the periapical tissues.

Causes[edit | edit source]

The primary cause of a root abscess is the proliferation of bacteria in the pulp chamber, which can occur due to:

Symptoms[edit | edit source]

Symptoms of a root abscess may include:

  • Severe, persistent, throbbing toothache
  • Sensitivity to hot and cold temperatures
  • Swelling in the face or cheek
  • Tender, swollen lymph nodes under the jaw or in the neck
  • Fever
  • Foul taste in the mouth
  • Difficulty opening the mouth or swallowing

Diagnosis[edit | edit source]

Diagnosis of a root abscess involves a thorough examination by a dentist, which may include:

  • Visual examination
  • Dental X-rays to determine the extent of the infection
  • Testing the tooth's response to heat, cold, and touch

Treatment[edit | edit source]

Treatment for a root abscess aims to eliminate the infection and preserve the tooth. Options include:

Prevention[edit | edit source]

Preventive measures against root abscesses include:

  • Regular dental check-ups
  • Good oral hygiene, including brushing and flossing
  • Avoiding sugary foods and drinks
  • Wearing a mouthguard during sports to prevent trauma

Complications[edit | edit source]

If left untreated, a root abscess can lead to serious complications, including:

  • Spread of infection to surrounding bone and soft tissues
  • Sepsis, a potentially life-threatening condition caused by infection spreading throughout the body
  • Loss of the affected tooth


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Contributors: Prab R. Tumpati, MD