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May/June 2015

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ESCAPEES

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69

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Tooth Abscess

One cause for a tooth abscess is an

infection inside the tooth resulting in

the death of the nerve. The inside of a

tooth is hollow and filled with an ar-

tery, vein and a nerve. When this area

becomes infected, the body responds

by sending its healing resources to the

area, but the area is a confined space,

which then causes pressure. Ultimate-

ly, the tooth dies, pus forms and, if not

treated, can become a cyst. While anti-

biotics can provide relief, the ultimate

treatment is either an extraction or a

root canal treatment. Dental abscesses

can be life threatening and should not

be ignored.

A root canal treatment, contrary to

popular belief, is usually painless and

gets a bad rap because it is the abscess

that causes the pain, not the treatment.

The root canal treatment involves

making an opening into the canal,

cleaning out the dead and infected ma-

terial inside and filling the canal down

to the bottom of the root. Some teeth

have only one large canal while others

may have three or four small canals.

If you have a dental abscess and are

on the road far from home and can’t

find a dentist, search out any source

where you can get a prescription for

an antibiotic and pain medication.

This can be an emergency medical

clinic, a clinic associated with a phar-

macy, a physician’s office or a hospital

emergency room. Hopefully, you can

get on your way again until you can

find a dentist. With all due respect to

the many dentists who do root canal

treatments in their general practices, I

suggest that you seek out a specialist

called an endodontist. Their services

can be more expensive, but they have

equipment and experience that most

general dentists do not.

Gum Abscess

There’s another kind of abscess, and

that is a gum abscess. A gum abscess

is different from a tooth abscess and

is often caused by having something

stuck between the gum and tooth or

between the teeth. The result is a pain-

ful swelling. While I caution anyone

from treating themselves, sometimes

extraordinary circumstances require

extraordinary actions. The first thing

to do is try to remove whatever is

“If you have a dental abscess and are on the

road far from home…search out any source

where you can get a prescription for an

antibiotic and pain medication.“

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