Dental Abscess: Symptoms, Causes, Treatment & What to Do | Welwyn Garden City
16th September 2026
Dental Abscess Treatment in Welwyn Garden City | Knightsfield Dental
A dental abscess can cause significant toothache, swelling and discomfort, and it is something that should not be ignored.
If you have developed a painful or swollen area around a tooth, you may be wondering whether you have a dental abscess, what has caused it and what you should do next.
At Knightsfield Dental Practice in Welwyn Garden City, our dental team can assess dental pain, swelling and suspected dental abscesses and advise you on the most appropriate treatment.
What is a dental abscess?
A dental abscess is a collection of pus caused by a bacterial infection. It can develop inside a tooth, around the root of a tooth or within the gum.
There are two common types of dental abscess:
Periapical abscess
A periapical abscess develops at the tip of a tooth’s root. It can occur when bacteria enter the inner part of the tooth, usually as a result of tooth decay, a crack or damage to the tooth.
Periodontal abscess
A periodontal abscess develops in the gum and supporting tissues around a tooth. It can be associated with gum disease or bacteria becoming trapped around the tooth.
Both types of abscess require dental assessment.
What are the symptoms of a dental abscess?
The symptoms can vary depending on where the infection has developed, but common signs can include:
- Severe or persistent toothache
- Pain when biting or chewing
- Sensitivity to hot or cold
- Swelling around the tooth or gum
- A swollen face or jaw
- Red or tender gums
- A bad taste in your mouth
- Pus around the tooth or gum
- Bad breath
- Difficulty opening your mouth
- Swollen glands in your neck
- Fever or feeling generally unwell
Sometimes an abscess can drain into the mouth, causing a sudden unpleasant or salty taste. Although the pain may temporarily improve after this happens, it does not necessarily mean that the infection has gone away.
What causes a dental abscess?
A dental abscess can develop when bacteria enter the tooth or surrounding tissues.
Common causes include:
Tooth decay
Untreated tooth decay can progress deeper into the tooth. If bacteria reach the dental pulp — the innermost part of the tooth containing nerves and blood vessels — an infection can develop.
A cracked or damaged tooth
A crack or fracture can provide a pathway for bacteria to enter the tooth and potentially cause an infection.
Gum disease
Advanced gum disease can damage the tissues supporting the teeth and create spaces where bacteria can accumulate.
Dental trauma
An injury to a tooth can sometimes damage the pulp. In some cases, the tooth may become infected later, even if the original injury happened some time ago.
Is a dental abscess an emergency?
A dental abscess should be assessed by a dentist and should not be left untreated.
Dental infections can sometimes spread beyond the tooth and surrounding tissues. If you have significant swelling, severe pain or other symptoms of infection, you should seek urgent dental advice.
If you have severe swelling of your mouth, lips, throat or neck, difficulty breathing or swallowing, or swelling that is affecting your ability to open your mouth, seek emergency medical attention immediately. https://www.knightsfielddental.com/emergency/
Will a dental abscess go away on its own?
A dental abscess generally requires dental treatment to address the underlying cause.
Even if the pain disappears, this does not necessarily mean that the infection has resolved. An abscess can sometimes drain and temporarily reduce pressure and discomfort, while the underlying infection remains.
This is why it is important to arrange a dental assessment rather than simply waiting for the symptoms to disappear.
Do I need antibiotics for a dental abscess?
Antibiotics are not always required for a dental abscess.
Where possible, dental treatment is usually needed to deal with the source of the infection. Depending on the circumstances, this could include treatment such as draining the abscess, root canal treatment or removing a tooth that cannot be saved.
Antibiotics may be considered when there are signs that the infection is spreading or when there are systemic symptoms, such as fever or feeling generally unwell.
Your dentist will assess your individual circumstances and advise you on the appropriate treatment.
How is a dental abscess treated?
The treatment will depend on the cause and severity of the infection, as well as the condition of the affected tooth.
Treatment may include:
Draining the abscess
If appropriate, the dentist may drain the collection of pus to help relieve pressure and treat the infection.
Root canal treatment
If the tooth can be saved, root canal treatment may be recommended to remove infected tissue from inside the tooth and allow it to be restored.
Tooth extraction
If a tooth is severely damaged or cannot be successfully restored, extraction may be recommended.
At Knightsfield Dental Practice, patients who require a more complex extraction may also benefit from assessment and treatment by our oral surgery dentist, Dr Baljinder Kaur Narwal.
What should I do while waiting to see a dentist?
If you are experiencing symptoms of a dental abscess, arrange a dental appointment as soon as possible.
While waiting to be seen, you can:
- Take pain relief such as paracetamol or ibuprofen if these are suitable for you and you can take them safely
- Avoid very hot or cold foods and drinks if they trigger pain
- Eat softer foods if chewing is uncomfortable
- Brush your teeth gently and continue your usual oral hygiene routine
- Avoid placing aspirin directly onto the tooth or gum
Painkillers can help manage discomfort, but they do not treat the underlying dental infection.
Can a dental abscess be prevented?
Good oral hygiene and regular dental examinations can help reduce your risk of developing the problems that can lead to an abscess.
Helpful habits include:
- Brush your teeth twice a day with fluoride toothpaste
- Clean between your teeth daily
- Limit sugary foods and drinks
- Attend regular dental check-ups
- Have tooth decay treated promptly
- Seek advice if you develop persistent toothache or dental sensitivity
- Wear appropriate protection when participating in contact sports
Dental abscess treatment in Welwyn Garden City
A dental abscess can be painful and worrying, but getting the right dental advice promptly can help prevent the problem from becoming more serious.
At Knightsfield Dental Practice in Welwyn Garden City, our team can assess toothache, swelling and suspected dental abscesses and explain the treatment options available.
If you are experiencing persistent toothache, swelling around a tooth or other symptoms that could indicate a dental abscess, contact Knightsfield Dental Practice on 01707 329 634 to arrange an assessment, or access our online booking system at https://booking.uk.hsone.app/soe/new/%20?pid=UKCYM01
Don’t ignore dental pain — getting it checked can help identify the cause and ensure you receive appropriate treatment.
BACK TO BLOG