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Çakırtepe Hastanesi
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Periapical Abscess (Tooth Root Infection)

Diagnosis, symptoms, and treatment methods.

General Information About Tooth Root Infection

A periapical abscess (tooth root infection) occurs when the living tissue (pulp) in the center of the tooth dies due to decay or trauma, and bacteria spread from the root tip to the jawbone, causing an infection. It presents with a throbbing pain and a feeling of elevation in the tooth. In our Endodontics clinic, the tooth is restored to health by cleaning and disinfecting the root canals using microscopic methods.

Disease Details and Frequently Asked Questions

You can access detailed information about the disease under the headings below.
What is a Periapical Abscess?

It is the condition where the nerve and blood vessel bundle (pulp) that nourishes the tooth becomes infected and dies, and the infection spreads out from the tip of the root, causing inflammation and fluid accumulation in the jawbone.

What Causes It?

Deep cavities not treated in time, severing of the nerve due to trauma to the tooth, micro-cracks in the tooth, or incomplete/faulty root canal treatments performed in the past are the main causes.

What are the Symptoms?

Inability to bite down on the affected tooth, a feeling that the tooth is elongated/raised during chewing, facial swelling, enlarged lymph nodes, and a throbbing pain that increases with hot foods.

Does It Form a Cyst?

Yes. The body's defense mechanism forms a membrane around the bacteria at the root tip to contain them. Over time, this structure can grow and turn into a cyst that dissolves the jawbone.

How is it Diagnosed?

The patient feels severe pain during the percussion (light tapping on the tooth) test performed by the dentist. The X-ray shows a dark void indicating bone loss at the tip of the root.

How is it Treated?

Antibiotics may be started for acute pain, but the definitive treatment is the removal of the infected nerves from the tooth (Root Canal Treatment). If the cyst at the root tip is very large, the root tip and the cyst are completely excised with a minor surgical procedure called an apical resection.

Our health library contents are prepared for informational purposes only and with scientific data available at the time of recording. For all your questions, concerns, diagnosis, or treatment regarding your health, please consult your doctor or a healthcare institution.


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