Dental infection

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Medically reviewed by Dr. Ikechukwu Ogbu, MD
MD · Board-Certified, Internal Medicine · Last reviewed
Dr. Ikechukwu Ogbu, MD — Medical Director
Dr. Ikechukwu Ogbu, MD

Board-Certified · Internal Medicine · Medical Director

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About Dental infection

Dental infection most often arises from untreated caries that reaches the pulp, periodontal disease, or a cracked tooth. It presents with localized tooth or gum pain, swelling, fever, and sometimes a visible abscess or facial swelling. Definitive treatment is dental — drainage, root canal, or extraction — not antibiotics alone. Per American Dental Association guidance, antibiotics are generally not recommended for a localized toothache or abscess without systemic signs; they are an adjunct when infection is spreading or there are systemic signs and definitive care must be delayed, with amoxicillin or penicillin VK typical first-line choices. Spreading swelling, trouble swallowing or breathing, or eye involvement requires emergency evaluation.

Common questions

Reference only. Not a substitute for medical advice. Not appropriate for emergencies.