Signs that mean call today

Swelling that comes and goes is still an abscess. When the bump drains, pressure drops and pain eases, but the infection is still there.

• Swelling in your cheek, jaw or under your eye, even if it is not painful
• Throbbing pain that wakes you or keeps you awake
• A pimple-like bump on the gum, sometimes with a salty or bad taste
• A tooth that is suddenly very sensitive to pressure or hot
• Fever, or feeling generally unwell with any of the above

Signs that mean go to the ER first

These can become dangerous within hours. Go to the emergency room, then call us for follow-up once you are stable. Antibiotics from the ER buy time; the tooth still needs treatment.

• Swelling spreading toward your eye or down your neck
• Difficulty swallowing or breathing
• Fever with facial swelling that is getting worse quickly
• You cannot open your mouth

What we do at the visit

An exam and an X-ray to find the source. If it is the tooth, we drain the infection and protect the tooth, then coordinate with a trusted specialist when nerve treatment is needed, or remove the tooth if it cannot be saved. If it is a gum abscess, a deep cleaning of that area usually resolves it. You hear the options and cost before anything starts.

Most emergency exams and X-rays are covered by PPO plans. We hold same-day time on weekdays.

What to do while you wait

Rinse with warm salt water. Take ibuprofen or acetaminophen as directed. A cold compress on the outside of the cheek helps swelling. Do not apply heat, and do not try to pop a gum bump yourself.