Reviewed by Dr. Gary Morris, DDS

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A tooth infection can begin with pain, swelling, or pressure around a single tooth. In many cases, prompt dental treatment can stop the infection before it spreads. However, delaying care may allow bacteria to move into nearby tissues, the jaw, sinuses, neck, or bloodstream.

Signs a Tooth Infection May Be Spreading

Some dental infections stay localized near the tooth, while others spread deeper into surrounding tissues. Symptoms that worsen over time or begin affecting nearby areas should not be ignored.

Warning signs may include:

  • Persistent or throbbing tooth pain
  • Swelling in the gums, cheek, or jaw
  • A bad taste or foul-smelling drainage in the mouth
  • Pain when biting or chewing
  • Fever or chills
  • Swollen lymph nodes in the neck
  • Difficulty opening the mouth
  • Increasing facial pressure or swelling

These symptoms may indicate an abscessed tooth or spreading infection.

Signs a Tooth Infection Requires Emergency Care

A severe tooth infection can become dangerous if swelling affects the airway or spreads into deeper tissues of the face and neck. 

Go to the emergency room if you develop:

  • Trouble breathing
  • Trouble swallowing
  • Swelling under the jaw or into the neck
  • Fever with significant facial swelling
  • Confusion, dizziness, or extreme weakness
  • Rapid heart rate or rapid breathing
  • Severe headache with facial swelling

These symptoms may suggest the infection is spreading beyond the tooth.

Why Antibiotics Alone Are Not Always Enough

Antibiotics can help reduce bacterial spread, but they do not always remove the source of infection. If bacteria remain trapped inside the tooth or surrounding tissues, symptoms may return after antibiotics are finished.

Additional treatment is often needed to fully address the infection. Depending on the condition of the tooth, this may include:

  • Root canal therapy
  • Drainage of an abscess
  • Deep cleaning around the tooth
  • Tooth extraction when the tooth cannot be saved

The goal is to remove the source of infection while protecting nearby bone and soft tissue.

Treating an Infected Tooth Safely

When a patient comes to Morris Dental Solutions with a tooth infection, we consider how severe the infection is, whether the tooth can still be restored, and whether nearby tissues have been affected. In many cases, saving the natural tooth with root canal therapy is preferred when possible.

The safest treatment approach depends on the location of the infection, the amount of swelling present, and the patient’s overall condition. This is why an infected tooth should always be professionally evaluated rather than managed at home.

Professional Treatment for Tooth Infections

When root canal therapy is the best option, Dr. David S. Rosenbaum, our endodontist, provides specialized care to remove infection from inside the tooth while preserving the natural structure whenever possible. If extraction or advanced surgical care is needed, our team helps coordinate the next step in treatment.

Dentist in Buffalo Grove, IL

A tooth infection should never be ignored. Early treatment can help prevent the infection from spreading and determine whether the tooth can be treated or safely removed.

To schedule an appointment at our dental office in Buffalo Grove, IL, call (847) 215-1511 or visit us at 195 N Arlington Heights Rd Ste 160, Buffalo Grove, IL 60089.

FAQs

Can you die from pulling an infected tooth?

Death from dental treatment is extremely rare. The greater concern is leaving a severe tooth infection untreated or attempting to manage it without professional care. Dentists can often safely remove infected teeth when necessary while also treating the underlying infection.

Should I go to the ER for a tooth infection?

Go to the emergency room if you have trouble breathing, trouble swallowing, significant facial or neck swelling, fever with swelling, or symptoms that rapidly worsen.

Can antibiotics cure a tooth infection?

Antibiotics may help control the spread of infection, but they do not always remove the source. Many infected teeth still require root canal treatment, drainage, or extraction.

What happens if a tooth infection is left untreated?

An untreated tooth infection can spread into nearby tissues, the jaw, sinuses, neck, or bloodstream. Severe infections may lead to serious medical complications if not treated promptly.