Symptoms of infected teeth

Joined
Jul 14, 2018
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hi everyone

What are the symptoms of infected teeth? Except for severe pain and inflammation, there is another sign?
thx
 

honestdoc

Verified Dentist
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Jun 14, 2018
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Symptoms can vary but almost always swelling. There must be a route/cause of infection in a tooth. Every tooth has a root canal/nerve center. Causes can be trauma and or braces, cavities, fracture, deep fillings, and/or extensive restorations like crowns/bridges. I've encountered a tooth without trauma or cavities with a pulpal infection. The tooth (Lower premolar/bicuspid) had its biting surface invaginating inward exposing micro pathways for bacterial infiltration.

On x-ray, a tooth can appear to have an infection. With asymptomatic infection, the tooth is necrotic and will not feel cold. If the tooth is vital, the bony lesion could be cemento-osseous dysplasia which is benign.

Treatment for an infected tooth is to save it with a root canal procedure (more expensive) or tooth extraction.
 

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Joined
Jul 29, 2021
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One of my top teeth fell out, and I neglected to have the roots removed for a few years. It had started hurting again, but I don't know as there was any swelling. There was infection at the tip of the roots (is periapical the correct term?). And a bottom molar had a chunk break off and later developed a huge cavity. I had it pulled and the upper roots, too. The dentist said something about the amount of infection correlating with the amount of decay in the tooth, and said it was pretty much infected to the bone (the bottom tooth). It hurt, also, but I'm not sure about swelling. The left side of my face was a bit warmer than the right though. Just my experience. My tinnitus worsened on the left. My left ear felt full and ached a little, and the left side of my neck ached, too. I can't remember if the ear and neck aching started before or after they were pulled though. Dumb, I know. ha.

That's interesting that there can be pulpal infection without trauma or cavities.
 

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