How Dentists Treat an Abscessed Tooth and Stop the Pain

October 12, 2026

Most people try to wait out a toothache, but an abscess is not the kind of pain that fades on its own. It is a pocket of infection building pressure inside or around the tooth, and the longer it sits, the more it can spread. 

If you are looking for an emergency dentist in Redford, Pesis Family Dental treats this exact situation for families throughout Redford and the surrounding area, and understanding what actually happens during treatment makes the whole process far less intimidating.

emergency-dentist-redford-man-in-pain-holding-his-jaw-from-a-severe-toothache

What Makes a Tooth Abscess So Painful

According to the American Dental Association, an abscessed tooth forms when bacteria from decay, gum disease, or a cracked tooth reach the soft pulp tissue inside the tooth, leading to a pus-filled pocket at the root. 

That buildup of pus has nowhere to go, which is exactly why the pressure causes throbbing pain, swelling, and sometimes a fever. Left untreated, the infection can spread into the jawbone and surrounding tissue, which is why an emergency dentist in Redford or anywhere else treats this as a same-day concern rather than something to schedule weeks later.

Step One: Draining the Infection

Antibiotics alone rarely finish the job. The American Association of Endodontists notes that an abscess typically needs a root canal procedure or, in more advanced cases, minor endodontic surgery to physically remove the infected tissue and allow the area to drain. 

Medication can calm the surrounding infection and buy some time. Still, the pocket of pus itself needs to be opened and cleaned out before the pain and swelling will actually resolve on their own.

Signs You Shouldn't Wait On

  • Facial or jaw swelling that seems to be getting worse
  • Fever or chills alongside tooth pain
  • Throbbing pain that doesn't ease with over-the-counter medicine
  • A persistent bad taste or visible drainage near the gum line
  • Difficulty swallowing or fully opening your mouth

Root Canal or Extraction: How Dentists Decide

Once the infection is under control, the dentist has to decide whether the tooth itself can be saved. If enough healthy structure remains, a root canal clears out the infected pulp, and the tooth is typically finished off with a crown to restore its strength and protect it from future cracking. 

When the damage is too extensive to save the tooth, an extraction becomes the more realistic option. Your dentist will usually discuss replacement options at the same visit, so the gap does not sit empty for long and cause your bite to shift. 

Either path is planned around stopping the infection first, since placing a crown or a replacement tooth on top of an active abscess would only trap the problem underneath it.

Why Waiting Only Makes It Worse

Federal data from the CDC show that dental disorders account for nearly 2 million emergency department visits every year in the United States, many of which involve pain that could have been treated earlier and at a lower cost in a dental chair. 

An emergency dentist in Redford can usually drain an abscess and start pain relief faster than a hospital ER, which is generally better equipped for the rarer cases where infection has spread beyond the mouth and into the neck or bloodstream. Staying current with regular exams also catches small problems, like a leaking filling or a cracked tooth, before they ever turn into a full abscess.

 A six-month checkup costs far less in both time and discomfort than the emergency visit that follows when a small crack or cavity is left to quietly worsen underneath a filling.

emergency-dentist-redford-dentist-examining-a-young-woman-s-open-mouth-with-a-mirror-and-probe

Need an Emergency Dentist in Redford? Here's What Happens Next

An abscessed tooth will not improve by waiting, and the discomfort tends to get worse, not better, the longer it goes untreated. 

If you are searching for an emergency dentist in Redford, Pesis Family Dental offers same-day appointments to drain the infection, ease the pain, and talk through whether your tooth can be saved, so reach out as soon as symptoms start rather than hoping they pass.

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