Tooth abscesses and gum boils: what's the difference?

Escrito por: Dr Mark Hughes
Publicado: | Actualizado: 06/09/2021
Editado por: Emily Lawrenson & Bronwen Griffiths

Both gum boils and abscesses are types of dental infection, usually ocurring as a result of necrosis (death) of the dental nerve, problems in the health of the gums such as gingivitis, or periodontitis, or a combined process of both problems.

 

Tooth abscesses and gum boils: What are the differences?

The main difference between abscess and gum boils is that with an abscess, the affected area is located and limited to the area of the problem, whereas with gumboils, the affected part covers much more than the area of the problem and there is usually pus.

Symptoms of abscesses and gum boils

The main and common symptom in both cases is the inflammation of the affected area and the presence of fistulas, a lump of relatively small size with or without the presence of pus, in the gingiva near the affected tooth or soft tissue.

Causes of infection in teeth and gums

The appearance of abscesses and gumboils may be due to different causes: necrosis of the pulp tissue, death of the nerve of the tooth or periodontal pockets. This is where a space between the gingiva and the tooth becomes deeper as the bacteria accumulate below the gingiva, form subgingival plaque and, consequently, generate the destruction of the supporting bone, aggravating periodontal disease. Other causes may be gingivitis and periodontitis.

Tooth infection treatment

Once they have appeared, it is important to consult a dental specialist to avoid a worsening of the condition. Usually, antibiotics or anti-inflammatories will be prescribed with the aim of eliminating the source of infection. Sometimes, if there is pus present in the gum, the specialist will make a small cut in the abscess. If the tooth is affected, it is possible to perform a root canal and save the tooth. In severe cases the affected tooth will be removed.

How to prevent abscesses and gum boils

As in most oral conditions, maintaining proper oral hygiene will prevent infections and the development of certain problems. Regular annual or bi-annual check-ups at the dentist are recommended to avoid conditions that can lead to abscesses and gumboils

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By Dr Mark Hughes
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