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If swelling occurs on your face, take it seriously! A large part of the public does not know that if the infection reaches the brain, he may lose his life or suffer severe brain damage.

An abscess is a purulent accumulation of inflammation. This inflammation is a dense, foul-smelling liquid consisting of white blood cells, dead tissue and bacteria. The cause of the abscess is usually infection caused by bacteria.

Dental abscesses occur in two different types. These are:

1- Abscess that accumulates in the root of the tooth.

2- Abscess that forms in the gum Abscesses that form in the roots of the tooth are formed due to non-oral care and non-intervention in the caries that occurs. Abscesses on the gums, on the other hand, are formed here together with bacteria and tartar, in the food residues left between the teeth are not cleaned due to the fact that oral care is not performed on a daily basis.


The main symptom of a dental abscess in toothache pain that begins suddenly and usually severely. The severity of the pain may increase within a few hours. In some cases, the pain can also hit the ear, jawbone, and neck. Swelling may occur on the face. The pain increases when the abscessed area is touched. A bad taste and bad breath occur in the mouth. Other symptoms of an abscess is also include sensitivity to hot and cold drinks, fever, a general malaise, difficulty opening the mouth, difficulty swallowing, and insomnia.


It is not often that an ordinary family dentist gets the opportunity to save a person’s life. But read in one of his foreign publications last week that this incident took place in one of the family dental hospitals. They describe the incident as follows: “The young patient came to us through a dentistry site and has been in a pretty bad condition for a month. The right side of his face was so swollen that he couldn’t open his mouth enough to detect both his right eye and the problem tooth. He could speak very little, and seemed exhausted, having not been able to sleep for a long time. A carefully taken X-ray and a short examination revealed a problematic tooth; it was the upper right molar with a large caries that caused all this.

On the X-ray, the tooth roots looked very close to the cavity, the size of the sinus explained why there was a very large sinus pressure on the right side of the patient’s face. According to the X-ray, the dental abscess had penetrated the sinus, and if the infection reached the sinus, it would not be considered too far from the brain. As most people know, if any infection reaches the brain, the person is hospitalized, and even if they manage to survive, there is a risk of severe brain damage. If one of the lower teeth decodes so badly, the risk it will create is different; the infection can spread from the bottom of the tongue, down the throat, between different tissues, and if it gets worse, it can cause your esophagus and windpipe to become blocked. In this case, you can neither eat nor breathe!


After seeing the state of the young man, we realized that we had to act urgently, otherwise he could have been hospitalized within 24 hours (probably in a much shorter time). If the antibiotics are not given intravenously or in high doses, it may take between 12-24 hours for it to reach a level that will be effective in your blood; that is, antibiotics do not act. In our program, we created time for treatment and were able to not only pull out the tooth, but also clear it of a large amount of infection. The patient was finally able to open his eyes after the operation! But if we didn’t intervene immediately, the incredible pressure created by the infection would continue to grow and increase the pain, and eventually the infection would try to reach the brain by following the small paths it found.”


It is a pity that a large part of the public is not informed about how deadly a dental abscess can be. People think to themselves, ‘it’s just a tooth/gum; what will happen’. But the teeth and gums protect the path to the rest of your body, and your vital organs are located near your teeth. Please take yourself seriously. If you have a large lump on your face, this is a serious condition. The story goes like this: “As for the good news in this story; we saw the young man again two days later for a check-up. Although the swelling has not completely disappeared (antibiotics will completely eliminate the swelling), she could really laugh today while shaking my hand. Moreover, she said that after two nights of excellent sleep, she felt like a new person.” Dear friends, this is one of the reasons why I love being a dentist!


If you have an abscess on your tooth, you can follow the following recommendations for relief (besides seeing a dentist as soon as possible as a first step):

Cold press: Applying ice to the abscess area several times for a total of 30 minutes can give you a lot of relief.

Gargling with warm salt water: If you have a wound or bleeding on your tooth, salt water will soothe it. Add a teaspoon of salt to a regular-sized coffee mug and rinse your mouth with this mixture every hour for 30-60 seconds.

Avoid too hot or too cold foods and drinks with hard and crispy foods (chips, nuts, toast). Below is what your dentist can recommend for treatment:

If the tooth is fixable and can last for a long time, root canal treatment and croon.

If the tooth is too broken or decayed to be treated, removing it may be the only option. If the tooth has to be pulled out, you have four basic options:

Do not do anything and leave free space. This is an option, although it will have negative consequences (other teeth that move can ruin your morsels and smile).

Partial or complete denture teeth prosthesis. This is usually the cheapest treatment, but most people don’t like it because you have to take it off to clean it and it doesn’t look natural.

As long as there are teeth on both sides of the pulled tooth, you can have a dental bridge done. The bridge consists mainly of several crowns that are connected, and the tooth on the other side of the cavity supports the crown connections, such as the bridge over the river.

Dental implants are also a remedy. A dental implant that supports a crown, bridge, or prosthesis is undoubtedly the best way to replace one or more missing teeth. These implants, which are as solid as rock, can last a lifetime.


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President of Organ Transplant Center at MedicalPark Hospital Antalya

Turkey's world-renowned organ transplant specialist. Dr. Demirbaş has 104 international publications and 102 national publications.

Physician's Resume:

Born on August 7, 1963 in Çorum, Prof. Dr. Alper Demirbaş has been continuing his work as the President of MedicalPark Antalya Hospital Organ Transplantation Center since 2008.

Prof. who performed the first tissue incompatible kidney transplant in Turkey, the first blood type incompatible kidney transplant, the first kidney-pancreas transplant program and the first cadaveric donor and live donor liver transplant in Antalya. Dr. As of August 2016, Alper Demirbaş has performed 4900 kidney transplants, 500 liver transplants and 95 pancreas transplants.

In addition to being the chairman of 6 national congresses, he has also been an invited speaker at 12 international and 65 national scientific congresses. Dr. Alper Demirbaş was married and the father of 1 girl and 1 boy.


Eczacibasi Medical Award of 2002, Akdeniz University Service Award of 2005, Izder Medical Man of the Year Award of 2006, BÖHAK Medical Man of the Year Award of 2007, Sabah Mediterranean Newspaper Scientist of the Year Award of 2007, ANTIKAD Scientist of the Year Award of 2009, Social Ethics Association Award of 2010, Işık University Medical Man of the Year Award of 2015, VTV Antalya's Brand Value Award of 2015.


Doctor of Medicine Degree Hacettepe University Faculty of Medicine Ankara, General Surgeon Ministry of Health Turkey EKFMG (0-477-343-8), University of Miami School of Medicine Member of Multiple Organ Transplant, ASTS Multiorgan Transplant Scholarship. Lecturer at Kyoto University. Lecturer at University of Essen, Research assistant at the University of Cambridge .

Professional Members:

American Society of Transplant Surgeons, American Transplantation Society Nominated, Middle East and Southern Africa Council Transplantation Society 2007, International Liver Transplantation Association, Turkish Transplantation Association, Turkish Society of Surgery, Turkish Hepatobiliary Surgery Association.


Our website contents consist of articles approved by our Web and Medical Editorial Board with the contributions of our physicians. Our contents are prepared only for informational purposes for public benefit. Be sure to consult your doctor for diagnosis and treatment.
Medically Reviewed by Professor Doctor Alper Demirbaş
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