← Case library
OMFS-0131InfectionbeginnerBuccal space / maxilla

Facial swelling and severe pain from a carious molar

33-year-old female

Draft — educational study aid, pending faculty review.

§Chief complaint

Throbbing toothache with cheek swelling for 2 days

§Medical & dental history

  • 01Healthy, no allergies
  • 02Not pregnant
  • 03Long-standing cavity in the upper right back tooth, previously painful

§Clinical examination

  • 01Diffuse tender swelling of the right cheek with obliteration of the buccal sulcus
  • 0216 grossly carious, tender to percussion, grade I mobile, non-responsive to cold
  • 03Temperature 37.9 C; mouth opening 35 mm
  • 04No eye closure, no orbital involvement, airway clear

§ figuresFigures (4)

Fig. 1A root showing an abscess at the apex after extraction.

Periapical abscess” · lacihobo · CC BY-SA 4.0 · Wikimedia Commons

Verified open-access images only, reproduced for education under their stated licences · no AI-generated or illustrative artwork · Periapical Abscess figures pending faculty review.

§Differential diagnosis

Acute periapical abscess with buccal space involvementNon-vital tooth, tender to percussion, localised swelling
Periodontal abscessVital tooth, deep pocket, lateral swelling
Infected radicular cystLonger history, radiolucency with corticated outline
Canine space infectionSwelling obliterating the nasolabial fold

§Final diagnosis

Acute apical abscess of 16 with buccal space involvement

A non-vital, percussion-tender tooth with a diffuse facial swelling localises the source. Pulp vitality is the discriminator against a periodontal abscess, where the tooth typically remains vital.

§Investigations

  • 01Periapical radiograph — periapical radiolucency and deep caries involving the pulp
  • 02Pulp sensibility testing of 15, 16, 17
  • 03Temperature, pulse and assessment of red flags (eye closure, trismus, dysphagia)

§Treatment plan

  • 01Establish drainage — the primary treatment of an abscess
  • 02Extraction of the unrestorable 16, or access and drainage if restorable
  • 03Antibiotics only if there is spreading infection or systemic upset
  • 04Analgesia and review in 24-48 hours

§Surgical procedure

  • 01Extraction of 16 under local anaesthesia with drainage through the socket
  • 02Amoxicillin plus metronidazole for 5 days given systemic features

§Follow-up & outcome

  • 01Swelling substantially reduced at 48 hours
  • 02Complete resolution at 1 week
  • 03Prevention advice and restorative plan for remaining caries

§Clinical pearls / learning points

  • 01Drainage, not antibiotics, treats an abscess.
  • 02Look for the red flags of spreading infection: trismus, dysphagia, eye closure, raised floor of mouth.
  • 03Always test vitality — it decides whether the problem is endodontic or periodontal.

§References

  • Flynn TR. Principles of management of odontogenic infections.

§Similar cases

41 cases in the library