Dear Maureen,

Your situation sounds like you have an infected tooth with an abscess. The tooth is either cracked or has a cavity that has grown and spread to the pulp of the tooth and this is causing your problem.  If this happens, an abscess forms, causing the tooth to ache, become temperature sensitive, and creates pain when you chew. Abscesses may spread from the tooth into the jaw bone. If the infection breaks through the jaw bone, it spreads into muscles and skin. In your situation, this would be – your cheek.

We recommend you visit your dentist as soon as you can as you must treat this serious infection properly. Your dentist will prescribe antibiotics to treat the abscess and you must take the entire prescription even if your symptoms decrease after a few days. If there’s a crack in your tooth that spreads down into the root of the tooth, an extraction has to be done. If you need to extract the tooth, you may be a good candidate for a dental implant or bridge. However, if the tooth has a cavity in the pulp of the tooth, a root canal is necessary. After the root canal is performed, a dental crown is needed to protect the tooth from breaking. Because there’s no blood supply to the tooth after a root canal, the tooth is weak so the crown is added to maintain the tooth’s strength.

This blog brought to you by Baton Rouge family dentist, Dr. Ryan P. Perry.