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Emergency Evaluation
We see you as quickly as possible. We assess the swelling, take X-rays, and determine the source and extent of the infection.
This may be a dental emergency. Call us now at (972) 641-2900 for same-day care.
← All Symptoms
Dental emergency
My Face Is Swollen
Facial swelling related to a tooth or jaw is a dental emergency. It often means a serious infection that needs treatment today — do not wait.
What is this condition?
Facial swelling from a dental cause is most often the result of a dental abscess — a pocket of infection that forms at the root of a tooth or in the gum tissue. The infection can spread rapidly to the jaw, neck, and in severe cases, the airway. This is a medical emergency that requires prompt treatment.
Why might I have this?
- A dental abscess (infected tooth root or gum)
- Untreated tooth decay that has reached the pulp
- A cracked tooth that has allowed bacteria to enter
- Gum disease that has progressed to a deep infection
- A partially erupted wisdom tooth (pericoronitis)
- A failed or infected root canal
What symptoms should I watch for?
- Visible swelling in the cheek, jaw, or neck
- Severe, throbbing toothache
- Fever, chills, or feeling generally unwell
- Difficulty swallowing or opening your mouth
- A bad taste or pus draining in your mouth
- Swelling that is spreading or getting worse quickly
What happens during treatment?
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Antibiotics
If infection is present, we prescribe antibiotics to begin controlling it before or alongside definitive treatment.
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Drainage
If an abscess is present, it may need to be drained to relieve pressure and remove infected material.
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Definitive Treatment
The source of infection is treated — typically a root canal to save the tooth, or extraction if the tooth cannot be saved.
Will it hurt?
Dental abscesses are very painful. We will provide pain relief as quickly as possible, including local anesthesia for any procedures. If you are in severe pain or have difficulty breathing or swallowing, go to the emergency room immediately.
How long does it take?
An emergency evaluation takes 30–60 minutes. Treatment of the underlying cause may require additional visits. Antibiotics typically begin reducing swelling within 24–48 hours.
What happens after treatment?
- Take all antibiotics as prescribed — finish the full course
- Take pain relievers as directed
- Apply a cold compress to the outside of the face to reduce swelling
- Eat soft foods and avoid the affected area
- Return immediately if swelling spreads to your neck or you have trouble breathing
What happens if I don't treat it?
A dental abscess that is not treated can spread to the jaw, neck, and chest. Ludwig's angina — a life-threatening infection of the floor of the mouth — can develop rapidly. Dental infections have caused deaths when left untreated. Please do not wait.
Possible treatments
Do you perform this at Essential Dental Care?
Yes. We treat dental abscesses and infections at Essential Dental Care, including emergency drainage, root canal therapy, and extractions. If you are experiencing severe swelling with difficulty breathing or swallowing, please go to the nearest emergency room immediately.
Schedule an Evaluation
Don't wait — early treatment is almost always simpler, less expensive, and more comfortable. We're here to help.