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Dental abscess - Management
How do I assess someone with a dental abscess?
- Determine the duration of symptoms: ask about treatment using over-the-counter drugs, any previous similar episodes, or dental treatment carried out.
- Assess the severity of pain and swelling: ask about problems associated with eating, talking, and disturbed sleep.
- Assess systemic involvement: ask about sweating, rigours, or malaise, and measure temperature.
- Consider whether admission to hospital is appropriate (e.g. for people with severe systemic upset, a history of an immunocompromised state, or signs of spreading infection).
Basis for recommendation
CKS found no evidence on the assessment of dental abscesses in primary care settings. These recommendations are based on pragmatic advice.
- All people will need to see a dental practitioner for definitive treatment. Assessing the severity of the symptoms, and knowing what treatment has already been tried, will help determine what level of analgesia is now required and whether an antibiotic should be prescribed.
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