An abscess (sometimes known as a gum boil) in the gum tissue can be a painful experience. It may result from an infection within the tooth itself which means the nerve is dying or has died. The breakdown products move in the path of least resistance through the bone and then through the gum. The abscess could also be caused by a trapping of food or bacterial products in the gum space we call a "pocket" (an opening between the gum and the teeth) which is a symptom of periodontal disease. If the entrance to the pocket closed tightly around the area of heavy breakdown, then the toxins accumulate and create pressure in the gum tissue. Again, you may have pain with the swelling.

It will be painful, will not cure itself and will only get worse without treatment. Whatever the cause, you should call your dentist and tell him of your emergency. He will relieve your discomfort, determine the cause of the abscess and treat the tooth or gum pocket if the tooth is worth saving.

Presented in the interest of promoting a better dental health environment from the office of• Frank Soltiz, DDS 13367 Broadway Alden, New York 14004 937-7812