Find the source
The dentist examines the swelling and takes an X-ray to see which tooth is infected and whether the bone around the root is involved.
A tooth abscess is a pocket of pus caused by bacteria trapped inside or beside a tooth. It will not drain on its own, and the pressure is what makes it hurt so much.
Yes, and you should not wait. Call 1-855-219-4656 and we send you to a partner dentist who can see you within hours. Draining the abscess takes about 20 minutes under local anesthetic and the pressure pain eases right away. Antibiotics follow, and the dentist explains whether a root canal or an extraction will stop the infection coming back. Drainage with antibiotics costs about $200 to $500 without insurance.
An abscess is the one dental problem that can turn into a medical one. The bacteria that cause it do not stay put, and the tissues of the face and neck give them an easy path. Getting the pus out and the antibiotics started today is what keeps a bad week from becoming a hospital stay.
Swelling that makes it hard to breathe, swallow or open your mouth is a medical emergency. Go to the nearest emergency room, then call us for the dental follow-up. Read more on facial swelling from a tooth infection.
The dentist examines the swelling and takes an X-ray to see which tooth is infected and whether the bone around the root is involved.
After numbing, a small cut in the gum lets the pus out. The dentist rinses the pocket and sometimes places a tiny drain for a day or two.
Antibiotics control the infection. The tooth itself is treated with a root canal if it can be saved, or removed if it cannot.
| Type | Without insurance | With insurance (typical) |
|---|---|---|
| Emergency exam + X-ray | $100–$250 | $0–$50 |
| Incision and drainage with antibiotics | $200–$500 | $50–$200 |
| Root canal to remove the infected nerve | $700–$1,500 | $250–$750 |
| Extraction if the tooth cannot be saved | $150–$400 | $30–$150 |
Estimates from partner clinic fee schedules. Your dentist quotes the exact fee before treatment. National ranges from partner clinics; city pages show local figures. Drainage alone does not cure the infection, so budget for the root canal or extraction that follows. No coverage? See the no-insurance guide. See the emergency dental cost guide.
Related emergency guides: Tooth abscess, Swollen face from tooth infection, Severe toothache.
Need help right now? Call 1-855-219-4656, free, 24 hours a day.
Medically reviewed by Dr. FULL NAME, DDS. Last reviewed . Sources: ADA MouthHealthy, Abscess, Mayo Clinic, Tooth abscess. Editorial policy.
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