
Facial pain can be alarming, uncomfortable, and difficult to ignore, especially when it strikes suddenly. While sinus issues or muscle tension can sometimes be the culprit, facial pain is often linked to underlying dental problems. Some of these issues are true dental emergencies that require prompt attention to prevent complications. Here are 4 dental emergencies that commonly lead to facial pain and why you shouldn’t ignore them.
1. Tooth Abscess
A tooth abscess is one of the most painful dental emergencies and a major cause of facial swelling and discomfort. It occurs when bacteria infect the pulp of the tooth, leading to a pocket of pus at the root. As the infection spreads, it can cause intense, throbbing pain that radiates into the jaw, cheek, or even the ear.
Facial swelling, fever, and a bad taste in the mouth are common symptoms. An abscess is a serious infection that will not go away on its own—prompt dental care is essential. Treatment may include drainage of the abscess, antibiotics, or a root canal to remove the infected tissue.
2. Cracked or Fractured Tooth
A cracked or fractured tooth may not always hurt at first, but if the crack extends deep into the tooth, it can lead to severe pain that radiates across your face. You may notice discomfort when biting down, sensitivity to hot or cold foods, or sharp pain when releasing pressure.
In some cases, the crack can expose the nerve, causing persistent facial pain. Depending on the severity, treatment may involve a crown, bonding, or even extraction if the tooth cannot be saved.
3. Impacted Wisdom Teeth
When wisdom teeth don’t have enough room to erupt properly, they can become impacted—trapped beneath the gums or growing at an angle. Impacted wisdom teeth can cause intense jaw pain, swelling, headaches, and pressure that radiates to the cheeks or ear.
Infections around the impacted tooth, called pericoronitis, can worsen this discomfort and may lead to difficulty opening your mouth or swallowing. Removing impacted wisdom teeth typically provides relief and prevents future complications.
4. Severe Gum Infection (Periodontal Abscess)
A periodontal abscess forms when bacteria become trapped between the tooth and gum, creating a painful infection. This condition causes swelling, tenderness, and pain that may radiate throughout the face. You might notice a bump on your gums, bleeding, or foul breath. A periodontal abscess requires immediate treatment to drain the infection and prevent it from spreading deeper into the jawbone or bloodstream.
If you’re experiencing sudden or severe facial pain, don’t wait. Dental emergencies can escalate quickly, and early treatment is the best way to protect your health and preserve your smile.
About the Author
Dr. Ramona Rivera is a 2010 graduate of the NYU School of Dentistry and also a graduate of the Loma Linda University Maxi Dental Implant program. She also has certifications in Invisalign, Six Month Smiles, and adult conscious sedation. To stay current in her field, Dr. Rivera is a member of the American Dental Association, the California Dental Association, and the Sacramento Dental Society. Experiencing a dental emergency? We can help! Schedule an appointment online or call (916) 967-2217.