Child Dental Abscess: Symptoms, Treatment, and When to See a Dentist
When your child wakes up complaining of tooth pain, it can turn your entire day upside down. Among the various dental issues children face, a dental abscess stands out as particularly concerning for parents. This bacterial infection creates a pocket of pus around or inside a tooth, causing significant pain and potentially serious health complications if left untreated.
A dental abscess requires prompt professional attention to prevent the infection from spreading to other parts of your child’s body. At Evergreen Pediatric & Airway Dentistry, Dr. Susan Kim and our compassionate team understand how frightening this situation can be for both children and their parents. We’re committed to providing gentle, expert care that not only treats the immediate problem but also helps prevent future dental issues through comprehensive oral health education.
Understanding the warning signs, causes, and treatment options for child dental abscesses empowers you to act quickly when your child needs care most. Let’s explore everything you need to know about this common yet serious dental condition.
Recognizing the Symptoms of a Child Dental Abscess
Early detection of a dental abscess can make a significant difference in your child’s treatment outcome and comfort level. The symptoms often develop gradually, making them easy to miss in the beginning stages.
The most obvious sign is persistent tooth pain that seems to worsen over time. Your child might complain that the pain throbs or feels especially sharp when biting down on food. This discomfort typically doesn’t respond well to over-the-counter children’s pain medications and may interfere with sleep.
Swelling represents another key indicator. You might notice puffiness in your child’s gum tissue around the affected tooth, or even facial swelling on the same side as the problem tooth. This swelling often feels tender to the touch and may appear red or inflamed.
Temperature sensitivity becomes particularly pronounced with an abscess. Your child may cry out when drinking cold water or eating ice cream, but they might also react strongly to hot foods and beverages. Some children start avoiding certain foods altogether because of this sensitivity.
Bad breath or an unpleasant taste in the mouth can signal that pus is draining from the abscess. You might also notice your child seems generally unwell, with symptoms like fever, fatigue, or swollen lymph nodes in the neck area.
These symptoms shouldn’t be ignored or dismissed as temporary discomfort. The sooner you recognize the signs, the more effectively we can treat the infection and prevent complications.

Child Dental Abscess Treatment
Understanding the Causes and Risk Factors
Dental abscesses don’t appear randomly, they develop when bacteria find their way into the tooth’s inner pulp chamber. Understanding how this happens can help you take steps to protect your child’s oral health.
Poor dental hygiene creates the perfect environment for harmful bacteria to thrive. When your child doesn’t brush and floss regularly, plaque builds up on their teeth. This sticky film contains bacteria that produce acids, gradually wearing away tooth enamel and creating cavities. If a cavity goes untreated, bacteria can eventually reach the tooth’s pulp, where nerves and blood vessels are located.
Diet plays a crucial role in dental health. Frequent consumption of sugary snacks, sodas, and sticky candies feeds the bacteria in your child’s mouth. These bacteria convert sugars into acids that attack tooth enamel, increasing the risk of cavities that can progress to abscesses.
At Evergreen Pediatric & Airway Dentistry, we’ve observed an important connection between jaw development and dental health. Nearly 93% of children have underdeveloped jaws, which can lead to crowded teeth that are harder to clean properly. When teeth are misaligned or crowded, food particles and bacteria can hide in spaces that are difficult to reach with regular brushing and flossing.
Underdeveloped jaws can also contribute to mouth breathing, which reduces saliva production. Saliva naturally helps wash away bacteria and food particles, so when your child breathes primarily through their mouth, their teeth become more vulnerable to bacterial infections.
Other risk factors include dental trauma from accidents or sports injuries, which can damage a tooth’s structure and allow bacteria to enter. Some children are simply more susceptible to dental problems due to genetic factors or medical conditions that affect their immune system.
Treatment Options at Evergreen Pediatric & Airway Dentistry
When you bring your child to our Kirkland office with a suspected dental abscess, Dr. Susan Kim begins with a gentle but thorough examination. Her approach focuses on making your child feel safe and comfortable while accurately diagnosing the problem.
Treatment typically starts with addressing the immediate infection. Depending on the severity, Dr. Susan may prescribe antibiotics to help your child’s immune system fight the bacterial infection. However, antibiotics alone won’t solve the problem, the source of the infection must be treated directly.
For many cases, drainage of the abscess provides immediate relief. This procedure involves creating a small opening to allow the pus to drain out, reducing pressure and pain. Dr. Susan uses gentle techniques and may offer sedation options to ensure your child remains comfortable throughout the process.
If the tooth can be saved, a pulpotomy might be recommended. This procedure involves removing the infected pulp from the tooth’s crown while preserving the healthy pulp in the roots. After cleaning and disinfecting the area, Dr. Susan seals the tooth and often places a crown to protect it from further damage.
Our office specializes in metal-free pediatric crowns made from tooth-colored zirconia. These crowns strengthen and protect damaged teeth while maintaining a natural appearance that won’t make your child feel self-conscious about their smile.
What sets Evergreen Pediatric & Airway Dentistry apart is our comprehensive approach to preventing future problems. Dr. Susan is a certified provider for innovative programs including Vivos, HealthyStart, Myo Munchee, and Myobrace. These non-invasive systems help guide proper jaw development and improve airway function, addressing root causes of dental crowding and breathing issues that can contribute to oral health problems.
The Vivos system, for example, uses a specially designed oral appliance to gradually expand the upper jaw, creating more space for teeth and improving nasal breathing. HealthyStart appliances work similarly for younger children, guiding proper jaw growth during crucial developmental periods.
For children with tongue or lip ties that interfere with proper oral function, Dr. Susan is certified to use a CO2 laser for precise, comfortable frenectomy procedures. This advanced technology minimizes discomfort and promotes faster healing compared to traditional methods.

Child Dental Abscess Treatment Service
When to See a Dentist
Dental abscesses constitute true dental emergencies that require immediate professional attention. Unlike some dental issues that can wait for a regular appointment, an abscess poses risks that extend far beyond your child’s mouth.
Contact Evergreen Pediatric & Airway Dentistry immediately if your child experiences severe tooth pain, especially if it’s accompanied by facial swelling or fever. Don’t wait to see if the symptoms improve on their own, abscesses typically worsen without professional treatment.
Other urgent warning signs include difficulty swallowing or opening the mouth, swollen lymph nodes, or if your child seems unusually ill or lethargic. These symptoms can indicate that the infection is spreading beyond the tooth area.
Even if your child’s pain suddenly stops, don’t assume the problem has resolved itself. Sometimes the nerve inside the tooth dies, temporarily relieving pain, but the infection often continues to spread. This makes the situation potentially more dangerous, even though your child might feel better.
Dr. Susan Kim understands that dental emergencies don’t follow convenient schedules. Our office at 12910 Totem Lake Blvd NE #103 in Kirkland provides emergency care to address urgent dental needs. You can reach us at (425) 814-3196 for immediate assistance.
When you call, our team will ask about your child’s symptoms and provide guidance on managing pain and swelling until you can reach our office. We prioritize emergency cases and work to see children with abscesses as quickly as possible.
Prevention Tips for Long-Term Oral Health
Preventing dental abscesses involves more than just regular brushing, it requires a comprehensive approach that addresses both immediate oral hygiene needs and underlying developmental factors.
Establish a consistent daily oral care routine that includes brushing twice daily with fluoride toothpaste and flossing between teeth where they touch. For younger children, parents should supervise or assist with these activities to ensure thorough cleaning.
Limit sugary snacks and beverages, especially between meals. When your child does consume sugary treats, encourage them to drink water afterward to help rinse away sugar and acids. Timing matters too, it’s better to have sweets as part of a meal rather than as standalone snacks throughout the day.
At Evergreen Pediatric & Airway Dentistry, we partner with SuperMouth to provide families with innovative oral care products. This revolutionary line of holistic dental products aligns perfectly with our commitment to comprehensive care. These safe, effective solutions support your child’s daily oral hygiene routine with products you can trust.
Regular dental checkups every six months allow Dr. Susan to monitor your child’s oral development and catch potential problems early. During these visits, she looks not only at teeth and gums but also evaluates jaw development, airway function, and overall oral health patterns.
Pay attention to signs of airway-related issues that might contribute to dental problems. If your child breathes through their mouth frequently, snores, or has difficulty concentrating, these could indicate underlying airway restrictions that affect oral health. Dr. Susan’s specialized training in airway dentistry helps identify these connections early.
Consider protective measures for active children. Custom mouthguards can prevent dental trauma during sports activities, reducing the risk of tooth damage that could lead to infections.

Kids Dental Abscess Treatment
Take Action for Your Child’s Dental Health
A paediatric dental abscess demands immediate attention, but it also presents an opportunity to address underlying factors that contribute to oral health problems. At Evergreen Pediatric & Airway Dentistry, we don’t just treat the immediate crisis, we work with families to build comprehensive strategies for lifelong oral wellness.
Dr. Susan Kim’s expertise in both pediatric dentistry and airway health allows her to see connections that others might miss. Her gentle approach, combined with advanced treatment options like the Vivos, HealthyStart, Myo Munchee, and Myobrace programs, addresses root causes while ensuring your child feels comfortable and cared for throughout their treatment.
Don’t let dental pain rob your child of their joy and comfort. If you suspect your child might have a dental abscess, or if you’d like to learn more about our comprehensive approach to pediatric oral health, contact Evergreen Pediatric & Airway Dentistry today at (425) 814-3196. Our team is ready to help restore your child’s healthy, happy smile while setting the foundation for optimal oral health throughout their life.
Evergreen Pediatric Dentistry
https://www.google.com/maps?cid=14720788683151219551
12910 Totem Lake Blvd NE #103, Kirkland, WA 98034, United States
(425) 814-3196
https://evergreenkidsdentist.com/