Dr. Robert Axelrad Dental Office

Making Brampton Smile Since 1997

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Dental Abscess

Dental Abscess

When a swelling is small and localized to a specific area, we treat it with an oral antibiotic and try to drain the area of any infection.

However, if a swelling is large and has traveled to another area, I.E. up to the eye, it’s best for the patient go to the hospital and have an IV (intravenous) inserted.  When the IV route is used, the antibiotic goes directly into your system and will take effect right away.

The oral route can take up to 24 hours until it starts to kick in.  Draining an area of a large swelling is also desirable if possible.

Rationale for Treating a Swelling

Once the infection is under control, we are able to treat the tooth…Let me explain:  A tooth that has an existing swelling is very difficult to freeze (numb).  The actual infection interferes with the effectiveness of the anesthetic.

When the infection is under control and the swelling has gone down, we are able to adequately freeze the tooth; hence, the need for an antibiotic whether using the oral or IV route.

Treatment Options

  1. If the tooth is salvageable, then it’s always nice to be able to save the tooth via a root canal and crown.
  2. Otherwise, the treatment is to extract the tooth and clean out all of the diseased and infected tissue remaining in the tooth socket.

We would then wait several months until the ‘socket’ heals and place either an implant or a bridge (please see blog “Options to Replace a Missing Tooth”  posted on October 2, 2011.)


Our goal with an infected tooth which has a swelling is not to just get rid of the infection, but in addition and equally important, to treat the tooth…medication alone is not the answer; we must also deal with the problem.

Yours in dental wellness,

Dr. Robert Axelrad, Brampton’s Gentle Dentist

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Our office is now open. We are taking the following precautions to combat COVID-19;

  • A plexiglass barrier stands on the front desk in the waiting room.
  • All patients have their temperature taken with a non-touch digital infra-red thermometer.
  • All staff wear mask, gloves, gown, bonnet, goggles and face shield.
  • Hand sanitizers are readily available for staff and patient use.
  • Patients will wait outside or in their car until their appointment time.
  • No visitors are permitted in the office.
  • Social distancing will remain in effect in the office.
  • Patients experiencing influenza-like-illness (fever with a cough, sore throat or muscle aches) should not come to the office.
  • Air purifiers with hepa filters have been installed in each operatory and waiting room.
  • All COVID-19 precautions put forth by both the dental and hygiene boards have been put into force in the office.

We look forward to seeing you soon. 
Dr Axelrad and Staff