Well besides the obvious, pain and distress it causes. The infection could very easily spread through the blood stream and you can become very ill. Better to get started on antibiotics, and when the infection is cleared have the tooth removed or fixed.
Abscess is an extremely serious condition and if left untreated it could lead to life threatening conditions. Sometimes patients don't feel constant pain, there is a swelling and it hurts only when they apply pressure on it, and even in those situations abscess have to be treated. Check this video with very interesting info about abscess - http://www.checkdent.com/en/videos/tooth-abscess-9.html
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