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You can have an infected tooth without pain. Pain from infection is usually caused by pressure. The pressure comes from the bacteria and your immune system doing battle. The bacteria want to grow and spread, while the immune system wants to contain, limit and destroy the bacteria.

Often, the bacteria will cause what is known as a draining fistula. This is a tiny opening to the outside of the body. This opening allows release of the pressure brought on as a result of the infection. The infection can continue, doing damage to the tooth and other tissues, and there may be no pain because there is no pressure in the tissues.

At other times, the infection can quickly kill the nerve that signals pain. In that case, no pain will be felt.

If your dentist says you have an infection and you have no pain, either trust him and let him treat the infection, or seek a second opinion from a dentist that comes recommended by friends and family.

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16y ago

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