
Periapical abscess symptoms may include: Pain when chewing or biting. Sensitivity to heat and cold. Severe, throbbing toothache. Pain that radiates to your ear, neck or jaw. Fever. Bad breath (halitosis) or bad taste. Swollen lymph nodes in your neck or under your jaw. Facial swelling. Difficulty breathing or swallowing. Abscesses can also rupture (burst). If this happens, you may feel immediate relief coupled with a sudden rush of foul-tasting fluid. (This doesn’t mean the infection has gone away, though. You should still call a dentist.) Most of the time, a periapical abscess causes discomfort. But some people never develop pain. If you have other symptoms — such as fever, bad breath or swelling — schedule an appointment with a dentist.