Pain and swelling in gum above missing tooth, concern about going to dentist

[de-constuction_worker]

Hi. Every 4-6 months I suffer from pain and swelling (I have been told this could be an abcess (abscess) (sp?)) for a few days above a spot where I am missing a tooth at the back. I have to admit that I am not particularly fastidious when it comes to dental hygeine, although I know I should be, and that my teeth are not in fantastic condition. I realise that there is obviously a problem which I need to see my dentist about, but I am slightly concerned about what the treatment will be. I don't particularly want to have teeth extracted, as they are still reasonably strong and useable.  If anyone could perhaps tell me what the problem I am suffering from might be, and the likely treatment, it would be very much appreciated.
Thank you.

[Matthew Baron, D.M.D.]

It is difficult to diagnose your condition without seeing it therefore I'd rather not speculate what the treatment may be.  Having said that, if your teeth are reasonably strong as you say, then it would be wise to save them as long as possible and not extract.  Perhaps a root canal is needed or some periodontal work.  Whatever the case may be, the longer you wait, the more difficult it will be to get you out of pain and restore your dentition to a healthy state.