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Dysgeusia, also known as parageusia, is a distortion of the sense of taste. Dysgeusia is also often associated with ageusia, which is the complete lack of taste, and hypogeusia, which is a decrease in taste sensitivity. [1] An alteration in taste or smell may be a secondary process in various disease states, or it may be the primary symptom.
In a periapical abscess, usually the origin is a bacterial infection that has accumulated in the soft, often dead, pulp of the tooth. This can be caused by tooth decay, broken teeth or extensive periodontal disease (or combinations of these factors). A failed root canal treatment may also create a similar abscess.
The loss of smell and taste has long been associated with COVID-19 — it was one of the earliest symptoms associated with the virus that differentiated it from other illnesses.
Periapical periodontitis may develop into a periapical abscess, where a collection of pus forms at the end of the root, the consequence of spread of infection from the tooth pulp (odontogenic infection), or into a periapical cyst, where an epithelial lined, fluid-filled structure forms.
That goes double if you’re dealing with symptoms like swelling, pain when you chew, inflammation or bleeding in your gums, pus or discharge, a bad taste or odor or loose teeth.
Other signs and symptoms may be present, but not always. [2] Foul breath. Bad taste (metallic taste). [3] Malaise, fever and/or cervical lymph node enlargement are rare (unlike the typical features of herpetic stomatitis). [3] Pain is fairly well localized to the affected areas. [3] Systemic reactions may be more pronounced in children. [2]