Sorry, that answer is incorrect. This is an example of a periapical abscess composed of purulent exudate. This exudate and the chemical mediators produced from the process of inflammation cause pressure on nerves creating pain. This exudate may drain, following the path of least resistance through a channel or fistula.
What
are courses of treatment for a periapical abscess::
immediate drainage
endodontic therapy
extraction
antibiotics
all of the above