Re-reading my earlier post, it almost sounds insensitive. I apologize for that. During the summer my time for internet activity is quite curtailled so I responded in haste. At least the desperation represented by serious dental problems in the back country was evident. The thought of unskilled individuals performing surgery (Tooth removal, incision and drainage,etc.) in such a setting is frightening. Not only is the victum already at risk for septicemia (blood poisoning) from the untreated abcess, but the likelyhood of spreading the infection and introducing other pathogens is significant. Jaw fracture from such backwoods surgery is a very real threat. "Whatever you do, do no harm" is an old medical axiom that is especially appropriate here. I suppose if the intensity of the pain is unbearable, then anything is justified (I understand there were mountain men who committed suicide under such circumstances). One poster qualified his question with a comment to the effect, "I know prevention is the best....,but.." This should not be glossed over so lightly. The importance of prevention in good dental health can NOT be overstated !!! In addition to regular professional care it would be wise to mention to your dentist the potential for being unable to quickly access dental care so that perhaps he/she might adopt a more agressive approach to treatment. Lastly, oral hygiene must be exemplary. If people would realize the incredible amount of suffering and expense proper home care saves, dental floss and a toothbush would be carried 24/7 and used effectively many times daily. I wish I could provide some earth shaking revelation regarding treatment, but as far as I know, there is none. Regards, Lou