Buccal space abscesses typically cause a facial swelling over the cheek that may extend from the zygomatic arch above to the inferior border of the mandible below, and from the anterior border the masseter muscle posteriorly to the angle of the mouth anteriorly.

[2] The incision are placed below the parotid papilla to avoid damage to the duct, and forceps are used to divide buccinator and insert a surgical drain into the buccal space.

[1] An untreated cutaneous sinus can cause disfiguring soft tissue fibrosis, and the tract can become epithelial lined.

Frequently infection spreads in both directions as the buccinator is only a partial barrier.

[3] Infections associated with mandibular teeth with apices at a level inferior to the attachment, and maxillary teeth with apices at a level superior to the attachment are more likely to drain into the buccal space.