What counts as a dental emergency?
A dental emergency is any problem that needs treating straight away to stop pain, stop bleeding, save a tooth or stop an infection spreading. The most common are a knocked out tooth, a badly broken tooth, severe toothache, swelling in the face or gum, bleeding that will not stop, and a lost crown or filling that has left a tooth exposed. Mild sensitivity, a small painless chip, or a dull ache that comes and goes can usually wait for a normal appointment.
Is a knocked out tooth a dental emergency?
Yes, and it is the most time critical of all dental emergencies. A permanent tooth has the best chance of being saved if it is put back within 30 to 60 minutes, so a knocked out tooth should be treated as urgent rather than something to deal with tomorrow. Call a dentist immediately, and follow the handling steps below while you travel.
What should I do if my tooth is knocked out?
Pick the tooth up by the crown, which is the white chewing part, and never touch the root. If it is dirty, rinse it briefly with milk or water, but do not scrub it, do not dry it, and do not use soap. If you can, put it gently back into the socket and bite softly on a clean cloth to hold it there. If it will not go back, keep it moist in a container of cold milk, or hold it in your cheek, and get to a dentist straight away. A knocked out baby tooth should not be put back, because doing so can damage the permanent tooth developing underneath.
Is a toothache a dental emergency?
A toothache is an emergency when it is severe, getting worse, keeping you awake, or comes with swelling or fever. Pain that intense usually means the nerve is involved or an infection has started, and neither resolves on its own. A mild ache that comes and goes is less urgent, but it is still worth a call, because toothache that fades can mean a nerve has died rather than that the problem has gone away.
Should I go to the emergency room for a dental problem?
Go to an emergency room if you have a fever together with facial swelling, or any trouble breathing or swallowing, because those can mean an infection has spread into your jaw, throat or neck. Also go for a serious injury to the head, jaw or neck. For most other dental problems a dental office is the better choice, because hospital emergency departments can usually only give you pain relief and antibiotics rather than treat the tooth itself, which means you will still need a dentist afterwards.
Is a dental abscess an emergency?
Yes. An abscess is a pocket of infection, and infections in the mouth can spread into the jaw and neck, so it needs treating rather than waiting out. Signs include a persistent throbbing ache, swelling in the gum or face, a bad taste, and pain when biting. If the swelling comes with a fever, or you are struggling to breathe or swallow, go to an emergency room rather than waiting for a dental appointment.
Is a chipped or broken tooth an emergency?
It depends on how deep the break goes. A large break, a crack that hurts, or any break that leaves a sharp edge or exposes the inside of the tooth should be seen quickly, because the nerve is vulnerable and the tooth can fracture further. A small chip in the enamel with no pain and no sharp edge can usually wait for a normal appointment. If you have a broken piece of the tooth, bring it with you.
What if my crown or filling falls out?
Call your dentist the same day, because the tooth underneath is now unprotected and can be damaged or become sensitive quickly. Keep the crown if you still have it, since it can often be re-cemented. Avoid chewing on that side, and do not try to glue it back yourself, as household adhesives can damage the tooth and make it harder to fix properly.
How much does an emergency dental visit cost?
At this practice the emergency visit itself is $55, which covers a full examination with a dentist and complete x-rays, normally valued at $267. That is what identifies the problem. The treatment that follows, whether that is a filling, a root canal or an extraction, is priced separately, and we will tell you what it costs before starting any of it.
Does dental insurance cover emergency visits?
Most dental plans include some cover for emergency examinations and x-rays, and many cover a share of the treatment that follows, but how much varies a great deal between plans and how much of your annual maximum you have already used. Bring your insurance details to the appointment and we will check what your plan covers before treatment starts.
Can I be seen today?
We hold appointments open each day specifically for emergencies, so same day is often possible. It depends on the time you call and how urgent your case is. Call and describe what is happening, and we will tell you honestly what we can do and when.
Do you see emergency patients who have never been here before?
Yes. You do not need to be an existing patient. Most people who call us in an emergency have never been here, and the $55 exam and x-ray offer applies to you as a new patient.
What can I do about the pain before I am seen?
Rinsing gently with warm salt water can help, and a cold compress held against the outside of your cheek can reduce swelling and numb the area. Keep your head raised, including when sleeping, since lying flat often makes throbbing worse. Do not put aspirin or any painkiller directly against the gum, because it burns the tissue. When you call us, tell us how you are managing the pain and we will advise you for your specific situation.
I am in pain but it is the middle of the night. What now?
If you have a fever with facial swelling, or trouble breathing or swallowing, go to an emergency room now. Otherwise, manage the pain as above and call us first thing. Leave a message or send the form on this page and we will call you back as soon as we open, and you will already be in the queue for that day's emergency appointments.