Every situation below is treated as urgent. Call ahead so we can prepare the operatory and pull your records before you walk in.
Severe toothache or pain
Throbbing pain that wakes you up, sensitivity to hot or cold that lingers for more than 30 seconds, or pain on biting — these usually point to a deep cavity, a cracked tooth, or an inflamed nerve. Most respond well to same-visit treatment.
Right now: Rinse with warm salt water. Cold compress on the cheek (15 min on, 15 off). Ibuprofen 400-600 mg if it's safe for you. Avoid aspirin directly on the gum — it burns tissue.
Knocked-out tooth (avulsed)
A permanent tooth that has been completely knocked out is the most time-sensitive dental emergency there is. Re-implantation is most successful within the first 30 minutes, and outcomes drop sharply after an hour.
Right now: Pick the tooth up by the crown (not the root). Rinse briefly with milk or saline — never scrub. Place it back in the socket if you can. If not, store it in cold milk and head straight to us.
Cracked, chipped, or broken tooth
Visible damage to a tooth, especially with sharp edges or exposed dentin, needs attention. We can usually save the tooth with bonding, a crown, or — for deeper fractures — a root canal followed by a crown.
Right now: Save any pieces in a small container with a few drops of water. Cover sharp edges with sugar-free gum or dental wax to protect your cheek and tongue until we see you.
Lost filling or crown
A crown that came off in a piece of caramel, a filling that fell out during dinner — these aren't always painful, but the exposed tooth is vulnerable to further damage. We can usually re-cement an intact crown the same day.
Right now: Keep the crown safe in a small bag. Avoid chewing on that side. Drugstore temporary cement is fine as a stopgap, but get in within 48 hours so we can re-cement it properly.
Dental abscess or infection
An abscess shows up as a pimple-like bump on the gum, persistent throbbing pain, a bad taste in your mouth, or visible facial swelling. Dental infections do not resolve on their own and can become serious if ignored.
Warning signs: Facial swelling that spreads toward the eye or down the neck, difficulty swallowing, or fever above 101°F means you need urgent care immediately — call us, then head to the ER if it's after hours.
Soft tissue injury
Bitten lip, tongue laceration, or a gash on the gum after a fall. Most stop bleeding with pressure, but deeper cuts may need sutures and any embedded debris needs to be cleaned out.
Right now: Rinse gently with warm salt water. Apply steady pressure with clean gauze for 10 minutes. If bleeding continues past 15 minutes of pressure, call us and don't drive — have someone bring you in.
Pediatric dental emergencies
Knocked-out baby teeth are usually not re-implanted, but they still need evaluation to make sure the permanent tooth underneath wasn't damaged. Chipped front teeth, mouth lacerations, and toothaches in kids are all worth a call.
Right now: Stay calm — kids take their cues from you. Cold compress for swelling. If a permanent tooth is out, treat it like an adult avulsion. Bring the tooth or fragment.
Wisdom tooth pain
An impacted or partially erupted wisdom tooth can flare up suddenly, often with swelling around the gum flap (pericoronitis), pain on opening the jaw, and a bad taste. We can manage the infection and plan extraction when appropriate.
Right now: Warm salt water rinses every couple of hours. Soft foods only. Don't try to dig under the gum flap — it makes it worse.
Post-treatment complications
Dry socket after an extraction, a temporary crown that came off, a filling that feels too high — these are common, fixable, and worth a quick call rather than a weekend of discomfort.
Right now: Call us first so we can decide together whether you need to be seen today or whether self-care is enough until the next business day.