What Counts as a Dental Emergency and What You Should Do | Dental & Orthodontics News

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What Counts as a Dental Emergency and What You Should Do

Dental pain doesn’t keep office hours. It doesn’t wait for a weekday morning, or for your dentist to return from leave. It happens in the middle of the night. On the side of a national road. During a long weekend. And in those moments, the question becomes immediate and urgent: Is this a dental emergency, and what am I supposed to do now?

For many people, the line between discomfort and emergency is unclear. Do you ride it out with painkillers, or is this the kind of situation where waiting could make things worse? What if you're far from home and your usual dentist isn't an option?

what counts as a dental emergency

What Counts as a Dental Emergency?

Not every dental issue is an emergency, but when it is, there’s often a narrow window to act. An emergency isn’t defined by how much pain you’re in—it’s defined by whether there’s a risk to your health, the function of your mouth, or the survival of a tooth.

Some of the most urgent situations include:

  • A tooth that’s been knocked out
  • Severe trauma to the mouth or jaw
  • Uncontrolled bleeding from the gums or soft tissue
  • Visible swelling, especially if spreading to the face or neck
  • Intense pain that doesn’t respond to medication
  • Signs of infection, including fever, pus, or difficulty swallowing

These are the kinds of issues where delaying treatment can lead to permanent damage or more serious medical complications.

On the other hand, some problems feel urgent but can often wait a day or two if necessary. 

These include:

  • Lost fillings or crowns
  • Minor tooth sensitivity
  • Small chips or cracks with no pain
  • A dull ache that comes and goes

That said, the most common dental emergency is still a simple one: pain. And while not all toothaches are emergencies, they do deserve attention—especially when they interfere with your ability to sleep, eat, or concentrate.

How Do I Know If My Toothache Is an Emergency?

Toothaches can be deceptive. A dull throb might linger for weeks before flaring up into something more serious. Or you might wake up one morning unable to bite down, swollen on one side, and unsure what went wrong overnight.

Here are some signs that your toothache is more than just a passing issue:

  • The pain is sharp, constant, or getting worse
  • It wakes you up at night or keeps you from eating
  • There’s visible swelling in your face or jaw
  • You have a fever, bad taste in your mouth, or signs of infection
  • You feel pressure when chewing or touching the area
  • The tooth is discoloured, loose, or sensitive to temperature changes

These symptoms suggest something deeper—possibly an abscess, nerve exposure, or infection. In these cases, waiting too long increases the risk of tooth loss or the spread of infection to other parts of the body.

Even if you’re unsure, it’s better to get professional advice than to second-guess it. Emergencies don’t always announce themselves clearly—but your body often knows when something isn’t right.

Can the ER Do Anything for Teeth?

It’s a common question—especially when pain strikes after hours and there’s no dentist in sight: Can the ER do anything for teeth?

The short answer is yes—but only within limits. Most hospital emergency rooms are not equipped to perform dental procedures. They don’t have the tools to drain an abscess properly, repair a broken tooth, or remove an infected one. What they can do is manage the immediate symptoms: control severe pain, reduce swelling, prescribe antibiotics for infection, and help rule out anything life-threatening.

If you're experiencing facial swelling that makes it difficult to breathe or swallow, or if the pain is accompanied by a high fever and chills, the ER is absolutely the right place to go. But for most dental issues, you’ll still need to follow up with a dentist as soon as possible to resolve the root of the problem.

What to Do When You Can’t See a Dentist Right Away

Dental emergencies don’t wait for convenience. Here’s how to handle different situations when professional help isn’t immediately available:

You’re on the road, far from your regular dentist

If you’re travelling and experience a dental emergency, don’t ignore it. Look for affordable dentists nearby who accept walk-ins or emergency calls. If the pain is manageable, over-the-counter anti-inflammatories and saltwater rinses can help you stay comfortable until you can be seen. Apps like Google Maps or even calling ahead to a local pharmacy can help point you to the closest available clinic.

It’s after hours or the middle of the night

When no dentists are open, your focus is on getting through the night safely. Avoid any food or drink that worsens the pain—hot, cold, sweet, or hard foods can make things worse. Keep your head elevated to reduce throbbing, and use cold compresses for swelling. Painkillers like paracetamol or ibuprofen can help manage symptoms until you can call a dentist in the morning. If the pain becomes unbearable or spreads rapidly, consider visiting the ER to get temporary relief and antibiotics.

It’s a weekend or public holiday

Call your dentist’s office even if they’re closed—many leave a voicemail with instructions or a number to call in emergencies. Some cities have emergency dental services that rotate between practitioners. If you can’t find one, focus on stabilising the issue. If a crown has fallen out, store it safely and avoid chewing on that side. If you’ve chipped a tooth, rinse gently and avoid pressure on the area. Most importantly, don’t ignore it—book the soonest appointment available once offices reopen.

You’ve injured a tooth but it doesn’t hurt (yet)

Even painless trauma should be taken seriously. A knocked or loosened tooth can deteriorate quickly if left untreated. If a tooth has been completely knocked out, keep it moist—ideally in milk or a saline solution—and get to a dentist within 30 minutes if possible. The window for reimplantation is small, but acting fast can make all the difference.

Dental & Orthodontic Studios

Not all dental emergencies can be avoided, but many can be prevented with regular checkups and early intervention. At Dental & Orthodontic Studios, we help patients stay ahead of common issues—like infections, decay, or gum disease—before they become painful or urgent. 

If it’s been a while since your last visit, booking a routine checkup could be the step that saves you from an unexpected emergency later on.

Comments are closed for this post, but if you have spotted an error or have additional info that you think should be in this post, feel free to contact us.

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