Go straight to the ER if...
- You hit your head. A blow to the head can be serious even when you feel fine at first. Head injuries can cause internal bleeding or brain swelling that are hard to detect.
- You were in a serious accident. After an accident, adrenaline can mask pain, so the real extent of an injury may only show later.
- Heavy bleeding does not stop within a few minutes, or you are on blood thinners and get hurt. These medications can cause bleeding that is hard to control.
- You have severe pain or bleeding and cannot reach a dentist, such as at night, on a weekend or on a holiday. Do not wait for the office to reopen.
If a head injury is involved, get checked at the ER first and contact your dentist after you leave the hospital.
Call a dentist first for these
For most oral emergencies, call our office before heading to the ER. The American Dental Association points to these as common dental emergencies:
- Bleeding that will not stop
- Infection with swelling or pain
- Painful swelling in or around the mouth
- Chipped, broken or knocked-out teeth
- An abscess with localized pain and swelling
- A lost filling or crown
Broken or irritating dentures, stitches and bent or broken braces wires also need prompt care, though they are less urgent.
What happens at an emergency dental visit
We may take photos or X-rays, then examine your teeth and gums and decide on treatment. Most problems can be handled in the office. We can repair broken teeth and appliances, treat oral injuries with stitches or medication, and manage an abscess with medicine and in-office care. If you have a serious medical problem, we may send you to the ER.
Some treatment takes more than one visit. For example, a crown or implant may need materials from a lab, or reconstruction may wait until your mouth has healed. We will let you know how many visits to expect.
In a dental emergency, call us first at (781) 289-3331. We will help you decide whether you need us or the ER.
Common questions
What is a dental emergency?
Severe pain, heavy bleeding or tooth damage can all be emergencies. If you are unsure, call for guidance. Always get care for sudden or worsening tooth pain.
What should I do if I need emergency dental care?
Call your dentist. The team can tell you whether you need the ER, and if the problem can be handled in the office, can arrange to see you.
What if I cannot reach my dentist?
If it happens in the evening, on a weekend or on a holiday, go to the ER. Waiting can lead to serious complications or permanent tooth damage.
Which dental emergencies always need the ER?
Any blow to the head. Get a full exam even if you feel okay, then contact your dentist.
What if I injure my gums, cheek or tongue?
Stop the bleeding with light pressure and a cold compress, then contact us right away.