When a dental problem needs prompt attention
A broken tooth, swelling or toothache can interrupt eating and sleep. Contact a dentist promptly for advice about the urgency of your symptoms. An emergency visit begins with assessment; it does not mean that every problem needs an extraction or that all treatment can be completed at that visit.
Tell the practice when the problem began, whether there was an injury, and whether pain or swelling is changing. Ask about current appointment availability. This article does not describe a 24-hour service at Sydney CBD Dentistry.
When to call 000 or go to hospital
Call 000 or go to an emergency department if you have difficulty breathing or swallowing, substantial mouth or tongue swelling, or heavy bleeding that affects your airway. A serious facial injury may also need hospital care. Do not wait for a routine dental appointment in these circumstances.
A knocked-out or damaged tooth
A knocked-out adult tooth needs immediate dental attention. Hold it by the crown rather than the root. If it cannot be put back, keep it moist in milk while seeking urgent advice. Do not reinsert a knocked-out baby tooth. If you are unsure which tooth it is, ask a dentist immediately.
A chipped, loose or displaced tooth also needs assessment, even if the visible damage seems small. The dentist checks the tooth, surrounding tissues and bite, and may recommend X-rays. Treatment depends on the injury rather than appearance alone.
What an emergency appointment may involve
The dentist will ask about your symptoms, medical history, medicines and allergies. They will explain their findings and the options appropriate to your circumstances. These may include a repair, temporary treatment, root canal treatment or extraction when a tooth cannot be retained. Some injuries need referral.
Pain relief or a temporary restoration may be only the first stage. Ask what follow-up is needed, what symptoms should prompt another call and what to do if the practice is closed. Avoid assuming that a reduction in pain means the cause has resolved.
Deciding on treatment
Ask about the benefits, risks, alternatives and likely consequences of delaying care. Depending on the procedure, risks can include discomfort, infection or a need for further treatment. Monitoring is appropriate only when assessment supports it; it is not a substitute for urgent care.
For invasive or irreversible treatment, you may wish to seek a second opinion from an appropriately qualified health practitioner before deciding. Urgent symptoms still require timely assessment.
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This article provides general information only. An examination is needed to assess your circumstances and suitability for treatment. All dental treatment carries risks, and results vary between individuals.