Today: Mon to Thu 7:30 am - 7 pm, Fri 7:30 am - 3 pm

5520 Walnut Street, Suite 300, ShadysideEmergency line (412) 555-0199

Guide 02 of 07

What to do right now, by symptom

Find your situation, do the first three things, then call us. The emergency line is answered by our own team, not a service.

Dental treatment room prepared for an urgent appointment

Emergency line

(412) 555-0199

Answered during opening hours. Out of hours, a doctor is on call.

First, decide where this belongs

Most dental problems are urgent rather than dangerous. A few are genuinely dangerous, and they are worth knowing by heart.

  • 911

    Hospital, not a dental chair

    Go to an emergency room or call 911 now.

    • Swelling that is closing an eye, spreading down the neck or under the tongue
    • Any trouble breathing or swallowing
    • A blow to the face with a head injury, blackout or vomiting
    • Bleeding that will not slow after 20 minutes of firm pressure
    • A jaw that will not close, or that you cannot open
  • Now

    Call the emergency line today

    Ring (412) 555-0199 and we will talk it through.

    • A permanent tooth knocked out, moved or pushed up into the gum
    • Pain that wakes you at night or is not touched by painkillers
    • A gum boil, a bad taste or a face that is starting to swell
    • A broken tooth with a sharp edge or bleeding from the middle of it
    • A dental injury in a child of any age
  • Soon

    Book in the next few days

    Uncomfortable, but the clock is not against you.

    • A crown or filling that has come out with no pain
    • A chip with no sharp edge and no sensitivity
    • Food packing between two teeth since a filling
    • An ache that comes only with cold and fades quickly
    • A denture that rubs or a wire that irritates

General information, not dental advice, and not a substitute for emergency medical care. If you are worried about breathing, swallowing or a head injury, treat it as a medical emergency first and a dental one second.

The first ten minutes

Open your symptom. Each one gives you the steps in order, the things that make it worse, and what we do once you are here.

Do this, in this order

  1. 1Pick the tooth up by the crown, the chewing part. Never touch the root surface.
  2. 2If it is dirty, rinse it for a couple of seconds in milk or saline. Do not scrub it.
  3. 3Put it straight back into the socket the right way round and bite gently on a clean cloth.
  4. 4If you cannot reimplant it, store it in cold milk or saline and bring it with you.
  5. 5Call the emergency line on the way, not after you arrive.

Do not

  • Scrub, wipe or dry the root
  • Store the tooth in tap water or wrapped in tissue
  • Wait to see how it feels in the morning

Once you are here

Published dental trauma literature reports far better long-term survival when an avulsed permanent tooth is reimplanted within the first hour, and poorer results the longer the root is dry. This is a race, and it is worth running.

Call (412) 555-0199

Do this, in this order

  1. 1Do not reimplant a baby tooth. Pushing it back can damage the permanent tooth forming above it.
  2. 2Fold clean gauze, place it over the socket and have the child bite for ten minutes.
  3. 3Cold compress on the outside of the lip or cheek, twenty minutes on, twenty off.
  4. 4Soft food and no straws for the rest of the day.
  5. 5Call us the same day so we can check for pieces left in the socket.

Do not

  • Push the tooth back in
  • Ignore a lip or chin cut that may hold grit
  • Assume an early gap needs no follow-up

Once you are here

We check the socket, the neighbouring teeth and the bite, and tell you whether a space maintainer is worth discussing when the child is older.

Call (412) 555-0199

Do this, in this order

  1. 1Rinse with warm water and find the fragment if you can. Keep it in milk.
  2. 2Cover a sharp edge with a pellet of orthodontic wax or sugar-free gum so it stops cutting your tongue.
  3. 3Cold compress on the cheek for swelling, and chew on the other side only.
  4. 4Take your usual over-the-counter painkiller at the dose on the packet.
  5. 5Call us. We will smooth the edge today even if the full repair is booked later.

Do not

  • Glue a fragment back with household or superglue
  • Test how bad it is by biting on it
  • Use a pharmacy repair kit on a tooth that hurts

Once you are here

How much sound tooth is left decides between bonding, an onlay and a crown. Pain on releasing a bite usually points to a crack running under the cusp, and that is a same-week problem.

Call (412) 555-0199

Do this, in this order

  1. 1Rinse with warm salt water, a half teaspoon in a cup.
  2. 2Floss gently either side. Trapped food causes a surprising share of severe aches.
  3. 3Cold compress outside the cheek. Heat on a swelling makes it worse, not better.
  4. 4Take paracetamol or ibuprofen at packet doses if they suit you, and sleep with your head propped up.
  5. 5Note what sets it off: cold, heat, biting, or nothing at all. It tells us a great deal.

Do not

  • Hold an aspirin against the gum, which burns the tissue
  • Use a hot compress on a swollen face
  • Finish someone else's antibiotics

Once you are here

Pain with no trigger, or pain that lingers more than thirty seconds after cold, usually means the nerve is involved. That is a root canal or an extraction conversation, and it is easier to have early.

Call (412) 555-0199

Do this, in this order

  1. 1Keep the crown. Rinse it and store it somewhere you will not lose it.
  2. 2Clean the tooth gently. Exposed dentine is sensitive to cold air as well as cold drinks.
  3. 3Pharmacy temporary cement can hold a crown for a day or two if it seats without force.
  4. 4Avoid chewing on that side and skip anything sticky.
  5. 5Call us. Recementing an intact crown is usually a short visit.

Do not

  • Force a crown back on if it does not seat easily
  • Use any household adhesive
  • Leave it for weeks while the tooth shifts

Once you are here

Crowns rarely fall off for no reason. We check for decay at the margin, a fractured core or a bite that is overloading the tooth, so the same thing does not happen again.

Call (412) 555-0199

Do this, in this order

  1. 1Check the red flags first: an eye closing, swelling under the tongue or into the neck, fever, or any difficulty breathing or swallowing means the emergency room, now.
  2. 2Otherwise call the emergency line and describe when it started and how fast it is growing.
  3. 3Cold compress outside the cheek, and keep your head raised when you lie down.
  4. 4Drink fluids and eat something soft. Dehydration makes everything harder.
  5. 5Write down your medical history and allergies before the call.

Do not

  • Squeeze or lance a gum boil yourself
  • Put heat on the swelling
  • Wait for it to burst and call that a cure

Once you are here

Draining the infection and treating its source is what resolves it. Antibiotics alone are a holding measure, and we prescribe them only where they change the outcome.

Call (412) 555-0199

Do this, in this order

  1. 1Rinse once with cool water so you can see where the bleeding comes from.
  2. 2Press with folded gauze or a clean cloth for a full ten minutes. Do not lift it to check.
  3. 3If it is still bleeding, repeat once. Cold compress on the outside at the same time.
  4. 4Tell us if you take a blood thinner. It changes what we expect and what we do.
  5. 5A cut that gapes open, or one through the lip border, needs stitches today.

Do not

  • Keep peeking under the gauze
  • Rinse vigorously, which strips the clot
  • Assume a tongue bite is minor because it looks small

Once you are here

Mouth wounds bleed dramatically and heal well. Bleeding that restarts hours after an extraction usually settles with the same firm pressure, but call us so we know.

Call (412) 555-0199

Do this, in this order

  1. 1Stop wearing a cracked denture. Chewing on it will turn one break into three.
  2. 2Keep every piece, including the small ones, and bring them in a bag.
  3. 3Cover a poking orthodontic wire with wax or a small pellet of cotton wool.
  4. 4A blunt pencil eraser can nudge a wire flat in an emergency. Never cut a wire at home.
  5. 5Rinse with warm salt water if the spot is ulcerated.

Do not

  • Repair a denture with glue, which contaminates it permanently
  • Wear an appliance that is cutting the tissue
  • Trim a denture flange yourself

Once you are here

Most cracked dentures can be repaired, often within a day or two. Bring the old one even if you are already thinking about a replacement.

Call (412) 555-0199

Same-day care

We hold chairs open every weekday

Emergencies do not book three weeks ahead, so we keep slots empty on purpose. If they are gone by the time you call, a doctor still speaks to you the same day.

  1. 1

    You describe it in your own words

    No dental vocabulary required. When it started, what sets it off, whether anything is swollen.

  2. 2

    We decide where you belong

    A chair here today, an appointment this week, or the emergency room. We will say so plainly.

  3. 3

    We hold the slot while you travel

    The front desk takes your details and your insurance so nothing holds you up at the door.

  4. 4

    You are seen, then you decide

    Exam, x-ray, and the pain dealt with. Definitive treatment is planned, not rushed into.

Sample weekly holding pattern

Monday to Thursday, 7:30 am
3 chairs held
Monday to Thursday, 1:00 pm
2 chairs held
Friday, 7:30 am
2 chairs held
Saturday, twice monthly
1 chair held
Evenings, Sunday, holidays
Doctor on call by phone

$95 emergency exam with one x-ray (sample price), credited against treatment started the same day. Insurance is filed for you.

Dental assistant preparing an instrument tray

Keep these five things where you can find them

A dental emergency at home is easier when the useful items are not scattered across three drawers.

  1. 1A small screw-top pot for a knocked-out tooth, and long-life milk in the cupboard as the storage medium.
  2. 2Sterile gauze squares, which stop bleeding far better than tissue or kitchen roll.
  3. 3Orthodontic wax for sharp edges and poking wires. A pharmacy sells it for a couple of dollars.
  4. 4Your usual painkiller, in date, plus a written note of anything you are allergic to.
  5. 5Our emergency line saved in your phone as (412) 555-0199, under a name you will search for at 2 am.

Not an emergency, but it needs looking at?

Request an appointment and the front desk confirms within one business day. Say what is wrong and we will set aside the right amount of time.

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