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What Is a Toothache?

What Is a Toothache?

A toothache is when you feel pain in or around your tooth. It can be a little uncomfortable or very strong and painful. It can be constant or come and go, and it may worsen with certain triggers like eating, drinking, or brushing. Toothaches are often a sign that something is wrong, whether it’s in the tooth itself, the surrounding gums, or even the jaw.
Toothaches can happen to anyone—kids, adults, or even older people. Understanding the root cause is key to finding relief, which is why visiting a dentist as soon as possible is critical.
Person holding jaw in pain from a toothache

Common Causes of Toothaches

Toothaches can stem from a variety of issues, each requiring specific attention. Here are some of the most common culprits:

1. Tooth Decay (Cavities)

Cavities are the leading cause of toothaches. When germs in your mouth eat sugar, they make acid that slowly wears down your teeth and causes tiny holes. If not treated, these cavities can get worse and go deeper into the tooth, reaching the soft inside parts (like dentin or pulp), which can cause pain.

2. Gum Disease

Gingivitis or periodontitis can cause gum inflammation, leading to discomfort that feels like a toothache. Receding gums may also expose tooth roots, making them sensitive to hot, cold, or sweet foods.

3. Tooth Fractures or Cracks

A cracked tooth, whether from trauma, biting down on something hard, or grinding your teeth, can cause sharp pain, especially when chewing. Even small cracks can expose nerves, leading to sensitivity.

4. Dental Abscess

An abscess is a pocket of pus caused by a bacterial infection, often at the root of a tooth or in the gums. This condition can cause intense, throbbing pain and may be accompanied by swelling, fever, or a bad taste in the mouth.

5. Tooth Sensitivity

Worn enamel, exposed roots, or cavities can make teeth sensitive to temperature changes or certain foods. While sensitivity isn’t always a toothache, it can feel similar and may indicate an underlying problem.

6. Impacted Wisdom Teeth

If your wisdom teeth don’t have enough space to come through properly, they can get stuck, causing pain at the back of your mouth. This can also lead to swelling or an infection.

7. Bruxism (Teeth Grinding)

Chronic teeth grinding, often during sleep, can wear down enamel and strain the jaw, leading to tooth pain or sensitivity.

8. Sinus Infections

Surprisingly, sinus issues can mimic toothaches. The roots of your upper teeth are close to your sinuses, so inflammation or infection in this area can cause referred pain in the teeth.

9. Failed Dental Work

Old fillings, crowns, or other restorations can crack, loosen, or decay over time, allowing bacteria to enter and cause discomfort.

Symptoms to Watch For

Toothache symptoms can vary depending on the cause, but here are some signs that you should see a dentist:
  • Sharp, throbbing, or constant pain in a tooth or surrounding area
  • Sensitivity to hot, cold, sweet, or acidic foods and drinks
  • Pain when chewing or biting
  • Swollen or bleeding gums
  • Swelling in the face or jaw
  • Fever or a bad taste in the mouth (possible signs of infection)
  • Difficulty opening your mouth or swallowing
If you experience severe pain, swelling, or fever, seek dental care immediately, as these could indicate a serious infection requiring urgent treatment.

Home Remedies for Temporary Relief

While a dentist is the best person to diagnose and treat a toothache, there are some steps you can take at home to manage discomfort until your appointment:

Warm Saltwater Rinse

Mix 1 teaspoon of salt into a glass of warm water. Swish it around your mouth for 30 seconds, then spit it out. This helps clean and soothe the sore spot.

Pain Medicine

Alternative options. If the tooth cannot be saved, discuss bridges, implants, or partial dentures.

Cold Pack

Put a cold pack or a bag of ice wrapped in a cloth against your cheek for 15–20 minutes. This helps bring down swelling.

Clove Oil

Put a tiny drop of clove oil (mix it first with a little cooking oil) on a cotton ball. Gently press it on the sore spot—clove oil can help numb the pain.

Avoid Irritants

Don’t eat or drink anything very hot, very cold, or too sweet, as these can make the pain worse.
Important: These remedies are temporary. A toothache won’t resolve on its own, and delaying professional care can lead to more serious complications.

Preventing Toothaches

The best way to deal with toothaches is to prevent them in the first place. Here are some tips to keep your teeth and gums healthy:
  • Brush Twice Daily: Use a soft-bristled toothbrush and fluoride toothpaste to clean all tooth surfaces.
  • Floss Daily: Remove plaque and food particles from between teeth to prevent cavities and gum disease.
  • Limit Sugary Foods and Drinks: Sugars feed harmful bacteria, so opt for a balanced diet rich in fruits, vegetables, and dairy.
  • Visit Your Dentist Regularly: Routine checkups and cleanings catch problems early, before they turn into toothaches.
  • Stay Hydrated: Drinking water helps rinse away bacteria and food debris.

When to Reach out for Help

If your toothache lasts more than a day or two, worsens, or is accompanied by fever, swelling, or difficulty breathing, don’t wait—contact Topeka Oral Surgery right away. Even mild pain can be a sign of a problem that needs attention. Our compassionate team is here to provide prompt, effective care to relieve your discomfort and protect your oral health.

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      Saturday: By Appointment
      Sunday: Closed
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      How to Handle a Knocked-Out Tooth 

      How to Handle a Knocked-Out Tooth

      A knocked-out tooth (avulsed tooth) is a true dental emergency. Acting quickly and correctly can mean the difference between saving your natural tooth and facing costly replacements like bridges or implants. Here’s what you need to do the moment a tooth leaves its socket.
      How to save a knocked-out tooth

      1. Stay Calm and Find the Tooth

      Locate the tooth immediately and pick it up by the crown (the white part).
      Never touch the root. The root’s surface is lined with fragile cells vital for reattachment.

      2. Clean the Tooth (Gently!)

      Rinse carefully. Hold the tooth under a gentle stream of cool water or rinse it in clean saliva for no more than 10 seconds.
      Avoid scrubbing or chemicals. Do not use soap, alcohol, or brush—it can destroy the root’s healing cells.

      3. Try to Reinsert the Tooth

      Align the tooth. Position it in the socket the same way it grew.
      Press gently. Push it in until it seats snugly.
      Stabilize. Bite on a clean piece of gauze or cloth for 15–20 minutes to hold it in place.
      Tip: If reinsertion feels too uncomfortable or you’re unsure about alignment, skip to storage.

      4. Proper Storage If You Can’t Reinsert

      Milk is best. Submerge the tooth in pasteurized milk.
      Saline solution or saliva. A saline soak works well; if neither is available, tuck the tooth inside your cheek (if you’re conscious and can safely keep it there).
      Do NOT wrap in tissue or let it dry. Dry time kills the cells needed for successful reimplantation.

      5. Rush to Your Dentist—Stat

      60‑minute window. Aim to reach a dental clinic within an hour; every minute counts.
      Call en route. Alert your dentist so they can prepare for emergency treatment.
      Manage pain and swelling. Apply a cold pack to your cheek in 15‑minute intervals and take ibuprofen if needed (avoid aspirin, which may thin the blood).

      6. What to Expect at the Dental Office

      Examination and X‑rays. The dentist will check for root or bone fractures.
      Reimplantation and splinting. If viable, they will reinsert the tooth and stabilize it with a small splint for 1–2 weeks.
      Follow‑up care. You may need a root canal later to protect against infection and promote healing.
      Alternative options. If the tooth cannot be saved, discuss bridges, implants, or partial dentures.

      7. Prevention and Preparedness

      Wear a mouthguard. Custom-fitted guards in contact sports reduce dental injury risk by up to 60%.
      Keep a tooth‑storage kit. Store a small container of saline or milk in your first-aid kit.

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          Saturday: By Appointment
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           Dental Abscess: Why It’s a Medical Emergency

          Dental Abscess: Why It’s a Medical Emergency

          A dental abscess is a painful infection that fills the tooth or gums with pus, usually caused by untreated tooth decay, injury, or gum disease. It’s not just uncomfortable; it’s an emergency because the infection can spread quickly and lead to serious health problems. In this post, we explain why an abscess needs immediate care, how to recognize it, and what to do before seeing a dentist.
          Dental abscess showing swelling
          Common symptoms include sharp, throbbing pain that may spread to the jaw or ear, swelling in your gums or face, a bad taste from pus, fever, and difficulty swallowing or breathing. You might also notice a small bump on your gums or feel a loose tooth. These signs suggest a bacterial infection that, if left untreated, could spread to your jaw, neck, or even your bloodstream, causing life-threatening conditions. According to a 2019 study, over 60,000 people in the U.S. were hospitalized for dental infections, showing how risky delaying treatment can be. If left untreated, an abscess can affect vital organs, so quick treatment is necessary.
          Before you see a dentist, rinse your mouth with warm saltwater (1 tsp in 8 oz of water) every few hours to reduce bacteria and help with pain. You can take ibuprofen to ease pain and swelling, but avoid aspirin as it can increase bleeding. Don’t try to squeeze or pop the abscess yourself—it could make the infection worse.These steps are temporary; a dentist will need to drain the abscess, possibly prescribe antibiotics, or perform a root canal. In serious cases, the dentist may need to remove the tooth
          If the swelling spreads to your face or neck, or if you have a high fever or trouble breathing, get emergency help right away. These might mean the infection is getting more serious. Even if your symptoms are not severe, it’s important to contact your local emergency department.
          Suspect a dental abscess? Seek emergency care now to protect your health. Feel free to reach out to us below to coordinate an evaluation of your dental swelling.

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              Tuesday: 7:30AM - 4:00PM
              Wednesday: 7:30AM - 4:00PM
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              Saturday: By Appointment
              Sunday: Closed
              Monday - Friday: 7:30AM - 4:00PM
              Saturday: By Appointment
              Sunday: Closed

              How to Prevent Dental Emergencies 

              How to Prevent Dental Emergencies

              Dental emergencies like knocked-out teeth or abscesses are painful and expensive, but many can be prevented with proactive habits. By making simple changes to your daily habits and lifestyle, you can keep your teeth healthy and reduce the need for emergency dental visits. This post shares practical tips to reduce your risk of dental emergencies, ensuring your smile stays healthy and strong.
              Start with excellent oral hygiene. Brush twice daily with fluoride toothpaste and floss to remove plaque, which causes cavities that can lead to abscesses or tooth loss. Regular dental checkups every six months allow your dentist to catch issues like weak fillings or early decay before they become emergencies. For example, a small cavity filled early takes minutes, but if ignored, it might require a root canal or extraction.
              Protect your teeth from injury. If you play sports like soccer or hockey, wear a custom mouthguard—studies show they reduce dental injury risk by up to 60%. If you grind your teeth at night, ask your dentist about a nightguard to prevent cracks or chips. Don’t chew on hard items—such as ice, popcorn kernels, or hard candies—because they can crack your teeth. A common mishap is cracking a molar on an olive pit—sticking to softer foods lowers this risk.
              High-quality nightguard to prevent dental injuries during sleep
              Diet impacts dental health significantly. Limit sugary snacks and drinks, as they feed bacteria that erode enamel, leading to cavities. Consume calcium-rich foods like yogurt and cheese to help keep your teeth strong, and rinse your mouth with water after meals to wash away leftover food and bacteria. If you have a history of dental issues, consider sealants or fluoride treatments for added protection.
              Be prepared for potential emergencies. Keep a dental emergency kit on hand with gauze, dental wax, painkillers, and a small container to safely store a knocked-out tooth. Save your dentist’s emergency number and know the location of a 24/7 clinic. Educate your family, especially kids, about oral safety, like not opening bottles with their teeth or chewing on pens.
              These habits greatly reduce the likelihood of experiencing a dental emergency. Prevention is easier and cheaper than dealing with the pain and cost of urgent care, so start building these practices today.

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                  Saturday: By Appointment
                  Sunday: Closed
                  Monday - Friday: 7:30AM - 4:00PM
                  Saturday: By Appointment
                  Sunday: Closed

                   Broken or Chipped Teeth: Emergency or Urgency

                  Broken or Chipped Teeth: Emergency or Urgency

                  A broken or chipped tooth can happen quickly, like when you bite a hard candy, fall down, or get hurt while playing sports. While some chips are minor cosmetic issues, others are painful emergencies needing urgent care. This post helps you assess the severity, offers first-aid tips, and explains when to see a dentist to prevent complications like infection or tooth loss.
                  Evaluate the damage first. A minor chip, like a small edge flake with no pain, is rarely urgent and can wait a few days for bonding or smoothing. However, a fracture exposing the tooth’s inner layers (dentin or pulp) causes sharp pain, sensitivity to hot or cold, or bleeding, signaling an emergency. Breaks affecting the root or loosening the tooth require same-day care to avoid infection. For example, a cracked molar from chewing ice might expose nerves, needing a crown or root canal.
                  Chipped tooth emergency care - Topeka Oral Surgery
                  After an injury, rinse your mouth gently with warm water to help clean the area and reduce the risk of bacteria. If you find broken pieces of a tooth, put them in milk or salty water to help keep them safe in case the dentist can reattach them. If the broken tooth has sharp edges, cover them with dental wax or sugar-free gum to protect your tongue and cheeks from getting hurt. These are available at pharmacies and can help create a smooth surface on your braces or dental appliance. Apply a cold compress to your face for 15-minute intervals to reduce swelling, and take ibuprofen for pain. Avoid chewing on the injured side and eat soft foods like yogurt or soup.
                  Seek a dentist immediately if you have pain, sensitivity, or visible nerve exposure—same-day care is ideal. For minor chips, schedule within a few days to prevent decay or further cracking. Your dentist may use bonding, a veneer, or a crown for repairs, depending on the break’s extent. Delaying risks infection, as bacteria can enter exposed areas, potentially causing an abscess.
                  Prevent broken or chipped teeth by avoiding hard foods like popcorn kernels or ice and wearing a custom mouthguard during sports or if you grind your teeth at night. Regular dental checkups can identify weak teeth, such as those with large fillings, that are prone to breaking. Keep a dental first-aid kit with wax and gauze, and save your dentist’s emergency number.
                  By assessing the injury and acting promptly, you can protect your tooth and avoid costly repairs. Even small breaks need attention—early care ensures the best outcome.
                  Call to Action: Contact your dental team today to evaluate a broken or chipped tooth and prevent further damage.

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                      Saturday: By Appointment
                      Sunday: Closed
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                      Sunday: Closed

                      Managing Severe Tooth Pain: What to Do?

                      Managing Severe Tooth Pain: What to Do?

                      Severe tooth pain can be debilitating, disrupting eating, sleeping, and daily life. Often caused by deep decay, a cracked tooth, or an infection, intense pain signals a dental emergency needing professional care. While waiting to see a dentist, safe, temporary measures can ease discomfort and prevent worsening. This post shares practical tips to manage severe tooth pain and flags when to seek urgent help.
                      Begin by rinsing your mouth with warm saltwater to clean the area and reduce inflammation. Swirl it around in your mouth for 30 seconds, then spit it out. Repeat this every few hours. Over-the-counter pain relievers like ibuprofen or acetaminophen can help—follow dosage instructions carefully to avoid overuse. If your cheek is swollen and hurts, gently press a cold cloth on it for 15 minutes at a time to help bring the swelling down. For exposed cavities or broken teeth, cover the sensitive area with dental wax or sugar-free gum, available at pharmacies, to protect nerves from air or temperature changes.
                      Certain symptoms indicate a serious issue requiring immediate care. Face Swelling , fever, difficulty swallowing, and pain could be signs of an abscess, which is a serious infection that may spread to the jaw or bloodstream . These signs demand emergency dental care, as delays can lead to complications like sepsis, which causes thousands of hospitalizations yearly. Even without these symptoms, persistent pain won’t resolve on its own and requires a dentist’s attention.
                      Avoid mistakes that can worsen your condition. Don’t place aspirin or other painkillers directly on the gums, as this burns tissue. Avoid probing the tooth with sharp objects like toothpicks, which risks damage or infection. Steer clear of hard or sticky foods that could aggravate the area. These at-home steps are temporary—only a dentist can treat the cause, whether it’s a filling, root canal, or extraction.
                      Be ready for dental emergencies by keeping a small kit with gauze, dental wax, and pain medicine. Save your dentist’s (Topeka Oral Surgery )emergency number or find a 24/7 dental clinic nearby. If you get sudden pain at night, don’t wait—many dentists can help right away. Booking an appointment ASAP ensures you address the issue before it escalates into a bigger problem.
                      By following these steps, you can manage severe tooth pain safely until you see a dentist. Don’t delay seeking care, as untreated issues can lead to complex treatments.
                      Feel free to contact our office below to ensure we can perform a thorough evaluation!

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                          Saturday: By Appointment
                          Sunday: Closed
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                          Finding an Emergency Dentist: Tips and Resources

                          Finding an Emergency Dentist: Tips and Resources

                          A dental emergency like a knocked-out tooth or severe pain demands quick access to a dentist, but finding one during a crisis can be challenging. With preparation, you can locate reliable care fast and get relief. This post gives simple tips on how to find an emergency dentist, what questions to ask, and helpful resources to make the process easier.
                          Call your regular dentist first. They might be able to help after hours or tell you where to go for emergency care, If they’re unavailable, feel free to reach our office if the tooth is causing so much pain that you cannot sleep or function properly. If you are travelling then we would recommend any local ADA approved dentist, which you could find on a google search.
                          Don’t delay seeking care, especially for time-sensitive issues like a knocked-out tooth (60-minute window) or an abscess with swelling. If you wait, the pain and problems can get worse and make things much harder. Large infections around a tooth make it difficult to get numb at times.
                          Feel free to request an appointment below.

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                              Saturday: By Appointment
                              Sunday: Closed
                              Monday - Friday: 7:30AM - 4:00PM
                              Saturday: By Appointment
                              Sunday: Closed

                              Dental Abscess: Why It’s a Medical Emergency

                              Dental Abscess: Why It’s a Medical Emergency

                              A dental abscess is a painful infection filled with pus that happens in the tooth or gums. It usually happens because of tooth decay, injury, or gum disease that wasn’t treated. It’s not just uncomfortable—it’s a medical emergency because the infection can spread rapidly, potentially causing life-threatening complications. This post explains why an abscess demands immediate care, how to spot it, and what to do before reaching a dentist.
                              Swollen gums and jaw caused by a dental abscess requiring urgent medical care.
                              Symptoms include intense, throbbing pain that may spread to your jaw or ear, swelling in the gums or face, a bad taste from pus, fever, and sometimes difficulty swallowing or breathing. You might see a pimple-like bump on your gums or feel a loose tooth. These signs indicate a bacterial infection that, if untreated, can spread to the jaw, neck, or bloodstream, potentially causing sepsis. A 2019 study noted over 60,000 U.S. hospitalizations for dental infections, highlighting the risks of delay. Left unchecked, an abscess can even affect vital organs, making prompt treatment critical.
                              Before seeing a dentist, rinse your mouth with warm saltwater (1 tsp in 8 oz water) every few hours to reduce bacteria and ease pain. Take ibuprofen for pain and swelling, but avoid aspirin, which can increase bleeding. Don’t try to pop the abscess on your own—it can make the infection worse by pushing it deeper. These measures are temporary; a dentist must drain the abscess, prescribe antibiotics, or perform a root canal to save the tooth or one may consider an extraction due to severity.
                              If you notice swelling spreading to your face or neck, a high fever, or breathing difficulties, seek emergency care immediately—these suggest the infection is advancing. Even without severe symptoms, contact your local emergency department.
                              Suspect a dental abscess? Seek emergency care now to protect your health. You can contact us below to schedule a check-up for your dental swelling.

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                                  Saturday: By Appointment
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                                  What is a Dental Emergency?

                                  What is a Dental Emergency

                                  Dental problems can happen suddenly and cause a lot of pain. If you know what counts as a dental emergency, you can get help fast, protect your teeth, and avoid more serious issues. Unlike a minor toothache that can wait for a routine appointment, dental emergencies require immediate or same-day care to address severe pain, infection, or structural damage. In this post, we’ll clarify what constitutes a dental emergency, highlight symptoms to watch for, and guide you on when to seek help.
                                  A dental emergency is when you have a mouth problem that needs quick care to stop pain, bleeding, or more damage. Common examples include a knocked-out (avulsed) tooth, which has a 60-minute window for successful reimplantation, or a severe toothache that disrupts sleep or eating, often signaling an abscess or deep decay. Other emergencies include a broken jaw, significant swelling in the gums or face, or uncontrolled bleeding after an injury or procedure. For instance, if you crack a tooth while biting into hard candy and feel sharp pain or sensitivity, that’s a red flag for exposed nerves, requiring prompt care. In contrast, a small chip with no pain might not be urgent but should still be evaluated within a few days to prevent decay.
                                  Noticing symptoms helps you know when to take action. Severe, persistent pain that doesn’t subside with over-the-counter medication, swelling that affects your face or neck, or a fever alongside tooth pain could indicate an infection like an abscess, which can spread dangerously if untreated. Difficulty chewing, swallowing, or opening your mouth also warrants immediate attention, as does a tooth that feels loose or has been dislodged. Timing matters: for a knocked-out tooth, you have about an hour to see a dentist for the best outcome, while a fractured tooth with exposed nerves needs same-day care. Less urgent issues, like a loose filling without pain, can often wait 1–2 days but shouldn’t be ignored.
                                  If you’re not sure it’s a dental emergency, it’s better to be safe and call your dentist or an emergency clinic. Call your dentist or an emergency dental clinic for advice—many offer 24/7 hotlines. Avoid common mistakes, like assuming the pain will “go away on its own” or using home remedies like aspirin directly on the gums, which can cause burns. Instead, rinse your mouth with warm saltwater, take ibuprofen if needed, and seek professional help. Delaying care for emergencies like infections can lead to serious complications, including hospitalization in rare cases.
                                  Don’t wait—if you’re experiencing severe pain, swelling, or a dental injury, contact our office today! Or see your local emergency dentist. Feel free to reach out below.

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                                      Saturday: By Appointment
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                                      Monday - Friday: 7:30AM - 4:00PM
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                                      What to Expect at an Emergency Dental Visit 

                                      What to Expect at an Emergency Dental Visit

                                      An emergency dental visit can feel daunting, especially when you’re in pain or stressed. Understanding the process can ease anxiety and prepare you for quick, effective care. This post walks you through what happens during an emergency dental appointment, from arrival to treatment, and offers tips for managing costs and follow-up care.
                                      Tooth Extraction During Dental Emergency
                                      Upon arriving at the clinic, you’ll check in and describe your symptoms—perhaps a knocked-out tooth, severe pain, or a lost crown. The staff may ask about your medical history and allergies to ensure safe treatment. Most visits begin with X-rays to diagnose issues like hidden fractures or abscesses. The dentist will examine your mouth, prioritizing pain relief and stabilization. Local anesthesia is common for comfort, and sedation may be used for complex procedures. Expect the visit to last 1–2 hours, depending on the issue’s severity.
                                      Treatments depend on the emergency. A knocked-out tooth may be reimplanted and splinted, while an abscess requires drainage and antibiotics. Fractured teeth might get temporary crowns or fillings, with permanent repairs later. If a tooth is unsalvageable, extraction is a last resort. The dentist will explain each step and provide aftercare instructions, such as avoiding hard foods, taking prescribed medications, or keeping the area clean.
                                      Costs vary widely—$100 to $1,000 based on treatment and location—so bring your insurance card or ask about payment plans if necessary. Emergency visits may not be fully covered. If anxious, tell the staff—they’re trained to help you feel at ease.
                                      Emergency dental visits focus on getting you out of pain and preventing complications, so don’t delay. Knowing what to expect empowers you to act confidently during a crisis.
                                      Please feel free to call our office to schedule your evaluation below, which we will attempt to make SAME day.

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                                          Saturday: By Appointment
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                                          Monday - Friday: 7:30AM - 4:00PM
                                          Saturday: By Appointment
                                          Sunday: Closed