A sudden toothache, cracked tooth or facial swelling can be frightening—especially when you are unsure whether the problem can wait. The safest first step is to call a dental office promptly, describe what happened and follow the advice you receive. If you are in Maple Ridge, Maple Ridge Dental Centre can review your symptoms by phone and advise you about appointment availability and the appropriate next step.
What counts as a dental emergency?
Not every dental problem requires hospital care, but many problems should be assessed quickly to reduce pain and protect the tooth. Contact a dentist promptly if you experience:
- Severe, persistent or rapidly worsening tooth pain
- Swelling of the face, jaw or gums
- A knocked-out, broken or deeply cracked tooth
- Bleeding from the mouth that does not stop with gentle pressure
- A damaged filling, crown or bridge that is causing pain or sharp edges
- Pain when biting, a bad taste, drainage or other signs that may suggest infection
- An injury involving the teeth, gums or jaw
What to do before your dental appointment
1. A knocked-out permanent tooth
Act quickly. Hold the tooth by the crown—the part normally visible in the mouth—not by the root. If it is dirty, rinse it gently with clean water without scrubbing or removing attached tissue. If it can be placed back in the socket easily, do so without forcing it. Otherwise, keep it moist in milk and seek immediate dental care. Do not try to reinsert a knocked-out baby tooth.
2. A broken or cracked tooth
Rinse your mouth gently with lukewarm water. Save any tooth fragments and bring them with you. Apply a cold compress to the outside of the face for short intervals if there is swelling. Avoid chewing on that side and do not place aspirin directly on the tooth or gum.
3. Severe toothache
Rinse gently and remove obvious food debris with careful flossing if you can do so comfortably. Do not place aspirin, alcohol, essential oils or household chemicals on the gum. A toothache can have several causes, and pain relief does not correct the underlying problem. Arrange an assessment as soon as possible.
4. Facial or gum swelling
Call a dentist promptly. Swelling combined with fever, worsening illness, difficulty opening the mouth, or spread toward the eye or neck needs urgent evaluation. If swelling affects breathing or swallowing, call 911 or go to the nearest emergency department.
5. A lost filling or crown
Keep the area clean, avoid hard or sticky foods, and save the crown if you have it. Do not use household glue. Even when the tooth is not painful, the exposed area may be vulnerable, so arrange a dental visit rather than waiting for symptoms to worsen.
6. Bleeding or soft-tissue injury
Apply steady, gentle pressure with clean gauze. A cold compress may help with swelling. If bleeding remains heavy or does not stop, or if the injury is extensive, seek urgent medical care.
What not to do
- Do not delay care because the pain temporarily improves.
- Do not place aspirin directly against a tooth or gum; it can injure the tissue.
- Do not scrub the root of a knocked-out tooth or allow it to dry out.
- Do not use superglue or household adhesive on a crown, denture or tooth.
- Do not assume antibiotics will fix every toothache. Dental treatment usually addresses the source of the problem, and antibiotics are used only when clinically appropriate.
What happens at an emergency dental visit?
The dentist will ask about your symptoms and medical history, examine the area and may recommend dental X-rays. The immediate goal is to identify the cause, control urgent symptoms and protect your health. Depending on the diagnosis and the time available, care may include a temporary repair, filling, root canal treatment, crown, extraction, medication, or referral. Definitive treatment may occur at the emergency visit or at a follow-up appointment.
Frequently asked questions
Can a new patient request an emergency appointment?
Yes. Call the clinic and explain your symptoms. The team will advise you about availability and next steps.
Should I use the online appointment form for an emergency?
For an urgent concern, calling is better than relying only on an online request because the team can ask follow-up questions and provide timely direction.
When should I go to the hospital instead of a dental office?
Call 911 or go to an emergency department for difficulty breathing or swallowing, severe facial trauma, uncontrolled bleeding, loss of consciousness, or another potentially life-threatening condition.
This article provides general information and does not replace professional diagnosis or emergency medical care.