Private, General & Speciality Referral Clinic

Dental Emergencies

Contact Us ASAP in an Emergency

If you’re in pain or experiencing a dental emergency, contact us as soon as possible so we can try to see you on the same day. Prompt attention helps prevent problems from worsening and avoids more complex or costly treatment later.

You can find different types of dental emergencies explained below.

Painful tooth

Toothache can result from decay, a crack, or nerve inflammation (pulpitis), and sometimes from gum infection or teeth grinding.

Wisdom Tooth Pain / Infection.

A common emergency caused by trapped bacteria and inflammation in the pocket around a partially erupted wisdom tooth.

Broken Tooth

A tooth may break from biting hard foods, old fillings, or trauma. It can be painful, sharp, or unsightly, especially in front teeth, and may lead to infection if left untreated.

Lost Filling or Crown

When a filling or crown comes off, the exposed tooth can become sensitive and vulnerable to damage. See us promptly to replace it and protect the tooth.

Loose or Painful Implant

A loose or painful implant needs urgent attention, as bacteria can enter around the implant, leading to infection, or even screw fracture or implant failure.

Broken Fixed Retainer

A broken fixed retainer may catch on the tongue or soft tissues. It also risks teeth shifting out of position, so it should be repaired as soon as possible.

Painful/Clicking Jaw Joint

Jaw pain or clicking could be a sign of jawJoint (TMJ) Disorders. Early treatment relieves discomfort and improves jaw function.

Broken/Lost Removable Retainer

A lost or broken removable retainer can cause your teeth to shift out of alignment. It needs quick replacement to maintain your orthodontic results.

Oral Ulcers

Painful or persistent mouth sores should be checked, as they may signal infection or more serious conditions.

Painful Tooth

Pulp dressing / Root Treatment


Tooth pain often results from decay or inflammation of the nerve (pulpitis) inside the tooth. In early stages, inflammation may be eased with anti-inflammatory medication and addressing the decay.

When pain is severe or persistent, the nerve may need treatment through a pulpotomy (emergency root dressing), followed by root canal therapy later, where the infected tissue is cleaned, disinfected, and sealed completely.

A temporary restoration will be placed to protect the tooth until you see an endodontist soon.

Any tooth that has undergone a pulpotomy (emergency nerve dressing) will require a root canal treatment to complete the care and preserve the tooth.

Root Canal Treatment is performed when the tooth’s pulp becomes infected or inflamed, often due to deep decay, cracks, or trauma. The procedure involves removing the damaged pulp, cleaning the tooth’s interior, and sealing it to prevent reinfection—saving your natural tooth and stopping pain.

For complex cases, treatment by an Endodontist is recommended.
Our specialised Dentist, Dr. Dennis Aydan (MSc, King’s College London), carries out all root canal treatments under a dental microscope, using the latest techniques for precision, comfort, and long-term success.

Wisdom Tooth Pain / Infection.

Pain or swelling around a wisdom tooth is a common dental emergency. It often happens when the gum around a partially erupted tooth becomes infected — a condition called pericoronitis. Food and bacteria can get trapped under the gum flap, causing pain, swelling, and sometimes difficulty opening the mouth.

Emergency treatment focuses on relieving pain and controlling the infection, which may include local cleaning (debridement) and antibiotics if needed.

A panoramic X-ray (OPG) and full assessment are recommended to plan for long-term prevention, often involving removal of the affected wisdom tooth.

Broken Tooth

 

If you’ve broken a tooth, an emergency assessment and X-ray will help determine the extent of the damage.

Depending on the fracture, we can repair it with a white composite filling, veneer, or crown. These restorations are colour-matched to your natural teeth, ensuring both aesthetic appearance and full function of the tooth.

Painful Jaw Joint

Our lower jaw connects to the skull through the temporomandibular joint (TMJ). Painful jaw joints, or TMJ disorder, are a common cause of jaw pain and can result from several factors. Causes include: 

  1. Jaw injury or trauma
  2. Teeth grinding (bruxism)
  3. Arthritis in the TMJ
  4. Misalignment of teeth or jaw
  5. Stress and muscle tension (clenching)
  • Symptoms include:
    Jaw pain or tenderness, difficulty opening the mouth wide, clicking or grating sounds, jaw locking, and headaches or ear pain.
  • Assessment involves a comprehensive examination to identify the cause, including bite evaluation and panoramic X-rays.
  • Treatment or Management:  A range of custom mouth guards may be recommended following assessment to help relieve strain and protect the joint.

Loose or Painful Implant

If you have any issues with an implant placed by us, please contact us immediately for an emergency appointment.

If you’re experiencing problems with an implant placed elsewhere, it’s best to first contact the colleague who performed your treatment, as they will have your implant details, records, and spare components.

If they’re unavailable or unable to assist, our experienced team led by Dr. Amin Amenien (MSc Implant Dentistry, PG Cert. Multisystem Implantology) will be happy to help.

Please bring any available information, such as the implant brand, size, graft, and restorative protocol, to support accurate assessment and safe management.

FAQs

Most Frequently Asked Questions

Severe toothache, swelling, infection, broken or knocked-out teeth, loose implant tooth, and lost restorations are all dental emergencies. If you’re unsure, call us. Our team can advise whether you need urgent care.

We aim to offer same-day emergency appointments, subject to availability. You can book online or call us directly for the next available slot.

Our 30-minute emergency appointments focus on assessing and, where possible, managing the immediate problem — such as pain, swelling, or a broken tooth. We may schedule you for a follow-up visit for treatment.

Regardless, we recommend booking a full check-up afterwards to plan ongoing care and help prevent future issues.

Take suitable over-the-counter pain relief (paracetamol or ibuprofen if safe for you) and rinse gently with warm salt water. Avoid heat or chewing on the affected side until you’re seen.

Facial swelling, fever, or difficulty swallowing can indicate a serious infection. Contact us immediately or, if the swelling is severe or affects breathing, go straight to A&E.

Antibiotics alone rarely fix dental pain — they only help if there’s a spreading infection. The underlying cause (such as decay or an abscess) needs dental treatment to resolve the problem.

If possible, please complete your medical history form online in advance.
Bring any available and relevant items such as your retainer or nightguard, or any recent reports or X-rays.

If you’re not our regular patient and your emergency involves an implant, please bring any available implant information — for example, the brand, size, or surgical report.

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ANGEL SMILE LONDON

Private Dentist, Hygienist, Orthodontist in central London , Angel, Islington

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