By Mona Lisa Smile Dental

Learn which tooth-pain symptoms need prompt dental care, what to do while you wait and when swelling or breathing difficulty requires emergency medical help.

Tooth pain is a signal, not a diagnosis

A toothache can come from decay, a cracked tooth, an irritated nerve, gum inflammation, an infection, clenching or another condition. Because different problems can feel similar, the safest next step is an examination rather than trying to diagnose the cause from pain alone.

Call a dentist promptly when

Contact a dentist promptly if pain is strong, persistent, worsening, triggered by pressure, associated with a broken tooth or accompanied by swelling, fever, a bad taste, drainage or difficulty opening your mouth. A tooth that suddenly stops hurting may still require care because symptoms can change while the underlying problem remains.

Get emergency medical help when

Call 911 or seek emergency medical care for trouble breathing or swallowing, rapidly spreading swelling, swelling that affects the eye or neck, significant facial trauma, uncontrolled bleeding, loss of consciousness or other life-threatening symptoms. A dental office is not a substitute for an emergency department in these situations.

What to do before your visit

Rinse gently with warm water and keep the area clean. If a tooth is broken, save any pieces and avoid chewing on that side. A cold compress on the outside of the face may help with swelling. Use over-the-counter medication only as directed on the label and when it is safe for you. Do not place aspirin or other medication directly on the gum or tooth.

What the dentist may evaluate

The visit may include a discussion of symptoms, an examination, dental imaging when appropriate and tests that help identify the tooth and likely cause. Treatment depends on the diagnosis and may involve a filling, crown, root canal treatment, gum care, adjustment, extraction or referral.

Schedule urgent dental care in Walnut Creek

Mona Lisa Smile Dental evaluates tooth pain, broken teeth, swelling and lost restorations. Learn more about our emergency dentistry services in Walnut Creek. Availability varies, so call 925-543-0000 before coming to the office. If symptoms suggest a medical emergency, seek emergency medical care first.

For appointment information, visit our contact page.

Frequently asked questions

Should I wait to see if the pain or break improves?

Minor symptoms sometimes change, but improvement does not confirm that the cause has resolved. Call the dental office for guidance, especially when symptoms persist, worsen or include swelling or trauma.

Can the office guarantee a same-day appointment?

No. Availability depends on the schedule and clinical urgency. Call before arriving. Life-threatening symptoms require emergency medical care.

Further reading

American Dental Association: Dental Emergencies and NHS: Toothache.

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