ER or dentist · Tick what applies · Free · Nothing saved

ER, urgent care or dentist?

A hospital can save your life but usually cannot fix a tooth. A dentist can fix the tooth but is not where to go when you cannot breathe. Tick what is happening and see which you need.

Tool — Where should I go?

Tick everything that is true right now.

Any of these
Or any of these
Or these
Result

Tick what applies. The most serious thing you tick decides where to go.

Not a diagnosis · Nothing you enter is saved · When unsure, go up a level

Table 1 — What each one can do

Who treats what

Emergency roomProtects your airway, treats spreading infection with IV antibiotics, controls bleeding, treats facial injuries, manages severe pain. Does not usually do fillings, root canals or extractions.
Urgent careCan assess infection and pain and prescribe medication when no dentist is available. Cannot treat the tooth, and will send anything serious to the ER.
Emergency dentistFinds and treats the cause: drains an abscess, starts a root canal, removes a tooth, repairs a break, re-cements a crown.
Your regular dentistThe same, and they know your history. Call them first, even after hours: most have an emergency line or voicemail instructions.

If cost is the worry

Being seen without spending a fortune

Emergency rooms must assess you regardless of ability to pay, and for the red-flag symptoms above that is where to go. For everything else, a dental visit is usually far cheaper than an ER bill that ends with "see a dentist" anyway.

Dental school clinics and community health centers treat urgent problems at reduced fees, and many take walk-ins. When you call any office, say plainly what is happening and ask what the emergency visit costs before you go.

Common questions

Should I go to the ER for tooth pain?
Go to the ER if tooth pain comes with trouble breathing or swallowing, swelling spreading toward your eye or neck, a fever with a swollen face, or bleeding that will not stop. For tooth pain without those, an emergency dentist is the better choice, because the ER can ease pain and treat infection but usually cannot fix the tooth.
Will the ER pull a tooth?
Usually not. Most emergency rooms do not have a dentist on staff. They treat infection, pain, bleeding and injuries, then refer you to a dentist for the tooth itself.
What is considered a dental emergency?
Anything involving breathing or swallowing, spreading facial swelling, uncontrolled bleeding or facial injury is a medical emergency. A knocked-out permanent tooth, severe pain, an abscess, or a broken tooth with pain needs a dentist the same day. A lost filling or mild ache needs a dentist soon, not tonight.
What should I do about a knocked-out tooth?
For a permanent tooth, hold it by the crown, not the root, keep it moist in milk or inside your cheek, and get to a dentist or emergency room immediately, ideally within the hour. A knocked-out baby tooth is not put back; call the child's dentist.

General information · Not dental advice

This tool sorts by what you tick. It cannot examine you, and when you are unsure which level applies, choose the more urgent one. We always recommend seeing a dentist. Nothing on this site can examine your mouth or tell you what is wrong. If something hurts, looks wrong, or worries you, book an exam, and go sooner if it is getting worse.

Emergency? If you have trouble breathing or swallowing, swelling that is spreading toward your eye or neck, a fever with facial swelling, or bleeding that will not stop, call 911 or go to your nearest emergency room immediately. Full disclaimer

About this tool

This tool gives general, educational information only. It does not know your health history, has not examined you, and cannot diagnose anything or tell you what treatment you need. Use it to prepare for a conversation with your dentist, not to replace one.

Medical disclaimer

The information provided on Urgent Dental Helper is for general informational and educational purposes only. It is NOT intended to be a substitute for professional medical or dental advice, diagnosis, or treatment. Urgent Dental Helper is not a dental practice, and nothing here has examined your mouth. Always see a licensed dentist, physician, or other qualified health provider in person about any dental or medical condition. Never disregard professional advice or delay in seeking it because of something you have read or any result you received on this website.