A sudden toothache or chipped tooth can leave anyone alarmed. You may immediately wonder if you need to rush to a dentist. By understanding the difference between a problem that can wait for a regular appointment and a true dental emergency, you can get the right care at the right time. Acting quickly prevents complications and protects your oral health. As dental professionals serving the Clifton community, we want to clarify which situations demand immediate attention.
We designed this guide to walk you through the most common dental emergencies. We will explain which signs and symptoms mean you need urgent care. Our goal is to give you the knowledge to act swiftly and confidently when any dental crisis arises, so you protect your smile and overall well-being.
Severe, Unrelenting Tooth Pain
Many patients try to endure tooth pain, hoping it will fade on its own. Minor, fleeting sensitivity usually does not signal an emergency. However, severe and persistent pain signals a serious problem. You should not ignore this level of pain. It often grows so intense that it disrupts sleep, makes eating or concentrating hard, and does not relieve with over-the-counter pain relievers. Consistent severe pain usually means an underlying issue requires immediate professional care.
What Causes Intense Tooth Pain?
Usually, an advanced infection inside the tooth, called an abscess, leads to severe tooth pain. Bacteria invade the tooth's pulp—the innermost part with nerves and blood vessels. Deep decay, a crack, or gum disease often lets bacteria in. The infection creates a pus pocket and causes intense, throbbing pain and pressure. Acting quickly prevents the infection from spreading from the tooth root into the jawbone and other parts of the body, helping prevent major health problems.
How We Handle Severe Pain
When you come in with severe tooth pain, we first diagnose the problem and relieve your discomfort. We examine your teeth, sometimes using X-rays, to pinpoint the issue. We treat the infection directly—frequently with a root canal to remove infected pulp. If we can’t save the tooth, we extract it. Addressing these issues quickly not only relieves your pain but also prevents infection from worsening or spreading.
Physical Trauma to Your Teeth or Mouth
Accidents can happen during sports, a fall, or just biting into something hard. Any physical trauma that knocks out, breaks, or severely cracks a tooth constitutes a dental emergency. In these situations, time becomes critical, especially after a tooth gets knocked out. Acting swiftly and correctly often makes the difference between saving and losing a tooth. Likewise, a large crack or fracture exposes the sensitive inner tooth, causing pain and increasing the risk of infection.
First Steps After an Injury
If a tooth gets completely knocked out, handle it very gently. Pick it up by the crown (chewing surface), not the root. If it looks dirty, rinse it with milk or saliva—never use water or scrub it. If possible, gently place the tooth back in its socket; if not, place it in a small container with milk or your saliva to keep it moist. You should see a dentist immediately. The chance of saving the tooth is highest within the first hour. For a cracked or broken tooth, rinse your mouth with warm water and use a cold compress on the cheek to reduce swelling.
Why You Need to See a Dentist Immediately
If you delay treatment after trauma, you risk losing your tooth for good or needing more complicated treatment later. A break or crack allows bacteria inside, often leading to infection and possible need for a root canal. Seeing our emergency dentists right away lets us assess the situation and take the best steps to save your tooth. We may splint a loose tooth to its neighbors, re-implant a knocked-out tooth, or place a crown on a fractured tooth to restore appearance and function.
Signs of a Serious Infection (Abscess)
A dental abscess—an infection that creates a pus pocket—always qualifies as an emergency. Abscesses can form at the tip of the tooth root or in the gums next to the tooth. You might first notice a painful, pimple-like swelling on your gums. Symptoms often don’t stop there. You might taste something foul, have persistent bad breath, or even develop a fever.
Recognizing the Symptoms of an Abscess
A throbbing, persistent toothache that radiates to your jawbone, neck, or ear is often the first sign of an abscess. You might feel sensitivity to hot or cold, pain while chewing, swelling in your face or cheek, and swollen lymph nodes under your jaw. If the abscess bursts, you’ll notice salty, foul-tasting fluid and sudden relief of pain. The infection still requires treatment even after the pain decreases.
The Dangers of an Untreated Abscess
Ignoring an abscess puts your health at risk. An untreated infection can spread to your jaw, neighboring tissues, or other parts of your body. In rare cases, it can even reach the brain or heart and cause severe illness. An abscess will not resolve on its own. We must drain it and eliminate the infection. We may perform a root canal or remove the tooth, and we can prescribe antibiotics to stop the infection’s spread.
Your Partners in Urgent Dental Care
Knowing which issues count as dental emergencies will keep your teeth and health safe. Severe pain, trauma to your teeth, and infection symptoms all demand that you see a dentist quickly. Do not wait in these situations. Quick action prevents complications, relieves pain, and often saves your tooth. We stand ready to offer urgent care whenever you need it most.
Frequently Asked Questions About Emergency Dentistry
Is a chipped tooth an emergency?
A very small chip that causes no pain generally does not require emergency care, and you can wait for a regular appointment. If the chip is large, produces sharp edges that cut your cheek or tongue, or hurts, call us right away. Large fractures often expose the inner layers of your tooth, making it vulnerable to infection.
What should I do if I lose a filling or crown?
When you lose a filling or crown, you often feel discomfort and expose the sensitive part of your tooth. You do not always need immediate emergency care, but call us promptly for an appointment. Until your visit, place over-the-counter dental cement on the area and avoid chewing on that side to prevent further damage.
We at Paramount Dental Arts serve Clifton, New Jersey, and neighboring communities by offering comprehensive, compassionate dental care. We use advanced technology and a personal approach to help every patient feel confident and at ease through every step of their treatment. If you have any questions or would like to schedule an appointment, please reach out to us.

