Some symptoms require urgent medical assessment rather than waiting for a dental appointment.
Call 999 or attend A&E if you have severe swelling affecting your breathing, swallowing or ability to open your mouth, uncontrolled heavy bleeding, or a serious injury involving your face or jaw.
If you’re unsure where to seek care, NHS 111 can advise on the most appropriate service.
A dental emergency is generally a problem that requires prompt assessment because of significant pain, swelling, infection, trauma, bleeding or damage to a tooth or restoration. Examples include severe toothache, facial or gum swelling, a knocked-out or badly broken tooth, dental trauma and some lost restorations. If you’re unsure whether your problem is urgent, contact us. We’d rather help you understand the appropriate next step than have you worry about it at home.
We will always do our best to accommodate urgent dental problems as quickly as our clinical availability allows. Please call us as early as possible and explain what has happened so that our team can assess the urgency and advise on the earliest appropriate appointment. Same-day appointments cannot always be guaranteed.
A knocked-out permanent tooth requires urgent attention, and the chances of successfully saving it are generally better when treatment is obtained quickly. Hold the tooth by the crown rather than the root. If it is visibly dirty, gently rinse it without scrubbing. If you can reposition it in the socket without forcing it, do so. Otherwise, keep it in milk and contact a dentist urgently. Never try to reinsert a knocked-out baby tooth.
Toothache can have several causes, and the urgency depends on your symptoms. Significant or persistent pain, pain affecting sleep, swelling, fever or feeling generally unwell should be assessed promptly. Even a milder toothache is worth investigating because dental pain often indicates an underlying problem that is unlikely to resolve permanently without appropriate care. Contact us, and we’ll help you determine the appropriate next step.
Dental swelling can be associated with infection and should be assessed promptly. Contact us for advice. If swelling is severe, spreading rapidly, affecting your breathing or swallowing, or is associated with serious illness, seek urgent medical attention through 999 or A&E rather than waiting for a dental appointment.
It depends on the extent of the damage and your symptoms. A small chip without pain may not require immediate treatment, whereas a significant fracture, pain, sensitivity or a sharp edge may need more prompt attention. A lost filling or crown can also leave a tooth vulnerable. Contact us, explain what has happened, and we’ll advise how soon you should be seen.
Where clinically appropriate and time allows, we’ll aim to relieve discomfort and provide the necessary immediate treatment. Some problems require further investigation or a separate appointment for definitive treatment. In these situations, we’ll stabilise the problem where appropriate and explain the available options and next steps clearly.
Yes. You do not need to be an existing Sands End patient to contact us about an urgent dental problem. Please contact us and tell us what has happened. We’ll ask a few questions to understand your symptoms and advise on the appropriate next step and appointment availability.
If the practice is closed and you have an urgent dental problem, please follow the out-of-hours information provided by the practice or contact NHS 111 for advice on accessing urgent dental care. If you have severe swelling affecting breathing or swallowing, uncontrolled heavy bleeding or a serious facial injury, seek emergency medical care through 999 or A&E.