These need care now, tonight, from us or from an emergency room.
Spreading facial swelling
Especially toward the eye or down the neck.
Trouble breathing or swallowing
Emergency room or 911.
Bleeding that will not stop
Particularly after injury or on blood thinners.
Knocked-out permanent tooth
Time-critical for replanting.
Injury with loss of consciousness
Hospital assessment first.
Usually can wait until we open
Uncomfortable is not the same as dangerous.
Toothache you can manage
Keep it clean; take a pain reliever you tolerate; call first thing.
Chipped tooth without pain
Avoid chewing on it; save the pieces.
Lost filling or crown
Keep the crown; do not glue it.
Sensitivity to cold
Note when it happens; mention it at the visit.
Sore spot from a denture or appliance
Stop wearing it if it is ulcerating; call in the morning.
When in doubt, phone
You do not need to diagnose yourself. Call and describe what is happening — where it hurts, whether anything is swollen, whether it started after an injury. If a hospital is the right place, we will say so.
What to do next
We hold same-day availability for urgent problems. If it is a red flag, do not wait for us to open.
General information reviewed by Mankirat Gill, DDS · August 2026. Not a substitute for an in-person examination. Severe pain, spreading facial swelling, or trouble breathing or swallowing: call us or seek emergency care now.