Toothaches have a way of starting at the worst time: late at night, on a weekend, or right before a trip. Some can wait a day or two for a regular appointment. Others need attention right away. Here’s how to tell the difference.
What Usually Causes a Toothache?
- A cavity that has reached the inner layers of the tooth
- A cracked or broken tooth
- An infected tooth nerve or an abscess
- Gum disease or an infection in the gums
- A wisdom tooth coming in or trapped under the gum
- A lost filling or crown
- Grinding or clenching
Signs It Can Probably Wait for a Regular Visit
- Mild sensitivity to cold or sweets that goes away quickly
- A dull ache that comes and goes and is manageable with over-the-counter pain relief
- A small chip with no pain
- Soreness from food stuck between teeth that eases after flossing
These still deserve a call. Book a visit in the next few days so a small problem doesn’t grow.
Signs It’s a Dental Emergency
- Severe, throbbing pain that keeps you awake or doesn’t respond to pain relievers
- Swelling in your face, jaw, or gums
- A pimple-like bump on the gum, which can signal an abscess
- Fever along with tooth pain
- A bad taste or pus in your mouth
- A knocked-out or badly broken tooth
- Pain that lingers long after hot or cold food is gone
If swelling makes it hard to breathe or swallow, go to the emergency room right away.
What to Do Until You’re Seen
- Rinse with warm salt water.
- Floss gently to remove anything stuck near the tooth.
- Take an over-the-counter pain reliever as directed on the label, if it’s safe for you.
- Hold a cold compress on your cheek to ease swelling.
- Don’t put aspirin directly on the gum. It can burn the tissue.
- Avoid chewing on that side.
How We Treat Emergency Toothaches
At your visit, we’ll find the cause with an exam and digital X-rays, then focus on getting you out of pain. Depending on what we find, treatment might include a filling, a root canal to clear an infection and save the tooth, or an extraction if the tooth can’t be saved. We’ll explain your options and costs before we start.
Preventing the Next Toothache
Most toothaches start as small problems that grow quietly. Regular checkups catch cavities, cracks, and gum disease early, when treatment is simpler. Brushing twice a day, flossing daily, and wearing a night guard if you grind all help.
Emergency Dental Care in Leander
Siena Dental holds time for same-day emergency visits Monday through Thursday, and you don’t need to be an existing patient. If you’re in pain, call us at (737) 766-7226.


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