What Counts as a Dental Emergency and How to Handle It in Wake Forest

Dental pain has a way of showing up at inconvenient times, and when it does, it’s hard to know whether you’re dealing with something that needs same-day attention or something that can wait for a regular appointment. Getting that call right matters. Wait too long on the wrong thing, and a manageable problem can turn into a much bigger one.
At Upton & Baker DDS, we want every patient in Wake Forest to feel confident knowing what to do when something unexpected happens. Here’s a clear breakdown of what counts as a dental emergency and how to handle it while you’re on your way to see us.
A Knocked-Out Tooth
This is one of the most time-sensitive dental emergencies there is. If a permanent tooth gets knocked out completely, you have a window of roughly 30 to 60 minutes to get to an emergency dentist in Wake Forest and give the tooth the best chance of being saved.
What to do in the meantime:
- Pick the tooth up by the crown, not the root
- Rinse it gently with water if it’s dirty, but don’t scrub or dry it
- Try to place it back in the socket, or keep it moist in a small container of milk
- Get to our office immediately
Every minute matters here. Don’t wait.
Severe or Persistent Tooth Pain
An occasional twinge or mild sensitivity doesn’t necessarily mean emergency. But pain that is intense, constant, throbbing, or waking you up at night is a different story. That level of pain almost always points to something that needs prompt attention, such as a deep infection, significant decay, or a crack that has reached the nerve.
Dental infections don’t clear up on their own. They spread, and the longer treatment is delayed, the more involved it tends to become. If your pain fits that description, call us the same day.
Dental Abscess
An abscess is a serious bacterial infection at the root of a tooth or in the surrounding gum tissue. Warning signs include:
- Severe, throbbing pain
- Swelling in your face, cheek, or jaw
- Fever or general feeling of being unwell
- A pimple-like bump on the gum near the painful tooth
This is not a situation to monitor and hope improves. A dental abscess can spread rapidly to the jaw, neck, and beyond if left untreated. Contact us right away. If you have difficulty swallowing or breathing due to swelling, go directly to your nearest emergency room.
Cracked or Broken Tooth
Not every chip is an emergency. A small cosmetic chip with no pain can usually wait for a scheduled appointment. But a crack or break that causes sharp pain when biting, significant sensitivity to hot or cold, or involves a large piece of the tooth needs to be assessed promptly.
Cracks can deepen over time and lead to infection if they’re not addressed. Early treatment typically means simpler treatment.
What to do: rinse with warm water, apply a cold compress to your cheek if there’s swelling, and avoid chewing on that side until you’re seen.
Lost Filling or Crown
Losing a filling or crown exposes the underlying tooth to bacteria, temperature changes, and potential further damage. It may not be painful right away, but it’s worth treating as soon as possible to avoid complications.
Dental cement from a pharmacy can serve as a temporary patch, but it’s not a long-term fix. Contact us to get it properly restored.
Soft Tissue Injuries
Cuts or lacerations to the lips, tongue, cheeks, or gums can bleed quite a bit and look alarming. Most minor injuries can be managed at home with gentle pressure and a clean cloth. If bleeding hasn’t slowed after 15 to 20 minutes, head to an urgent care clinic or emergency room.
Not Sure? Just Call Us
If you’re on the fence about whether what you’re experiencing qualifies as an emergency, pick up the phone. Describing your symptoms takes a couple of minutes, and we can help you figure out whether you need to come in right away or whether a next-day appointment makes more sense.
As your emergency dentist in Wake Forest, Upton & Baker DDS is here when it matters most. Reach out to our team today and let us help you get out of pain and back to feeling like yourself.
