Emergency NHS Dental Treatment
Dental emergencies can happen at any time. Here's what counts as an emergency, what it costs, and where to get urgent NHS dental care.
EMERGENCY CHARGE
£26.80
Same as Band 1
Last verified: April 2026
Applies in England only
Call NHS 111
Available 24/7 for urgent dental advice and to direct you to emergency services
Call 999 / Go to A&E
Only for uncontrolled bleeding, severe swelling affecting breathing/swallowing, or facial trauma
What Counts as a Dental Emergency?
The NHS considers the following to be dental emergencies:
- Severe toothache that cannot be controlled with painkillers
- A dental abscess (painful swelling in the mouth or face)
- A knocked-out permanent tooth (re-implantation is time-critical)
- A broken or fractured tooth causing pain or sharp edges
- Uncontrolled bleeding after a tooth extraction
- A crown or filling that has come out, causing pain
- Facial swelling spreading to the eye or neck
What Emergency Treatment Covers
The £26.80 emergency charge covers urgent treatment to address your immediate problem:
What to Do Step by Step
During practice hours:
- Call your regular NHS dentist and explain the emergency
- Most practices keep emergency appointment slots available each day
- If your practice can't see you, they should advise you where to go
Outside practice hours (evenings, weekends, bank holidays):
- Call NHS 111 (available 24/7)
- They will assess your symptoms and direct you to an out-of-hours dental service
- Some areas have dedicated emergency dental clinics
Managing Pain While Waiting
- Take over-the-counter painkillers (ibuprofen is generally most effective for dental pain)
- Apply a cold compress to the outside of your cheek
- Rinse with warm salt water (half a teaspoon of salt in a glass of water)
- Avoid very hot or cold food and drinks
- If a filling has come out, sugar-free chewing gum can temporarily protect the cavity
Knocked-Out Tooth: What to Do
If a permanent tooth has been knocked out, time is critical. The tooth can often be re-implanted if you act within 30-60 minutes:
- Pick up the tooth by the crown (white part), never the root
- If dirty, rinse briefly with milk or saliva (not water)
- Try to push it back into the socket and bite down gently on a clean cloth
- If you can't re-insert it, store it in milk or inside your cheek
- Get to a dentist or A&E immediately
Will I Need Follow-Up Treatment?
Emergency treatment addresses the immediate problem only. You will likely need a follow-up appointment for definitive treatment. This follow-up is a separate course of treatment and will be charged at the appropriate band (Band 1, 2, or 3) depending on what treatment is needed.
Last verified April 2026