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Urgent Care

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:

Emergency examination
Temporary fillings
Extraction to relieve pain
Draining of abscesses
Re-cementing a crown that has come off
Prescriptions for antibiotics or painkillers

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