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Emergency Dentistry · Harley Street, Marylebone

Emergency Dentistry

A dental emergency is any situation involving acute pain, sudden damage, or infection that cannot wait for a routine appointment, whether that is a severe toothache, a knocked-out tooth, a broken crown, or a swelling that is developing quickly. At This Is It Dental, emergency cases are prioritised and seen as soon as possible, with the immediate goal of eliminating pain and stabilising the situation before planning any permanent work.

Woman holding her cheek in pain during a dental emergency

What Constitutes a Dental Emergency?

Operating under Dr. Rena Uberoi's philosophy of calm, unhurried, and precise practice, we do not provide temporary patches or rushed assessments. Our emergency service is structured to diagnose the root cause of your distress immediately, completely alleviate your pain under effective local anaesthesia, and safely stabilise your oral health in a quiet, reassuring environment. Schedule an immediate emergency appointment if you are experiencing any of the following:

  • Severe, Pulsating Toothache

    Continuous, throbbing pain that keeps you awake or is aggravated by hot and cold liquids typically indicates acute pulpitis: irreversible bacterial inflammation of the tooth's inner nerve.

  • Localised Swelling or Abscess

    Visible swelling on your gums, cheek, or jawline signifies a spreading bacterial infection. This is a medical emergency requiring immediate drainage to prevent infection progressing into the deeper fascial spaces of the neck.

  • Traumatic Tooth Fracture or Avulsion

    A broken or completely dislodged tooth requires sub-millimetre stabilisation within the first 60 minutes to preserve the living periodontal ligament fibres.

  • Lost or Broken Restorations

    A displaced crown or lost filling leaves the highly porous inner dentine completely exposed to oral acids and bacteria, causing rapid nerve inflammation.

Our Urgent Care Protocol

  1. Targeted Digital Diagnostics

    Immediate high-resolution digital X-rays or targeted 3D CBCT scans of the affected zone, allowing us to visualise hidden root fractures, bone pathology, and the exact source of deep-seated bacterial infection.

  2. Effective Pain Alleviation

    Before any treatment begins, highly targeted local anaesthesia is administered. We dedicate the time required for nerve pathways to become completely desensitised. We move forward only when you feel absolutely zero sharp pain.

  3. Definitive Biological Stabilisation

    The exact clinical procedure required to resolve your emergency, opening an infected tooth to relieve pressure, restoring a fracture with biomimetic resin, or safely extracting a non-restorable root.

  4. PBM Laser Therapy

    Applied immediately following treatment, near-infrared light stimulates mitochondrial activity, drastically reducing immediate swelling, accelerating soft-tissue recovery, and easing muscle spasm in the jaw.

  5. Recovery Planning

    Emergency care eliminates pain and stabilises your biology. We conclude by providing a transparent, step-by-step plan for any permanent restorations required to restore long-term structural strength.

Transparent fees

Emergency Consultation & Comprehensive Digital Diagnostics Confirmed on contact
Emergency Biomimetic Restoration (temporary or permanent filling) From £290
Emergency Atraumatic Extraction (including PBM Laser Therapy) From £200

Fees confirmed in writing at your consultation. No treatment proceeds without your agreement.

Email Dr Rena Uberoi

Send us an email and we aim to get back to you the same day.

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Frequently asked questions

What should I do immediately if a permanent tooth is knocked out?

Time is the single most critical factor. Handle the tooth only by the smooth crown, never touch the root. If it is clean, gently push it back into its socket immediately. If this is not possible, place the tooth in cold milk or store it inside your cheek to keep the cells hydrated. Reach our clinic within 60 minutes. If treated immediately, we can splint the tooth and preserve its biological connection to the bone.

Will my emergency treatment hurt?

No. The primary objective of emergency dentistry is to eliminate pain, not cause it. We use advanced local anaesthetics and topical numbing gels to ensure the entire treatment area is completely desensitised before any work begins.

Can I walk in, or do I need to call first?

We strongly advise calling before arriving. We intentionally reserve emergency slots in our daily schedule, and phoning ahead allows us to prepare the necessary diagnostic tools and ensure a dedicated, unhurried appointment is ready for you when you arrive.

If I have a dental abscess, will antibiotics cure it?

No. Antibiotics travel through the bloodstream, but an abscessed tooth has no remaining blood supply, meaning the antibiotic cannot penetrate to the source of the infection inside the tooth. Antibiotics temporarily slow the spread of infection in the surrounding jaw, but the only definitive solutions are root canal treatment or extraction. A prescription alone leaves the source untreated.

Call us for urgent care

Book a consultation for an honest assessment and a clear written plan.

Clinically reviewed by Dr Rena Uberoi

Information on this page is for general guidance only and does not replace a face-to-face consultation. Every treatment plan is individual.