What to do right now
Call us first on 093207 75889. We will tell you whether to come straight in, how to manage until you arrive, and what to bring. While you are on your way:
- Severe toothache. Rinse with warm salt water and gently floss to remove anything stuck. Take paracetamol or ibuprofen according to the packet, if you are able to take them. Do not place aspirin or any painkiller tablet against the gum; it burns the tissue and does nothing for the tooth.
- Knocked-out permanent tooth. Pick it up by the crown, not the root. If it is dirty, rinse it for a few seconds in milk or saline; do not scrub it. If you can, put it back in the socket and bite gently on a handkerchief to hold it. If not, keep it in a small container of milk, or in your mouth between the cheek and gum, and come immediately. The tooth has the best chance if it is back in place within an hour. Milk teeth are not put back.
- Broken or chipped tooth. Rinse your mouth, save any pieces in milk, and cover a sharp edge with sugar-free chewing gum or dental wax to protect your tongue. Avoid hot and cold food on that side.
- Swelling. A cold compress on the cheek, 15 minutes on and 15 minutes off, helps. Do not apply heat. Do not try to burst a swelling yourself.
- Lost filling or crown. Keep the crown. If the tooth is sensitive, a little temporary filling material from a chemist or a piece of sugar-free gum can cover it. Do not use household glue.
- Bleeding after an extraction. Bite firmly on a folded, clean gauze or cotton pad for 20 to 30 minutes without checking. Sit upright and do not rinse or spit. If it has not slowed after two attempts, call us.
When a hospital is the right place
A dental clinic is set up for teeth, gums and the jaws. Some situations need a hospital emergency room instead, and it matters that you go there rather than to us:
- Swelling that is spreading towards the eye, the floor of the mouth or the neck, or any difficulty breathing or swallowing.
- A suspected fractured jaw, a head injury, or any loss of consciousness in an accident, even briefly.
- Heavy bleeding that does not stop with pressure, particularly if you take blood thinners.
- High fever and feeling very unwell with a dental infection.
Once the hospital has dealt with the urgent part, we take over the dental treatment.
What happens at an emergency visit
The first job is to get you comfortable. After a brief history and examination, the area is numbed with local anaesthesia if there is pain. A digital X-ray shows what is going on beneath the surface, whether that is an abscess, a crack or a cavity that has reached the nerve.
We then do whatever stabilises the situation that day: opening a tooth to drain an abscess and relieve pressure, placing a temporary filling, re-cementing a crown, splinting a loosened tooth, smoothing a sharp edge, or starting a root canal. Antibiotics are prescribed only when there is a spreading infection, since they do not fix the cause, and a toothache without swelling rarely needs them.
Before any definitive treatment, you get a clear explanation of the options and the cost. Where it is sensible to complete treatment the same day, such as a single-visit root canal or an extraction, we do. Otherwise you leave out of pain with a follow-up appointment in the next few days. Most emergency visits take 30 to 60 minutes.
Why patients choose i-Smile in an emergency
- Same-day visits. Call first and we will fit you in on the same day, Monday to Saturday, 9 am to 9 pm. The long hours mean an evening toothache does not have to wait until morning.
- Digital X-rays on the spot, with far lower radiation than film, so the cause is found at the first visit.
- Rotary endodontics and an apex locator allow many root canals to be completed in a single visit when that is the right treatment.
- A root canal specialist on the team. Dr. Trushita Vyas focuses on painless single-visit root canal treatment.
- Saving the tooth first. Extraction is offered when a tooth genuinely cannot be saved, not as the quick way out.
- Every instrument autoclaved, every time.
Emergency costs and what changes them
The emergency consultation and pain relief costs ₹500 to ₹1,500. Treatment is quoted separately before it begins. As a guide:
- A filling is ₹1,500 to ₹3,500 per tooth.
- A single-visit root canal is ₹5,000 to ₹9,000 per tooth, with a crown afterwards at ₹8,000 to ₹15,000.
- A simple extraction is ₹3,000 to ₹6,000 per tooth; surgical removal of an impacted wisdom tooth is ₹8,000 to ₹18,000.
- Re-cementing an existing crown or smoothing a chipped edge is a minor procedure and is quoted on the day.
What moves the figure is how far the problem has progressed. A cracked filling caught early needs a filling; the same tooth a month later may need a root canal and a crown. Coming in promptly is the single best way to keep the cost down.
