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NHS dental services

Dental emergency and out-of-hours care

If you think you need urgent treatment, contact your usual dental practice and ask to be seen as an emergency. If you do not have a regular dentist, you can still get urgent care. Call NHS England, the commissioning board, and ask for the dental access helpline, or call NHS Direct on 0845 4647.

You may need urgent treatment if you have:

  • toothache or swelling that suggests an infection of a tooth or gum
  • severe toothache or facial pain which is not controlled by taking over-the-counter painkillers
  • trauma of the face, mouth or teeth after a recent accident or injury
  • a permanent tooth being knocked out
  • bleeding after tooth extraction that you cannot control
  • serious swelling of the mouth or face which is getting worse

Most urgent treatments can be dealt with in one appointment. However, if more than one visit is required, and you return to the same dentist to complete the urgent course of treatment, you will only need to pay a single Band 1 (£18.00) charge for the whole course.

Once your urgent course of treatment has been completed, you may be advised to make another appointment for a separate course of non-urgent treatment. In this case, you will have to pay a second charge in the relevant treatment band.

What you can do to help yourself until you can see a dentist

In some circumstances, and only under a pharmacist’s supervision, the use of a dental repair kit may provide temporary relief. These can be bought over the counter at chemists and pharmacies for around £5.00. They are not intended to be a substitute for professional dental care. If you buy and use one of these kits, you still need to see a dentist as soon as possible so the underlying problem can be properly treated and permanently resolved. 

Find a pharmacist near you.

Comments are personal views. Any information they give has not been checked and may not be accurate.

noodles10 said on 24 January 2013

I had been suffering terrible toothache for about a week. I gave my local minor injuries unit a call who gave me the number for local emergency dental treatment. I rang them and they gave me a number of a nearby dentist who had emergency appointments available. I rang made the appointment and had a tooth extracted within a couple of hours.
If I'd known if was going to be so stress free I would have rang last week instead of suffering the pain.
I can't fault the service, Cheshire West certainly seem to have their act together. Thank you.

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thomasjo said on 30 December 2012

After having severe toothache I had to ring nhs direct for an emergency dentist, I was very pleased with the service I received from them. They called back when they said they would and booked me an appointment. Only to be let down by the dental practisioner as I explained to him I was scared and please not to hurt me. His exact words were "let's get 1 thing straight, your in my chair and I will use my tools which will more than likely hurt is that clear?" What a disgrace!!!

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a1l33n said on 29 December 2012

I'm very unimpressed with "emergency" dental access. It would appear to be impossible to actually obtain emergency treatment outside the major cities - and the ones in the major cities are probably very expensive. We've phoned the local emergency line about a broken tooth and have been told that all today's appointments have now been taken (it's now 3pm) - since emergencies happen 24 hours a day, surely appointments need to be available 24 hours a day.
Is A&E the only real option if you need emergency treatment? And will you get emergency dental treatment if you go to A&E?

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chismil82 said on 07 December 2012

Absolutely disgusted by the response I have had this morning. I have an extremely swollen face which is worsening by the minute and I am being refused an emergency appointment with a dentist because I live under a different postcode! I live in Berkshire and work in Surrey, I am in severe agony and as previously stated a continually swelling face and I can not be seen because I am not at home but at work. I think this is a disgrace! What if I lived in Scotland and was in Surrey for business, you expect me to fly back to Scotland to see someone? I have to travel 2 hours to get home then wait to be seen where as I should be seen within the hour at a dentist local to my location at the time, not based on where I currently reside. On a brighter note, although it lead to the emergency booking team telling me to simply 'deal with it', the triage nurses which I spoke to on the phone and the initial help line were absolutely fantastic. Helpful, quick and great advice. Now due to the incompetence of the emergency team I am about to go and waste the valuable time of A&E staff as I am hugely concerned and refuse to wait till I can get home to have this issue dealt with.

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sanvil said on 19 April 2012

My daughter had a tooth removed at an emergency dentist as she was not registered with a dentist. She was in terrible pain and her cheek was very swollen the next day. She phoned them and eventually agreed to see her after refusing initially. Now, 2 days later she is in terrible pain again and they have refused to see her. Her GP has said they must continue with aftercare but what does she do as they are refusing?

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Last reviewed: 29/02/2012

Next review due: 28/02/2014

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