
Most dental situations fall into one of two categories: things that should be seen soon, and things that genuinely can't wait. Knowing the difference matters — both so you don't delay care that's actually urgent, and so you don't spend an anxious evening convinced a sensitive tooth is an emergency when it isn't. Here's a straightforward guide to help you make that call.
Tooth pain that is intense, constant, or clearly getting worse over hours rather than days is telling you something important. Pain at this level usually signals nerve involvement, a deep infection, or an abscess — none of which resolve on their own. If the pain is affecting your ability to eat, sleep, or function normally, same-day care is warranted. Call us.
Localized swelling around a tooth or in the gum tissue typically indicates infection. This needs to be assessed and treated promptly — dental infections can spread to surrounding bone and, in rare cases, to other structures in the head and neck. If swelling is spreading rapidly, affecting your ability to swallow, or accompanied by fever and difficulty breathing, skip the dental office and go directly to an emergency room.
This is one of the most time-critical dental emergencies. Handle the tooth by the crown, not the root. Rinse it gently without scrubbing. If you can, place it back in the socket. If not, store it in cold milk or between your cheek and gum. Call our office immediately — outcomes are significantly better when we can see you within an hour of the injury.
A chip that you can feel but isn't causing significant discomfort can usually wait a few days for a routine visit. A crack or fracture that produces sharp pain when biting, or persistent sensitivity to temperature, means the break has likely reached the dentin or pulp — and that needs prompt attention to prevent the tooth from deteriorating further.
A pimple-like bump on the gum, a persistent bad taste in your mouth, swelling, or a toothache accompanied by fever are all signs of infection. Dental infections do not get better without treatment. Contact us that day.
A minor chip with no pain or sensitivity, a lost filling that isn't causing discomfort, mild gum bleeding that started after aggressive brushing, and a slightly loose crown that isn't painful can typically wait for a scheduled appointment within a few days. Still call us to get on the schedule — but you don't need to rearrange your day.
You don't need to be certain something is urgent before calling our office. Describing your symptoms to our team takes two minutes and they'll help you determine the right level of response. There's no such thing as calling too early about a dental concern. There is such a thing as calling too late.
The Local Dentist is open Tuesday through Friday, 9:00 am to 4:00 pm. Call us at (360) 543-8488. We're at 2219 Rimland Drive, Suite 110, Bellingham, WA 98226.

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