Emergency Toothache: What to Do Right Now

A practical toothache playbook: safe home steps, what NOT to do, and urgent warning signs.

Fast, safe steps (first 30 minutes)

• Rinse: warm salt water (½ tsp salt in a cup of water).
• Cold compress: 10–15 minutes on/off for swelling.
• Pain meds: follow label instructions; avoid doubling doses.
• Keep it clean: gently floss to remove trapped food.

What NOT to do

• Don’t put aspirin directly on gums (can burn tissue).
• Don’t use heat on facial swelling (may worsen infection).
• Don’t ignore swelling or fever—these can be serious.

When it’s urgent (call immediately)

• Facial swelling, fever, or trouble swallowing
• Trauma (knocked-out or broken tooth)
• Bleeding that won’t stop
• Severe pain that wakes you up

If a tooth is knocked out

Hold it by the crown (not the root), rinse briefly, and try to place it back gently—or store in milk and come in urgently.

FAQ

Can antibiotics fix tooth pain?

Antibiotics may help certain infections, but they don’t fix cavities/cracks—dental treatment is needed.

Why does pain come and go?

Inflammation can fluctuate; the cause may still be active.

What if I’m pregnant?

Call first—many urgent dental treatments are still possible with safe options.

Medical note: This article is general information and not a diagnosis. For urgent symptoms, contact a dentist or emergency services.