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Warning-sign checks

Toothache: when to get help

Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.

  1. 1

    Is any of this happening now?

    Call 911

    Go to an emergency department or call emergency services if:

    • Swelling affects your breathing, swallowing, speech, eye, or neck
    • You are becoming confused, faint, or severely unwell
    • Jaw or tooth pain occurs with chest pressure, breathlessness, sweating, or nausea
    Other emergency signs, for anyone
    • Someone who is struggling to breathe, gasping, choking, or cannot get words out
    • Someone who has chest pain, tightness or pressure lasting more than a few minutes
    • Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
    • Someone who is unconscious, or cannot be woken
    • Someone who is bleeding heavily and it will not stop with firm pressure
    • Someone who has had a seizure that will not stop, or does not wake up afterwards
    • Someone who has lips or skin that look pale, blue, grey or blotchy
    • Someone who you believe has taken an overdose or swallowed something poisonous
  2. 2

    Is any of this happening?

    Be seen today

    Arrange an urgent, same-day dental assessment if you have facial or jaw swelling, fever, spreading redness, pus, or pain that prevents sleep or eating.

    You should also seek urgent dental advice after a significant tooth injury.

  3. 3

    Does any of this apply?

    Book an appointment

    Book a routine dental appointment if pain lasts longer than two days, keeps returning, occurs when biting, or comes with ongoing sensitivity.

    You should also book if a filling has broken or a tooth has become chipped.

The article also says

A medical clinician can assess fever, spreading swelling, or symptoms that may not come from a tooth.

However, most dental causes need care from a dentist.

Every sign above is quoted from the sofidex article on Toothache. If you are not sure, err upward — it is always reasonable to be checked.