Imaging and consent
A panoramic or 3D X-ray shows roots, nerves and the extent of infection or fracture. The surgeon explains the plan, the risks and the sedation options.
Some dental emergencies are beyond what a general dentist handles in the chair. Broken roots, deeply impacted teeth, spreading infections and jaw injuries go to an oral surgeon, and we can get you to one today.
In most areas, yes. Call 1-855-219-4656 and we refer you to a partner oral surgeon or a dentist with surgical training who reserves same-day slots for emergencies. Surgical extractions and impacted wisdom teeth are done under local anesthetic with sedation if you want it, in 45 to 90 minutes. Costs run about $250 to $900 without insurance depending on the procedure. Severe swelling that affects breathing or swallowing should go to the emergency room first, and we arrange the surgical follow-up.
Being told you need an oral surgeon sounds alarming, but in practice it usually means a procedure that takes an hour in an office chair with better sedation options than a general dentist can offer. The referral is about matching the problem to the right training, not about how serious the outcome will be.
General dentists handle most emergencies. Your referral goes to a surgeon only when the case calls for it. For jaw injuries, see jaw pain and injury, and for spreading infection see facial swelling.
A panoramic or 3D X-ray shows roots, nerves and the extent of infection or fracture. The surgeon explains the plan, the risks and the sedation options.
Local anesthetic is always used. Nitrous, oral or IV sedation is added for anxious patients or longer procedures, with monitoring throughout.
The gum is opened, bone is removed where needed, and the tooth or infection is dealt with. Dissolving stitches close the site and you rest until alert.
| Type | Without insurance | With insurance (typical) |
|---|---|---|
| Emergency exam + X-ray | $100–$250 | $0–$50 |
| Surgical extraction (broken tooth or root) | $250–$700 | $80–$350 |
| Impacted wisdom tooth, per tooth | $300–$900 | $100–$450 |
| Surgical drainage of an abscess with antibiotics | $200–$500 | $50–$200 |
| Nitrous, oral or IV sedation | $50–$300 | Usually not covered |
Estimates from partner clinic fee schedules. Your dentist quotes the exact fee before treatment. National ranges from partner clinics; city pages show local figures. Hospital-based surgery for jaw fractures is billed by the hospital and may fall under medical insurance rather than dental. Check the dental cost guide for office-based figures. See the emergency dental cost guide.
Related emergency guides: Jaw pain or injury, Dental trauma after an accident, Swollen face from tooth infection.
Need help right now? Call 1-855-219-4656, free, 24 hours a day.
Medically reviewed by Dr. FULL NAME, DDS. Last reviewed . Sources: ADA MouthHealthy, Extractions, NIH National Institute of Dental and Craniofacial Research. Editorial policy.
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