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Ask the Dentist: Emergency dental care doesn't mean same-day treatment

Lots of reasons for emergency dental care
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Dr. Mike Dolynchuk, owner of Caroline Dental Center and Dolynchuk Dental Center in Central Alberta.

When we think of a dental emergency, we often picture a scenario where immediate attention is required, a broken tooth, intense pain, or a traumatic injury to the mouth. It's easy to assume that "emergency" dental care means immediate, same-day treatment. However, this is not always the case. While dental emergencies are certainly urgent, there are several factors that can affect whether treatment can be provided on the same day. Understanding these factors can help patients manage their expectations and approach their situation with a clearer perspective.
Not all dental emergencies are the same, and the severity of the issue plays a significant role in determining whether treatment can be administered immediately.
 In cases of severe trauma, such as a knocked-out tooth or a broken jaw, immediate care is essential to save the tooth or stabilize the injury. However, some cases may not be treatable in a single visit, as the tooth might need to be re-implanted and splinted or the injury needs to be managed through multiple stages of care.
On the other hand, if the emergency is related to a toothache, the treatment may be less urgent. While tooth pain can be debilitating, the underlying cause, such as a cavity or infection, may not always require same-day treatment. For instance, a tooth with a cavity causing pain might only need temporary relief with medication, with the permanent procedure (e.g., filling or root canal) scheduled later.
A dental abscess or infection is another common emergency. In some cases, the infection may be severe enough to warrant antibiotics to manage it before the dental team can proceed with draining the abscess or performing other necessary treatments. In this situation, the patient may need to wait for the infection to be under control before receiving definitive care.
The kind of treatment required often dictates whether it can be completed on the same day. Some dental procedures are straightforward and can be performed quickly, while others require more preparation, resources, and follow-up care.
If a patient needs a filling or a simple extraction, these procedures can often be done immediately. However, if the patient needs a more complex restoration, such as a root canal, this often means booking another appointment as it is a timely process, depending on the tooth and how many canals. 
In some situations, the dentist might provide immediate relief with temporary measures, such as placing a temporary filling or putting the tooth in a splint, and then ask the patient to come back later for the final restoration. This is especially common when dental materials (like crowns or bridges) need time to be fabricated in a lab.
Dental emergencies can occur at any time, including after hours or on weekends. Most general dental offices are closed outside of regular office hours, and this may limit a patient's access to care. Many people in need of emergency dental care outside business hours turn to emergency dental clinics or hospital emergency rooms. While these facilities can offer basic care, they often focus on stabilizing the patient and relieving pain temporarily until they can see a dentist the next day or during regular business hours.
Emergency rooms and urgent care centers are generally equipped to handle only the most immediate needs, such as treating infection or pain management. They might not have the necessary tools or expertise to conduct more complex dental procedures, meaning that a follow-up visit to a dentist will still be necessary.
In some cases, a delay in treatment may be due to financial constraints or insurance approval. Emergency dental procedures can be expensive, and not all insurance plans cover same-day treatments in full. If a patient’s insurance requires pre-authorization or if the cost of treatment is prohibitive, the dentist may need to work with the patient on a payment plan or schedule treatments at a later time.
While a dental emergency certainly requires prompt attention, it doesn’t always result in same-day treatment. The nature of the emergency, the availability of dental staff, the complexity of the required treatment, and financial or insurance considerations all play crucial roles in determining whether immediate care is possible. It’s important for patients to understand that even though their situation might feel urgent, not all emergencies are treatable on the spot. 

Dr. Dolynchuk is a General Dentist practicing in Caroline and Red Deer. If you have dental questions, contact info@dolynchukdental.ca.