Emergency Dentistry

Emergency dentist in Baku: acute toothache, swelling and dental injuries

Acute toothache, a swollen gum or face, a broken or knocked-out tooth — these do not wait. German Dental Clinic is open seven days a week: Monday to Saturday 09:00–21:00, Sunday 09:00–18:00. At an emergency appointment pain and inflammation are dealt with first, and the full treatment plan is drawn up once the situation is stable. When you get in touch, say that it is urgent — that lets the clinic set time aside for you and tell you the nearest available appointment.

What counts as a dental emergency

• Sharp or throbbing toothache — does not settle with a painkiller, wakes you at night, reacts to hot or cold for a long time (toothache: what to do at home).
• A swollen tooth or gum — swelling around a tooth, pain on biting, pus or a bad taste in the mouth (swollen gum, tooth abscess).
• Facial swelling — the cheek or the area under the jaw is swollen, the mouth is hard to open (dental flux).
• A broken, cracked or knocked-out tooth — a blow, a fall, hard food (broken tooth: what to do).
• A dental injury in a child — a chipped, loose or knocked-out baby or permanent tooth (chipped tooth in a child).
• Bleeding after an extraction that will not stop, or pain that gets worse a few days later.
• A lost crown or filling, or a broken brace wire — especially with pain or a sharp edge cutting the cheek.

When to call 103 first

With these signs you need an ambulance (103) or a hospital rather than a dental surgery:

• the swelling spreads to the eye, under the jaw or down the neck;
• swallowing or breathing has become difficult;
• a high temperature and marked weakness;
• after a blow to the head or jaw — loss of consciousness, vomiting, or the mouth will not close.

What you can do before you arrive

• Pain. An ordinary painkiller can be taken, following the leaflet. Do not put a tablet on the gum — it burns the lining of the mouth. Do not chew on the painful side.
• Swelling. Cold on the outside of the cheek (ice wrapped in a towel, 10–15 minutes at a time with breaks). Do not apply heat, do not try to open the swelling yourself and do not take antibiotics that a doctor has not prescribed.
• Knocked-out tooth. Hold the tooth by the crown, not the root. If it is dirty, rinse it briefly with water — do not scrub it. Put it in milk or saline and bring it in as fast as possible — the chance of replanting it is limited to the first hours.
• Broken tooth. Keep the fragments, rinse the mouth with warm water and use a cold compress if there is swelling.
• Bleeding. Bite on sterile gauze for 20–30 minutes and do not rinse hard. If the bleeding does not stop, come in straight away.

What happens at an emergency appointment

1. Your complaint and medical history. When it started, which medicines you have taken, allergies and long-term conditions.
2. Examination and imaging. A digital X-ray and, when needed, a 3D CBCT scan on the Orthophos SL — it shows where the pain comes from and how far the inflammation has spread (diagnostics).
3. Relieving pain and inflammation. Under local anaesthesia: opening and cleaning the root canal (endodontics), draining pus, a temporary filling, smoothing a broken edge or splinting a loose tooth — the examination decides which is needed.
4. Advice and the next step. What to do at home, a prescription if medicine is needed, and a plan for definitive treatment.

After the emergency visit

Emergency care stops the pain and the inflammation, but does not always remove the cause. Once the situation is stable, definitive treatment is planned: root canal treatment and a restoration, a crown, gum treatment (periodontics) or, if the tooth cannot be saved, replacing it with an implant. For children the next steps are planned with the pediatric dentist.

Frequently asked questions

Can I come in without an appointment?
Call or write before you come and say that it is urgent. That lets the clinic set time aside for you and tell you the nearest available appointment.

Can I get emergency dental care on a Sunday?
The clinic is open on Sundays too, 09:00–18:00. Outside opening hours, or if the swelling spreads to the neck or breathing or swallowing becomes difficult, call 103.

Does a painful tooth have to be extracted?
No. The aim is to keep the tooth whenever possible, most often with root canal treatment. Extraction is only offered when the tooth cannot be saved, which becomes clear after the X-ray and examination.

Can antibiotics replace a visit to the dentist?
No. Antibiotics are taken only when a doctor prescribes them, and they do not remove the source of the inflammation — an infected canal or an abscess. After a temporary improvement the problem often comes back.

Does local anaesthesia work when the inflammation is severe?
Treatment is done under local anaesthesia. With acute inflammation it may need more time to work; sometimes the first step is draining the pus and the rest of the treatment is done at the next visit.

What should I do if my child has knocked out a baby tooth?
Baby teeth are not put back — doing so can damage the permanent tooth developing underneath. Bring the child in for an examination: the dentist will check the soft tissues and the neighbouring teeth. If a permanent tooth has been knocked out, put it in milk and come straight away.

Related pages: Toothache · Tooth abscess · Dental flux · Endodontics · Contact

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