Dental problems / Toothache

Toothache in Hornchurch.

A persistent or worsening toothache is your tooth telling you something needs attention. We offer same-day emergency appointments where possible. Call us on 01708 447 603 to be triaged.

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A relieved Hacton Dental Care patient after toothache treatment

Six common causes.

Decay (cavity) reaching the nerve

The most common cause. A cavity that has worked its way through the enamel and into the pulp where the nerves live. Treatment is usually a filling, a crown or root canal depending on how far the decay has gone.

A cracked or fractured tooth

Often felt as a sharp pain when biting on something specific. Treatment depends on the size and location of the crack - sometimes a filling, sometimes a crown, sometimes (rarely) extraction.

An abscess or dental infection

A throbbing toothache plus swelling, a bad metallic taste or fever suggests an abscess. This needs urgent treatment - usually a course of antibiotics first, followed by either root canal or extraction.

Gum disease

Pain along the gum line, especially with bleeding when you brush, can be early to moderate gum disease. Treatable with deep hygienist work and an improved at-home routine.

A wisdom tooth coming through

A dull ache at the back of the mouth in your late teens or twenties is often a wisdom tooth pushing through. Sometimes the right answer is 'leave it', sometimes extraction.

Sinus pressure

Toothache in upper back teeth can occasionally be referred pain from a sinus infection rather than the teeth themselves.

What to do tonight.

While you wait for an appointment.

  • Take paracetamol or ibuprofen as per pack instructions (alternating between the two helps for stronger pain)
  • Rinse with warm salty water (a teaspoon of salt in a glass of warm water)
  • Avoid very hot, very cold or very sugary food and drink
  • Sleep with your head propped up on extra pillows
  • Apply a cold compress to the outside of your face for swelling
  • Do not put aspirin directly on the gum (this burns the tissue)
Calm overnight care for toothache

When to call straight away.

Call 01708 447 603

Right treatment for the cause.

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Frequently asked questions

Should I go to A&E for toothache?

A&E is for life-threatening emergencies only - call us on 01708 447 603 for same-day dental triage, or 111 if we're closed.

Will the dentist be able to see me today?

We offer same-day emergency appointments where possible for registered patients, with new patients triaged for the next available emergency slot.

How much does an emergency appointment cost?

£90 for new patients (urgent fee) or £60 for registered patients (emergency fee), with any actual treatment quoted in writing on the day.

Can I take antibiotics for toothache?

Antibiotics treat the infection but not the underlying cause - you still need a dentist to deal with what caused the infection in the first place.

Why does the pain come and go?

Intermittent toothache often means the nerve is irritated but not yet completely inflamed - it's worth getting it checked before it progresses to constant pain.

Can a tooth heal on its own?

No - dental decay and infection do not self-heal, so a toothache that settles temporarily will almost always come back worse if untreated.

What if it's the middle of the night?

Take pain relief and call NHS 111 if you can't wait until morning, or come to us as soon as we open at 9am.

Do you offer toothache treatment near me?

Hacton Dental Care is in Hornchurch and a ten minute drive from Upminster, Romford, Elm Park and Rainham, with free on-site parking.

Find us.

Visit us

1 Hacton Lane
Hornchurch
Essex, RM12 6PH

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Opening times

Monday9.00am – 6.00pm Tuesday9.00am – 5.00pm Wednesday9.00am – 5.00pm Thursday8.00am – 5.00pm Friday9.00am – 5.00pm SaturdayBy appointment SundayClosed

Closed daily 1.00pm – 2.00pm for lunch.

Hacton Dental Care location map
Looking for an NHS dentist? Our sister practice Church View Dental is 1.1 miles away and currently accepting NHS patients.
Visit Church View