Our Endodontic Services

Emergency Endodontics

What Is an Endodontic Emergency?

Endodontic emergencies are typically related to infections of the teeth or trauma to the tooth. For example, if you have a serious cavity that progresses and causes a tooth infection, this is an endodontic emergency. An injury to your tooth can also count as an endodontic emergency. If it’s cracked or has a large chip, for example, the interior pulp may be exposed, and the tooth may be at risk of infection.

If you notice gum swelling, a sore tooth, or your tooth has recently been seriously cracked, chipped, or broken, you may need emergency treatment from ONE ENDO. We offer same-day consultations to our patients, so contact us right away to get the emergency endodontic care you need in Greenwich, Norwalk, or Westchester.

What to Do During an Endodontic Emergency

Contact ONE ENDO Immediately

The very first thing that you should do is contact our office for a consultation. You can call us to get a same-day appointment at any of our locations in Norwalk, Greenwich, and Westchester.

Treat Bleeding, If Present

If your tooth is bleeding due to an oral injury, you can treat this by absorbing blood with clean gauze, cotton balls, or paper towels. The flow of blood will usually slow down within 45 minutes.

Mitigate Swelling & Discomfort

An oral injury or a toothache from an infected tooth can cause a lot of pain and discomfort. If you have the time to do so and your medical history allows for it, you can take an over-the-counter medication like ibuprofen or naproxen to help with pain. Applying an ice pack to the cheek near the affected area may also help numb it and keep you comfortable until you see the dentist.

Come to Our Office ASAP

We can provide you with the endodontic care you need at any time, on any day of the week. Immediate care is critical for saving your tooth, so come and see one of our doctors at ONE ENDO immediately if you think you have an endodontic emergency.

Our Team working on a patient with a dental emergency

The Importance of Immediate Care

Immediate endodontic care gets you relief from your pain and discomfort, reduces your risk of future complications, and saves you time and money. At ONE ENDO, we offer same-day, after-hours, and weekend care. We have an emergency doctor on call at all times of the week, from Monday through Sunday. If you’re not sure if you’re experiencing an emergency, we recommend booking a consultation as soon as possible. Click the button below to learn more about our “Save Your Tooth” consultations.

Pulpotomies vs. Pulpectomies

The two most common emergency endodontic treatments are pulpotomies (baby root canals) and pulpectomies (root canals).


A pulpotomy involves the partial removal of a tooth's nerve. This procedure is only a "quick fix" to treat emergent dental pain.  The tooth is medicated and temporarily sealed until the root canal procedure can be completed at a later subsequent visit.


A pulpectomy involves the complete removal of nerve tissue in a tooth as the first step in root canal treatment.Medication and a temporary seal is then placed until a second appointment in which the permanent root filling is complete.

What Is Considered A Dental Emergency?

A dental emergency is any injury, damage, or infection of the teeth that requires immediate treatment, is causing severe pain, or is causing unstoppable bleeding and swelling. These issues can be caused by a variety of things such as untreated decay or gum disease, dental trauma, or broken teeth caused by excessive grinding.

Did you know that a toothache can be considered a dental emergency? That’s because tooth pain is a sign that something is wrong with the tooth, whether it has been damaged from injury or decay. 

A healthy tooth does not exhibit signs of pain or discomfort so experiencing significant pain signifies that the tooth needs to be examined and treated immediately. Severe pain in a tooth can be a sign of damaged pulp or infection. If left untreated, the infection can spread to the surrounding teeth or throughout the body, and in severe cases, can even lead to sepsis.

The following are all considered dental emergencies:
- Severe tooth pain
- Uncontrolled bleeding
- Knocked out tooth
- Chipped, cracked, or loose tooth
- Swollen & abscessed gums
- Soft tissue trauma
- Jaw pain
- Signs of infection

If you’re experiencing any of these symptoms, contact us at ONE ENDO today to schedule an appointment with Dr. Nicholas Mastroianni, Dr. Dean Saccomanno, Dr. Yan Chen, or Dr. Michael Cotter.

broken tooth illustration

What Isn't Considered A Dental Emergency?

What separates a dental emergency from regular dental treatment is the urgency and severity of the problem. If you can wait to seek treatment, the pain is manageable, and you do not have severe damage to your teeth that could cause excessive bleeding, infection, or damage to the inside of your mouth, it is most likely not a dental emergency.

While tooth pain can be a sign of a dental emergency in cases where the pain is severe and accompanied by a fever, swelling, or abscess, if the pain is mild and not accompanied by any other symptoms, you can likely wait to make a regular dental appointment. 

A broken tooth that does not have sharp edges that can cut your mouth and isn’t causing pain in your teeth or jaw, is also not considered an emergency. Since the broken tooth won’t cause any soft tissue damage and isn’t causing you pain, it does not need immediate treatment. However, we do recommend you make an appointment as soon as possible.

Finally, if you have lost dental work such as fillings or crowns, this can be temporarily fixed with temporary dental cement found at the pharmacy until you can get an appointment. Dental emergencies are reserved for patients who have urgent and severe dental problems.

How To Avoid A Dental Emergency

How do you avoid a dental emergency? It’s no secret that the best way to avoid dental problems is to take care of your teeth. However, many patients still neglect their oral health in subtle or serious ways. The following oral health tips will keep tooth decay and gum disease away for many years to come:

- Use a soft-bristle toothbrush so you don’t damage your enamel
- Brush your tongue to remove bacteria
- Brush your teeth for two minutes at a 45-degree angle
- Use fluoride toothpaste
- Floss at least once a day and brush your tongue
- Visit the dentist every 6 months for cleanings & checkups
- If you grind your teeth, get a custom-fit nightguard
- Avoid frequent snacking which can increase your risk of cavities
- Drink lots of water to avoid dry mouth
- Do not use your teeth to open packages or to chew on objects, ice, or hard & sticky foods
- Use mouthwash in between brushing your teeth
- Get fluoride treatments to prevent cavities

Did You Know…

About 85% of all dental emergencies are related to infected teeth, making this the most common type of dental emergency. If you want more information regarding our services, take a look at our frequently asked questions.

Contact us at One Endo of Westchester, Greenwich and Norwalk

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