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Emergency Dentistry
February 26, 2025
9 min read

Dental Emergency Guide for Marlborough: What to Do When Your Tooth Breaks or Aches

Dr. Ambereen Fatima, DDS, FICOI, FAAIP

By Dr. Ambereen Fatima, DDS, FICOI, FAAIP

Lead Dentist at Innova Smiles Dental

Medically reviewed by Dr. Ambereen Fatima, DDS, FICOI, FAAIP • Last reviewed February 26, 2025
Dental Emergency Guide for Marlborough: What to Do When Your Tooth Breaks or Aches

Call our office immediately. If a tooth is knocked out, gently rinse it (no scrubbing), place it back in the socket if possible, or store it in milk. Time matters—ideally, be seen within 30–60 minutes. For severe pain or swelling, avoid heat and call us for urgent care.

What Is a Dental Emergency?

  • Knocked‑out (avulsed) or partially dislodged tooth
  • Severe toothache, swelling, or suspected abscess
  • Cracked, fractured, or chipped tooth with pain or sharp edges
  • Lost crown or large filling causing sensitivity
  • Trauma to teeth or gums

When in doubt, call us. We’ll help triage and schedule the fastest appropriate care.

Immediate Steps for a Knocked‑Out Tooth

  1. Handle the tooth by the crown (top), not the root.
  2. If dirty, gently rinse with water—do not scrub or use soap.
  3. Try to place it back in the socket and bite gently on gauze.
  4. If you can’t reinsert, store in milk or an ADA‑approved tooth preservation kit.
  5. Call us and head in immediately—time is critical for reimplantation.

Managing a Cracked or Chipped Tooth

  • Rinse with warm water and save any fragments.
  • If there’s bleeding, apply gentle pressure with gauze.
  • Use a cold compress to reduce swelling and take OTC pain relief as directed.
  • Avoid biting on the injured tooth until evaluated.

Severe Toothaches and Abscesses

  • Rinse to clear debris; floss gently if something may be trapped.
  • Avoid aspirin directly on gums—it can burn tissue.
  • Call promptly if you have fever, facial swelling, or difficulty swallowing.

ER vs. Dentist in Marlborough

  • Call the dentist first for most toothaches, chips, or broken restorations.
  • Go to the ER or call 911 for uncontrolled bleeding, facial fractures, trouble breathing, or systemic symptoms.

Local Context for MetroWest Patients

New England winters and weekend sports can add risk for slips and impacts. If you live or work in Marlborough, Hudson, or Southborough, store our number so you can reach us quickly.


Urgent dental concern? Call (508) 481‑0110. We’ll guide you step by step and prioritize your visit.

Innova Smiles Dental serves patients in Marlborough, MA and nearby communities including Hudson, Westborough, Northborough, Southborough, Sudbury, and Framingham.

Dr. Ambereen Fatima headshot
Dr. Ambereen Fatima, DDS, FICOI, FAAIP
Lead Dentist at Innova Smiles Dental

Dr. Fatima is a Fellow of the International Congress of Oral Implantologists (FICOI) and the American Academy of Implant Prosthodontics (FAAIP). She combines advanced implant and restorative training with a comfort‑first approach to care.

Her interests include dental implants, cosmetic smile design, clear aligners, and comprehensive restorative dentistry— helping patients in Marlborough, MA regain confidence and long‑term oral health.

Read full biography

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