Call anytime — booking line open 24/7
Call Now — Book 24/7Emergency Dentist in Marlborough, MA — Same-Day Pain Relief on Business Days
In pain right now? Same-day emergency appointments in Marlborough, MA, during office hours (Mon–Thu 9–5, Fri 9–1). Walk-ins are welcome, but we can't guarantee immediate treatment, so please call first. Our team works to get you comfortable quickly, with calm, judgment-free care, digital X-rays on site and 3D CBCT imaging when your case needs it.
Call anytime — booking line open 24/7 · Same-day emergency slots held every business day · Walk-ins: please call first
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The team at Inova Smiles did a fantastic job. I had a last minute emergency with one of my front teeth, and they were able to not only fill the cavity that i had scheduled the appointment initially for, but also repaired the tooth on my maryland bridge.
Ian Harvey
Google Review
Same-Day Slots on Business Days
Openings held every business day. Walk-ins: please call first.
$99 Emergency Exam + X-Ray
New patients in pain. Any treatment is additional, quoted in writing.
On-Site Digital X-Rays
3D CBCT when needed; we aim to find the cause at your first visit.
Gentle, Judgment-Free Care
Comfort-first numbing and a calm room. Tell us if you're anxious.

The team at Inova Smiles did a fantastic job. I had a last minute emergency with one of my front teeth, and they were able to not only fill the cavity that i had scheduled the appointment initially for, but also repaired the tooth on my maryland bridge.
Ian Harvey
Google Review
Knocked-out tooth? Store it in milk or saliva and call now. Reimplantation works best within 30–60 minutes.
Call nowEmergency dentistry is same-day diagnosis and treatment of urgent dental problems: severe toothache, abscess, a knocked-out or broken tooth, or a lost crown or filling. At Innova Smiles in Marlborough, MA, Dr. Ambereen Fatima, DDS holds emergency slots every business day. Walk-ins are welcome, but please call first, because immediate treatment is not guaranteed. Digital X-rays are taken on site, and any treatment is quoted in writing before it begins.
Medically reviewed by Dr. Ambereen Fatima, D.D.S. — FICOI · FAAIP · practicing in the US since 2013 · Last reviewed · Meet Our Team
In short
- Emergency slots are held every business day. Office hours are Mon–Thu 9–5, Fri 9–1, closed weekends and holidays; the booking line answers calls 24/7 and schedules the first opening.
- Walk-ins are welcome during office hours, but immediate treatment is not guaranteed, so please call first and the team will triage your symptoms and hold a slot.
- New patients in pain can use the $99 emergency exam + X-ray: a focused exam and a diagnostic X-ray. Any treatment is additional and quoted in writing before it begins.
- A knocked-out adult tooth is the most time-critical emergency: store it in milk or saline and come straight in. Reimplantation works best within 30–60 minutes.
- Go to a hospital ER for trouble breathing or swallowing, bleeding that will not stop, or a suspected jaw fracture. Otherwise come to Innova Smiles, 340 Maple St, Suite 100, Marlborough, MA 01752, near I-495 and Route 20.
Not sure if it’s an emergency? Take our 60-second symptom checker.
Check Symptoms →Credentials and recognition






Your care is led by Dr. Ambereen Fatima, D.D.S. — Fellow, ICOI (FICOI), International Congress of Oral Implantologists, learn more about Dr. Fatima · Fellow, AAIP (FAAIP), American Academy of Implant Prosthodontics, learn more about Dr. Fatima
Fellowship-trained in implant dentistry and implant prosthodontics

Same-Day Visits
Walk-ins: please call first
Why Patients Choose Us in an Emergency
When tooth pain strikes, you need a team that is prompt and open about costs. Patients across the MetroWest area come to Innova Smiles for same-day emergency dental care on business days.
- Priority Slots: We hold emergency slots every business day.
- Gentle Care: Layered comfort options if you’re anxious.
- Digital X-Rays: On site, with 3D CBCT imaging when your case needs it.
You’re Already in Pain — The Visit Shouldn’t Add to It.
Dental fear is real, especially when you’re already hurting. Every emergency visit at Innova Smiles includes layered comfort options at no extra cost — tell us what you need and we’ll match it.
Tell us when you call. Mention that you’re anxious and we’ll have a calm room, extra time, and your preferred comfort option ready before you walk in. See our full gentle-care approach.
Finding the Cause of Your Pain
We don’t guess what’s causing your pain. We use low-radiation digital X-rays, and 3D CBCT imaging when a case needs it, to see what’s happening below the surface, so treatment can start as early as the first visit.
3D CBCT When Needed
Cone-beam CT shows the tooth, root, sinus and nerve canal in 3D, which is useful for impacted wisdom teeth and some infections. We use it only when your symptoms call for it.
Digital X-Rays
Digital sensors capture images in seconds, with less radiation than film. Dr. Fatima shows you what she sees on the chairside screen.
Minimally Invasive Solutions
Precise imaging means we treat only what needs treating, preserving as much natural tooth structure as possible.

See the problem. Understand the fix.
Your Emergency Visit
We know you're in pain. Our process moves you from the front door to clinical relief as fast as possible.
Call First
Call or book online. During office hours we'll ask about your symptoms and hold a priority slot for you.
Arrival
Walk into a calm office. We keep the paperwork short so you get to the exam chair sooner.
Targeted Diagnostics
On-site digital X-rays, and 3D CBCT imaging when your case needs it, help us find the source of pain (infection, fracture, or decay).
Relief and a Plan
Dr. Fatima treats what she can at that visit and gives you a plan for any follow-up care.
Dental Emergencies, Ranked by Urgency
Listed most time-critical first. Not sure if it’s an emergency? Call us: during office hours, we’ll walk you through next steps before you arrive.
- Knocked-Out Teeth
Call us immediately, a knocked-out adult tooth can often be reimplanted if we see you within 30–60 minutes. Bring the tooth in milk or saline and head straight in.
- Swelling or Infection
We manage abscesses and gum infections — including a gum boil — by treating the source: drainage, root canal therapy or extraction. Antibiotics are reserved for infection that has spread or causes a fever (ADA guidance).
- Severe Tooth Pain
We look for the source of the pain and treat it. Learn about tooth pain relief.
- Broken or Chipped Teeth
Protect your smile with same-day broken tooth repair and temporary restorations.
- Emergency Tooth Extraction
When a tooth cannot be saved, we provide gentle same-day emergency extractions with full pain management and a clear plan for replacement options.
- Lost Crown or Filling
Same-day re-cementation or temporary restoration to protect the underlying tooth and prevent sensitivity until definitive restorative dentistry is placed.
Why a Dental Office Is Usually the Right First Stop, and When the ER Is
A dentist can diagnose and treat the tooth itself. Go to a hospital ER for swelling that affects breathing or swallowing, bleeding that won’t stop, or injuries beyond the mouth.
ER vs. Dentist: A Decision Tree for MetroWest Residents
Knowing where to go saves time. Hospital emergency rooms are staffed by physicians who can manage pain, prescribe antibiotics and rule out a fracture, but they cannot perform a root canal, reimplant a tooth, splint a fracture or permanently restore a broken tooth. A dental office can.
- Bleeding that does not stop after 15 minutes of direct pressure
- A suspected jaw fracture: you cannot open or close normally, the bite looks misaligned, or your lower lip is numb
- Difficulty breathing or swallowing, which can mean a spreading infection is pressing on the airway
- Facial swelling that extends to the eye, the neck, or the floor of the mouth
- A fever over 101°F together with facial swelling
- Trauma with a head injury, loss of consciousness, or a suspected concussion
- A knocked-out tooth (a dentist can reimplant it; the ER cannot)
- A broken or cracked tooth, even with significant pain
- A severe toothache or abscess without trouble breathing or swallowing
- A lost crown or filling
- A broken denture, retainer, or aligner
Same-day emergency appointments are held during office hours (Mon–Thu 9–5, Fri 9–1); after hours, the booking line schedules the first opening. For patients driving in from Hudson, Sudbury, Northborough or Westborough, the office sits near the I-495 and Route 20 interchange in Marlborough, where a dentist can treat the tooth itself.
Emergency Dental Costs
You can still come in if benefits are not yet confirmed. Our team will help work through your options. Same-day verification depends on the plan and is not guaranteed.
Insurance Review
Plan-Dependent
Same-day verification is not guaranteed
Emergency Coverage
50–80%
Most PPO plans cover 50–80% of emergency treatment
Financing Available
0% APR
Through Cherry, subject to credit approval; CareCredit also accepted
Written Estimate
Upfront
Before any non-emergency follow-up work
Your written estimate uses confirmed benefits when available. Before treatment, our team will explain any unresolved coverage and your estimated patient responsibility. 0% APR financing available through Cherry for any remaining balance. HSA/FSA eligible, emergency dental care qualifies.
*0% APR financing is through Cherry, a third-party lender, not Innova Smiles, and is subject to credit approval; not all applicants qualify. Plans run up to 24 months in equal payments, the first due at purchase. Cherry's 0% APR plans carry no deferred interest; if an account becomes delinquent, interest may apply going forward, never retroactively. Your cost and payment depend on your treatment plan and approved offer, and are confirmed in writing at your consultation.
- Photo ID and insurance card if applicable.
- Any dental appliances, retainers, or restorations that were damaged.
- Medication list and health history updates so we can tailor pain management.
- If you’re experiencing trauma or heavy bleeding, head to the ER first and contact us on the way.
- Call anytime — your appointment is booked on the spot, even after hours.
- Use cold compresses and over-the-counter relief until we connect.
- Prefer not to call? You can also book online at any hour.
We’re Here When You Need Us Most
Call or book online to secure your emergency visit. After hours, the booking line takes your call and books the first opening.
What to Do Before You Reach Us
While you call us for a same-day appointment, these steps can reduce pain, prevent further damage, and give your tooth the best chance of survival.
Knocked-Out Tooth (Avulsion)
Rinse the tooth gently without scrubbing, reinsert it into the socket if possible, or store it in cold milk or saliva. Call us immediately, a tooth reimplanted within 60 minutes has the best chance of being saved.
Severe Toothache
Rinse with warm salt water and take an over-the-counter anti-inflammatory like ibuprofen. Do not place aspirin directly on the gum, it can cause chemical burns. Call us right away for same-day triage.
Broken or Chipped Tooth
Rinse your mouth with warm water and save any tooth fragments. Apply a cold compress to the outside of your cheek to reduce swelling. Avoid biting on the affected area and call us for a same-day evaluation.
Lost Crown or Filling
The exposed tooth is vulnerable to sensitivity and further damage. Temporarily cover the area with sugarless gum or over-the-counter dental cement (available at pharmacies). Avoid chewing on that side until you see us.
Signs of Dental Abscess
Throbbing pain, facial swelling, fever, or a pimple-like bump on your gum may signal a serious infection. This is a true emergency, because abscesses can spread to the jaw and airway. Call us now; if you have a fever with spreading swelling, or swelling that affects breathing or swallowing, go to the ER.
Soft Tissue Injuries
For a bitten tongue, lip, or cheek, apply gentle pressure with a clean cloth to control bleeding. If bleeding does not stop within 15 minutes or the injury is severe, go to the nearest emergency room.
When It’s an Emergency
What Qualifies as a True Dental Emergency?
Not every dental problem is a same-day emergency, but many are. True dental emergencies include: a knocked-out tooth (avulsion), where every minute matters for reimplantation success; dental abscess or infection, which can spread to the jaw, neck, and bloodstream if untreated; severe and uncontrolled toothache that prevents sleep or eating; a broken tooth with exposed nerve tissue; and significant soft tissue injuries (lacerations to the tongue, lips, or cheeks).
Lost crowns, cracked fillings, and mild toothaches that are manageable with over-the-counter pain medication are urgent but may not require immediate same-day care, calling our office during office hours to triage is always the right move. Our team will assess your symptoms and determine the appropriate urgency level. When in doubt, call us, we would rather help you determine it is not an emergency than have you wait when it is.
Why Delayed Emergency Dental Care Is Dangerous
Dental infections are the most dangerous category of dental emergency. The mouth sits adjacent to critical airway structures, the jaw, throat, and neck. A tooth abscess that is not treated can spread through fascial planes into the submandibular space (Ludwig’s angina), causing life-threatening airway compromise. This condition requires emergency hospitalization and can progress from a toothache to a life-threatening situation in 24–48 hours.
Even for less severe emergencies, delay consistently leads to worse outcomes and higher costs. A cracked tooth that is treated before the crack reaches the pulp may need only a crown. The same tooth left untreated for months may require a root canal, crown, or extraction. A knocked-out tooth has the best chance when it is put back within 30 minutes (AAE); after about an hour out of the mouth and dry, the cells on the root surface die and the outlook drops sharply (IADT 2020). Acting quickly—ideally within the first 30–60 minutes—gives your tooth the best chance of survival.
In Pain Right Now? Call Us.
Same-day emergency appointments are available during office hours at our Marlborough, MA office. Call us or book online; we prioritize urgent cases.
“We had an incredible experience with Dr. Ambreen.”
— Sadia Kazimi
Emergency Office Hours
We reserve same-day emergency slots during all regular hours. After hours, the phone line still books appointments — call anytime and you’ll be scheduled into the first opening.
Closed on these holidays: New Year's Day, Memorial Day, Independence Day, Labor Day, Thanksgiving Day, Christmas Day.
Closed Saturday and Sunday. After hours, call (508) 481-0110: the line books appointments 24/7. Go to the ER for swelling that affects breathing or swallowing, or bleeding that won’t stop.
New Patient Emergency Offer
Focused exam and diagnostic X-ray for new patients experiencing acute dental pain, a broken tooth, or another urgent issue. Any treatment is additional and quoted in writing before it begins.
Get Same-Day CareAlready a patient? Contact us or call (508) 481-0110 for priority scheduling.
What the Research Says
Published studies on this treatment, each summarized from the paper’s own abstract and linked to its PubMed record, including where the evidence is limited.
Half of replanted permanent teeth survived 5.5 years; teeth stored in milk before replanting had a 56.4% lower loss rate than teeth kept dry
Of 49 replanted teeth followed a mean 3.5 years, 26.5% healed normally; inflammatory resorption led to the early loss of every tooth it affected
IADT guidelines: avulsion of a permanent tooth is one of the most serious dental injuries, and prompt, correct emergency management is essential for the best outcome
Dental infections can spread quickly. Prompt treatment lowers the chance an infection spreads.
Related Articles
In-depth guides to help you handle dental emergencies with confidence.
Explore more emergency dental guides on our blog
Emergency Dental FAQs
A knocked-out permanent tooth is a time-sensitive emergency. Pick up the tooth by the white crown, avoiding the roots. Rinse it gently with milk or saline, never scrub it or use soap. If possible, place it back in the socket and hold it in place with gentle pressure; otherwise, keep it submerged in milk or inside your cheek. Time is critical: the best outcomes occur when the tooth is reimplanted within 30 minutes. Call our Marlborough MA office immediately at (508) 481-0110 for a same-day emergency appointment.
During office hours, yes. Innova Smiles holds emergency slots every business day (Mon–Thu 9–5, Fri 9–1). For a cracked or knocked-out tooth, a lost crown or filling, a severe toothache or facial swelling, call us early in the day and we will triage your situation and see you the same day whenever it is clinically possible; unlike a hospital ER, we can treat the tooth itself. We are closed on weekends and holidays, when our booking line still takes calls 24/7 and books the first available slot. If swelling affects your breathing or swallowing, or bleeding will not stop, go to the nearest emergency room.
A true dental emergency is any condition that involves severe pain, uncontrolled bleeding, or a knocked-out permanent tooth. You should seek immediate care for uncontrollable facial swelling, a cracked or broken tooth that causes extreme sensitivity, a lost crown or filling exposing the tooth, or signs of a serious oral infection such as fever, pus, or a bitter taste. If swelling is affecting your ability to breathe or swallow, go to the nearest hospital emergency room immediately. For all other dental emergencies, call our Marlborough office at (508) 481-0110, during office hours we reserve same-day appointments specifically for urgent cases.
During office hours, yes: we keep emergency slots open every business day (Mon–Thu 9–5, Fri 9–1), so we can usually see you the same day you call. Our first goal is to relieve your pain and stabilize the tooth. When you call during office hours, our team asks about your symptoms, gives you self-care guidance and books the next available emergency slot. Outside office hours, our booking line takes calls 24/7 and books the first available slot; we are closed on weekends and holidays. If swelling affects your breathing or swallowing, or bleeding will not stop, go to the nearest emergency room. Call (508) 481-0110.
Because every emergency situation is completely different, costs depend on the necessary tests and treatments required. A basic emergency exam with X-rays is affordable and often partially covered by insurance. During your urgent visit, we conduct an initial exam and transparently explain all treatment options and exact costs before proceeding with any major restorative work. We never pressure you into decisions during a stressful moment. For patients without insurance, our In-House Membership Plan includes an emergency exam, and we offer 0% APR financing through Cherry, subject to credit approval (we also accept CareCredit), to spread any additional costs into monthly payments. Call (508) 481-0110, cost should never delay emergency dental care.
If you have severe swelling or a throbbing toothache, start by applying a cold compress to the outside of your cheek for 15 minutes on, 15 minutes off to reduce inflammation. You can take an over-the-counter pain reliever like ibuprofen (Advil) or acetaminophen (Tylenol) as directed, but never apply aspirin directly against your gums as it can burn the tissue. Rinse gently with warm salt water to help reduce bacteria. Avoid very hot or cold foods and drinks, and try to keep your head elevated if lying down. These measures provide temporary relief while you wait for professional care. Call our office at (508) 481-0110 as soon as possible, we keep same-day emergency slots open for situations like yours.
If you experience a dental crisis outside of our normal office hours, call our main number at (508) 481-0110 — our booking line takes calls 24/7 and can schedule you into the first available emergency slot. For non-life-threatening issues like a lost filling or moderate pain, take over-the-counter pain relief; your priority appointment will already be on the books. If you have severe facial swelling affecting your breathing or swallowing, uncontrolled bleeding, or signs of a spreading infection with fever, proceed directly to your nearest hospital emergency room. We will follow up with you the next business day to provide any necessary restorative treatment.
A hospital ER is set up to manage medical emergencies, not to fix teeth. For a dental problem, ER staff can usually treat pain, drain swelling, and prescribe antibiotics for infection, but they do not have a dentist on hand to repair, restore, or remove the tooth. You will still need a dentist for the actual fix. Call our Marlborough office at (508) 481-0110.
Call a local dental office directly, even as a new patient, and describe what happened. Many practices, including ours, hold same-day openings for urgent problems; walk-ins are welcome during office hours, but we can't guarantee immediate treatment, so please call first. For severe swelling that affects breathing or swallowing, uncontrolled bleeding, or facial trauma, go to the nearest emergency room. Reach us at (508) 481-0110.
Sometimes, but never automatically. Extraction is only considered when it is clinically indicated after an exam and imaging show the tooth cannot be saved. When a tooth can be repaired, we work to preserve it with treatment such as a filling, crown, or root canal. If removal is the right option, we explain why first and review your replacement choices. Call (508) 481-0110.
Go to the ER immediately if you experience severe facial trauma, uncontrolled bleeding, a suspected broken jaw, or swelling that affects your breathing or swallowing. For most other dental issues—like a knocked-out tooth, severe toothache, or broken crown—an emergency dentist is the best choice.
Use over-the-counter pain relief (like ibuprofen or acetaminophen) as directed and apply a cold compress to the outside of your cheek for 15 minutes at a time to reduce inflammation. We reserve same-day emergency appointments during our regular office hours and will get you in to stabilize the tooth as quickly as possible; for emergencies outside office hours, call (508) 481-0110 — our booking line takes calls 24/7 and can schedule your emergency visit for the first opening.
During office hours, yes. If you have severe tooth pain, a broken tooth or facial swelling, call us: we hold emergency slots every business day. We are closed on weekends and holidays, when our booking line still takes calls 24/7. If swelling affects your breathing or swallowing, go to the nearest emergency room.
During office hours, yes. We hold emergency slots every business day for toothaches, broken teeth and lost fillings, and we work to relieve pain and stabilize the tooth at that visit. Call us as early in the day as you can. We are closed on weekends and holidays; our booking line takes calls 24/7 and books the first available slot. If swelling affects your breathing or swallowing, or bleeding will not stop, go to the nearest emergency room.
Stay calm. Pick up the tooth by the white crown, do not touch the root. Rinse it briefly with milk and try to place it back in the socket. If you cannot, keep the tooth in milk or saliva and call us right away. Time matters, the sooner you get here, the better the chance of saving the tooth.
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Serving MetroWest Communities
Same-day urgent dental care for families across MetroWest Massachusetts.
Emergency Dentistry in Marlborough & MetroWest MA
Our dental office is at 340 Maple St, Suite 100, Marlborough, MA 01752, serving patients throughout the MetroWest region.