$99 Exam + X-Ray for new patients · treatment extra
Emergency Dentist in Marlborough, MA
Same-Day Pain Relief on Business Days
In pain right now? Call first: we hold emergency time every business day (Mon–Thu 9–5, Fri 9–1), and the team triages your symptoms and holds the earliest opening for you. Immediate treatment isn't guaranteed. In-network with Delta Dental and Blue Cross Blue Shield of Massachusetts; all PPO plans accepted.
Led by Dr. Ambereen Fatima, DDS FICOI · FAAIP
Led by Dr. Ambereen Fatima, DDS FICOI · FAAIP

I've recently had some pain in my jaw. I was able to schedule an appointment with Innova Smiles within a day and they couldn't have been better. The staff is welcoming and friendly, and they got right to the root of the issue. I was provided a prescription toothpaste and antibiotics to help treat my issue and I could not be happier with my visit. Highly recommend Innova Smiles!
Craig D.
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.
Knocked-out tooth? Put it back in the socket if you can, or keep it in milk, and call now. A tooth left dry for 30 minutes loses most of its root’s living cells.
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
Not sure if it’s an emergency? Take our 60-second symptom checker.
Check Symptoms →Credentials and recognition
Your Emergency Visit
We know you're in pain. Our process moves you from the front door to clinical relief as fast as possible.
- Step 1
Call First
Call or book online. During office hours we'll ask about your symptoms and hold a priority slot for you.
- Step 2
Arrival
Walk into a calm office. We keep the paperwork short so you get to the exam chair sooner.
- Step 3
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).
- Step 4
Relief and a Plan
Dr. Fatima treats what she can at that visit and gives you a plan for any follow-up care.
Patrick’s story
“It went by pretty quick.”
“So I had a lot of pain, pretty much all around my mouth, and Dr. Fatima actually took care of a root canal that I just had, and it went by pretty quick. I didn’t really feel no pain throughout it.”
Patrick Williams — Toothache & Root Canal Patient
Why Patients Choose Innova Smiles
In their own words, what patients value about their care.
Paying for Treatment
How Patients Pay for Emergency Care
Pick the line that sounds like you. Whichever it is, you see the plan and the written cost before we start.
“I have dental insurance”
“I don’t have insurance”
“I’d rather pay monthly”
“I want to know the cost first”
No obligation. You receive a written estimate before any treatment.
*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.

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.
Comfort & Anxiety-Free Care
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.
Premium Topical Numbing First
Professional-strength numbing gel is applied before any injection.
Comfort Options
Noise-canceling headphones, weighted blankets, and a Samsung Frame TV are ready in the operatory. We keep an unhurried pace even on an emergency visit, and nobody here judges how long the tooth has been hurting.
Hand-Signal Control
Raise your hand at any moment and we stop immediately. You set the pace. Combined with our tell-show-do approach — we narrate every step before we do it — you stay fully in control.
How We Diagnose the Problem
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.

See the problem. Understand the fix.
Seen on the screen
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.
Roots, sinus and nerve in 3D
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.
Only what needs treating
Minimally Invasive Solutions
Precise imaging means we treat only what needs treating, preserving as much natural tooth structure as possible.
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
Put the tooth back in its socket if you can; if not, keep it in milk (or saliva or saline), never dry, and head straight in. A tooth left dry for 30 minutes loses most of the living cells on its root.
- 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 causes and 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.
- 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)
Hold the tooth by the crown, rinse it briefly in milk or saliva if it is dirty, and put it back in the socket if you can. Otherwise keep it in milk, saliva or saline, never dry, and call us immediately.
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.
What’s Causing Your Toothache?
The most common causes we see, and the treatment for each.
Tooth Decay (Cavities)
When bacteria erode enamel, they expose the sensitive dentin and eventually the nerve. Pain is often triggered by sweets, hot, or cold. Treatment: a tooth-colored composite filling to seal and restore the tooth.
Cracked or Fractured Tooth
Cracks from biting hard objects, injury, or grinding cause sharp, unpredictable pain when chewing or with temperature changes, often invisible on X-rays. Treatment: a crown or composite bonding to stabilize and protect the tooth.
Abscess or Infection
A bacterial infection in the tooth root or surrounding tissue causes severe, throbbing pain, swelling, and sometimes fever. This is a dental emergency. Treatment: root canal therapy to remove the infection and save the tooth, followed by a protective crown.
Gum Disease
Advanced gum disease (periodontitis) destroys the bone and tissue supporting your teeth, causing aching, sensitivity, and loose teeth. Treatment: deep cleaning (scaling and root planing) to remove bacteria below the gumline.
Exposed Root
Receded gums or enamel erosion can expose the tooth root, causing sharp sensitivity to cold, air, or acidic foods. Treatment: desensitizing treatment, fluoride varnish, or gum grafting for severe cases.
Sinus, Grinding or a Failing Filling
A lower molar can radiate into your ear, an upper tooth can mimic a sinus infection; grinding (bruxism) causes widespread soreness, jaw pain and morning headaches; a failing filling aches the same way. Treatment: a custom night guard, or a new filling.
We use digital X-rays, a clinical examination and, when a case needs it, 3D CBCT imaging to diagnose the source of your tooth pain, and discuss all options with you before proceeding.
Tonight: What to Do Before You Reach Us; urgency: Dental Emergencies, Ranked by Urgency. Sensitivity alone: dental exams page.
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.
Already 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.
In short
- We hold emergency time every business day and do our best to see you the same 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 we can't guarantee immediate treatment, so please call first: the team triages your symptoms and holds the earliest opening for you.
- 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: put it back in the socket if you can, otherwise keep it in milk, and come straight in. A tooth left dry for 30 minutes loses most of the living cells on its root.
- 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.
Emergency Dental FAQs
What should I do if a tooth is knocked out?
A knocked-out permanent tooth is a time-sensitive emergency. Pick up the tooth by the white crown, not the root. If it is dirty, rinse it briefly in milk, saline or saliva; never scrub it or use soap. If you can, put it straight back in the socket and bite on a clean cloth to hold it. If you cannot, put it right away in milk, or in saliva spat into a cup, or in saline; never let it dry out, and use water only if nothing else is available. Time is critical: a tooth that stays dry for 30 minutes loses most of the living cells on its root. Call our Marlborough MA office immediately at (508) 481-0110. Never put a knocked-out baby tooth back in.
Is there an emergency dentist near me in Marlborough, MA today?
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.
What counts as a dental emergency?
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.
Can you see me the same day?
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.
How much does an emergency visit cost?
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.
What should I do for severe toothache or swelling before my visit?
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.
What if I have a dental emergency after hours?
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.
What will the ER do for a tooth?
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.
What should I do if I have a dental emergency and no dentist?
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.
Will an emergency dentist pull a tooth on the first visit?
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.
When should I go to the Emergency Room (ER) instead of an Emergency Dentist?
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.
What should I do if my child knocks out a permanent tooth?
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 in your child's saliva spat into a cup, never dry, and call us right away. Time matters, the sooner you get here, the better the chance of saving the tooth.
Can I get a routine, non-emergency appointment the same day?
Sometimes. When a cancellation opens a slot, a cleaning, exam or small filling can be booked the same day; call or text and ask. Emergencies always take priority for the reserved same-day slots.
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Serving MetroWest Communities
Same-day urgent dental care for families across MetroWest Massachusetts.





