Published on May 7, 2026 | 8 minute read

By Dr. G
If you have bad tooth pain, swelling, a broken tooth, or a crown that came off, call a dentist. That is the simple answer.
You do not have to panic. But you should not ignore it either.
Tooth pain usually means something has changed. Sometimes it is a small issue. Sometimes it is a bigger one. From home, it is hard to know which one it is.
I see this all the time. A patient says, “It was bothering me a little last week, but I thought it would settle down.” Then it starts throbbing. Or it wakes them up at night. That is usually when they call.
If you need an emergency dentist in Mobile, AL, Rabbit Creek Dental can help you figure out what is going on. We will look at the tooth, check the area, and talk through what makes sense next.
Not every sore tooth is an emergency. Some teeth are sensitive to cold. Some gums get sore. Sometimes you bite down wrong and the tooth aches for a day.
But there are signs I do not like to see people wait on.
Call us if you have pain that is getting worse, pain that wakes you up, swelling in your gums or face, a broken tooth, a knocked-out tooth, bleeding that will not stop, or a crown or filling that came out and left the tooth hurting.
Night pain gets my attention. If a tooth wakes you up, that often means the nerve inside the tooth is irritated or infected. Not always. But often enough that I want to check it.
Tooth pain can come from a deep cavity. It can come from an infection. It may be a crack. Sometimes it is gum swelling or food stuck deep between the teeth.
Most people are guessing. That is normal. You can tell me what it feels like, but I still need to look before I can tell you what is really going on.
If you are hurting, call the office and tell us what happened. Tell us where it hurts, when it started, and what makes it worse.
Hot drinks. Cold water. Chewing. Lying down. That stuff matters.
You can rinse with warm salt water. You can put a cold pack on the outside of your face if there is swelling. Do not put aspirin on the gum or tooth. People still talk about doing that, but it can burn the tissue. I do not recommend it.
If a tooth breaks, save the piece if you can. If a crown comes off, put it in a small bag and bring it with you. Try not to chew on that side.
I have had many patients come in with a crown in a napkin, a sandwich bag, or even their pocket. That is fine. Just bring it. Sometimes it helps.
If you have trouble breathing, trouble swallowing, or swelling that is spreading fast, do not wait for a dental appointment. Go get urgent medical care. That can be serious.
A broken tooth may not hurt right away. That does not mean it is fine.
A rough edge can cut your tongue or cheek. A crack can spread. A deep break can let bacteria get inside the tooth.
Cracked teeth are common. I see them a lot. Many start small. Then one day the patient bites on ice, popcorn, hard bread, or something similar, and part of the tooth breaks.
If a crown comes off, the tooth under it may be weak or sore. Do not chew on that side if you can help it. Bring the crown with you.
Sometimes we can put the crown back on. Sometimes we cannot. If there is decay under the crown, or if the tooth has broken, we may need a different plan.
I would rather tell you that directly. If it is simple, good. If it is not simple, we still need to know.
Swelling can mean infection. It might be a bump on the gum. It might be puffiness in the face. It might come with a bad taste near one tooth.
I do not like to gamble with swelling.
If your face is swollen, your gum has a bump, or you have fever with tooth pain, call right away. That is not something I would watch for several days.
Some patients take leftover antibiotics before they call. I understand why they do it. They want relief. But antibiotics may only calm things down for a short time. They do not always fix the tooth.
Teeth do not heal like skin. If the inside of the tooth is infected, we have to deal with the source of the problem.
If you live in Mobile or near Rabbit Creek, you know how busy life gets. Work. Kids. School. Family. Errands. A toothache does not care about your schedule.
A lot of dental problems seem to flare up at bad times. Friday afternoon is a common one. Right before a trip is another.
When you call Rabbit Creek Dental, we will ask some questions. We are trying to understand how urgent it sounds.
A chipped tooth with no pain is one thing. Swelling with fever is another. A lost crown on a back tooth is different from a knocked-out front tooth.
Most people just want to know, “Can this wait?” That is a fair question. If you are not sure, call and ask.
An emergency visit is about finding the problem and helping you feel better.
Sometimes the answer is a filling. Sometimes it is a crown. Sometimes we talk about a root canal referral, an extraction, medicine, or another plan.
Dental problems are not always obvious from the outside. A tooth can look small and have a bigger problem underneath. Or it can look rough and still be fixable.
I like to show patients what I see when I can. An X-ray. A photo. The tooth itself. Then I explain what I think is happening.
If it were my tooth, I would want someone to be clear with me. Not scare me. Not sell me. Just tell me the truth.
A lot of people wait because they hope the pain will go away. I get it. Nobody wants an extra appointment.
But tooth pain usually has a reason. Waiting can make the problem harder to treat.
I have seen people chew on one side for weeks. They take medicine, avoid cold drinks, sleep sitting up, and hope it settles down. Sometimes it does for a while. Then it comes back worse.
Calling does not mean you are signing up for a big procedure. It means we can ask the right questions and decide what should happen next.
No lecture. We just start where we are.
If the pain is strong, getting worse, waking you up, or comes with swelling, you should call a dentist soon. Pain is a warning sign. It does not always mean something major, but it should be checked.
Save the broken piece if you can. Do not chew on that side. Call the dentist and tell them what happened. If the edge is sharp, be careful with your tongue and cheek until we can see it.
Yes, it can be. Swelling may mean infection. If swelling is spreading, or you have trouble breathing or swallowing, seek urgent medical care. That is not the time to wait.
It is better to call. A tooth without its crown can be weak, sore, or easy to damage. Bring the crown with you if you still have it. We will check the tooth and see what is realistic.
No. People wait for all kinds of reasons. Work, fear, money, family, bad past dental experiences. I have seen all of that.
At Rabbit Creek Dental, we are going to look at the tooth and help you move forward.
If you have tooth pain, swelling, a broken tooth, or a lost crown, call Rabbit Creek Dental. We will help you understand what to do next.
Call Now to speak with our team, or visit our Emergency Dentist page.