Many people wonder if an emergency room (ER) will pull a tooth. The short answer is: sometimes, but not always. ERs prioritize life-threatening and urgent medical situations. Tooth extractions, while sometimes painful and distressing, generally aren't considered life-threatening unless there's a severe complication. Let's delve into the specifics.
When Will an ER Pull a Tooth?
An ER might extract a tooth in emergency situations involving:
- Severe Trauma: If a tooth is severely damaged due to an accident (e.g., a sports injury, car accident), causing significant bleeding, pain, or potential infection, the ER will likely intervene. The priority here is to control bleeding and prevent further complications.
- Severe Infection (abscess): A severe dental abscess (a pus-filled infection at the root of a tooth) can spread rapidly, causing serious health issues. In such cases, the ER may extract the tooth to drain the infection and prevent it from spreading to the bloodstream (sepsis). This is a true medical emergency.
- Impacted Tooth Causing Severe Pain or Infection: While routine impacted wisdom tooth removal is done by an oral surgeon, an ER might address an impacted tooth causing unbearable pain or a dangerous infection.
When Will an ER NOT Pull a Tooth?
ERs are typically not equipped to handle routine tooth extractions or those that are not considered urgent medical emergencies. These scenarios include:
- Routine Extractions: If you need a tooth pulled for orthodontic reasons, cosmetic reasons, or because of decay, the ER is not the right place. You should schedule an appointment with a dentist or oral surgeon.
- Minor Toothaches or Discomfort: For typical toothaches, sensitivity, or mild discomfort, you should contact your dentist.
- Loose Teeth (without Trauma): A loose tooth that is not caused by an injury is not an emergency. Your dentist can assess the situation and determine the best course of action.
What Happens if You Go to the ER for a Toothache?
If you go to the ER for a toothache that's not related to a severe injury or infection, you're likely to receive pain relief medication and a referral to a dentist. You'll probably end up facing an ER bill for services that could have been handled more efficiently and cost-effectively by your dentist.
What Should I Do if I Have a Dental Emergency?
For non-life-threatening dental emergencies, contact your dentist immediately. Many dentists have emergency appointment slots or offer advice over the phone. If you cannot reach your dentist or the situation is life-threatening (severe bleeding, severe pain accompanied by fever, swelling of the face), immediately go to the nearest emergency room.
How Much Does an Emergency Tooth Extraction Cost in an ER?
The cost of an emergency tooth extraction at an ER can vary significantly depending on location, the complexity of the procedure, and other factors. It is generally substantially more expensive than having a tooth extracted at a dentist's office. It's vital to consider the overall costs before heading to the ER for non-emergency dental issues.
Can I Get Antibiotics at the ER for a Dental Infection?
Yes, if a dental infection is severe enough to require immediate attention, the ER might prescribe antibiotics to combat the infection. However, it is crucial to remember that antibiotics alone might not be sufficient, and treatment with your dentist or an oral surgeon will be necessary.
This information is for general knowledge and doesn't constitute medical advice. Always consult a medical professional for any health concerns.
