Tooth Infections And Abscesses: Signs, Same-Day Care, And When Extraction Happens
Tooth pain that throbs. A pimple on the gum that will not go away. A sudden bad taste in your mouth. These can be small signals of a bigger problem: a dental infection. When you are hurting, you want fast answers and a calm plan.
At Ethos Dental Studio in Langley, we take the time to assess, explain, and treat dental infections step by step. You will know what is happening, why it hurts, and what your options are. We aim to control pain quickly, protect your overall health, and save teeth whenever safely possible.
This guide explains how to spot an infection, what happens during an urgent visit, when same-day treatment or extraction is recommended, how sedation can help anxious patients, and how to decide between the ER and a dentist in British Columbia.
How to know if a tooth is infected
A tooth infection happens when bacteria enter the inner part of the tooth or the surrounding gum and bone. Infections can start from deep decay, a cracked tooth, failed dental work, or advanced gum disease. Warning signs often include:
- Throbbing or pressure pain that worsens when chewing or lying down
- Sensitivity to hot or cold that lingers
- Swelling in the gum, jaw, or face
- A pimple-like bump on the gum that drains or tastes salty or metallic
- Bad breath or a persistent bad taste
- Fever, fatigue, or swollen lymph nodes under the jaw
- Tightness when opening the mouth, or difficulty swallowing
If you notice facial swelling, fever, trouble swallowing, or difficulty breathing, this can indicate a spreading infection. Seek urgent medical care right away. In BC, that means going to the nearest emergency department immediately. If symptoms are local to the tooth without trouble breathing or swallowing, call a dentist promptly for guidance.
What to expect at an urgent dental visit
We focus on comfort, clarity, and safety. A typical emergency appointment for suspected infection includes:
- Targeted questions about pain, swelling, and medical history
- Digital X-rays and, if needed, intraoral photos to locate infection
- Gentle testing of the tooth and gums
- Clear explanations of findings and options
Pain control comes first. Local anesthesia is used to numb the area. Over-the-counter analgesics can be combined safely in many cases, and we will review what is appropriate for you. If there is significant swelling or systemic symptoms, antibiotics may be prescribed as an adjunct, not a stand-alone cure. Antibiotics help control the spread; definitive dental treatment removes the source.
Depending on the diagnosis, same-day procedures may include:
Drainage of an abscess through the gum or the tooth- Opening the tooth to relieve pressure and start root canal therapy
- Smoothing or adjusting a cracked tooth to reduce pain
- Extraction when a tooth cannot be predictably saved or poses a health risk
When extraction happens the same day
We prefer to save teeth when it is predictable and safe. Root canal therapy often resolves an infected tooth while preserving your natural structure. However, same-day extraction may be recommended when:
- The tooth is fractured below the gumline
- There is severe bone loss or advanced periodontal disease
- The tooth cannot be isolated or restored for long-term success
- Infection is extensive and the tooth is not restorable
- You prefer extraction after reviewing options, risks, benefits, and costs
Will a dentist pull an infected tooth the same day? Often yes, if it is the safest choice and you consent. We may combine extraction with drainage and a short course of antibiotics based on your health history. Every case is unique. We will walk you through the plan and expected healing.
Root canal therapy vs extraction
Root canal therapy removes the infected pulp, disinfects the canals, and seals the space. It is performed with local anesthesia, and most patients report pressure, not sharp pain. A crown may be recommended after healing to protect the tooth.
Extraction permanently removes the tooth. It is straightforward in many cases and can provide rapid relief. Discussion includes options to replace the tooth, such as implants or bridges, so you can plan next steps.
We help you compare comfort, time, tooth longevity, future costs, and your personal preferences. Our role is to give you clear information so you can decide confidently.
Sedation and anxiety support
Dental anxiety is common, especially when pain is involved. At Ethos, we take the time to explain each step, check in often, and proceed at a pace that feels safe. Sedation options, including nitrous oxide, can make urgent procedures more comfortable. Gentle technique and a calm, spa-like environment support a smoother experience.
Imaging, safety, and treating infected teeth
Digital X-rays and intraoral photos guide safe decisions. Treating an infected tooth is generally safe with proper anesthesia and infection control. If there is significant swelling, trismus (limited opening), fever, or medical complexity, we may coordinate with your physician or refer when hospital-based care is more appropriate. Your safety is the priority.
Costs, insurance, and how billing works in BC
Fees typically follow the BC Dental Fee Guide, but total costs vary with complexity, imaging, sedation, and follow-up care. Ethos Dental Studio offers direct billing to most insurers as a courtesy. Coverage levels differ widely between plans. We will provide an estimate, help you understand benefits, and review any out-of-pocket portion before treatment whenever possible. Final insurer decisions can vary. If you have questions about coverage or need staged care to work within your benefits, our team will help you plan.
ER vs dentist in British Columbia
Can the ER help with a tooth? Yes, in urgent situations. Emergency physicians manage health risks from spreading dental infections. They can assess your airway, provide IV or oral antibiotics, pain control, and imaging if needed. Will the ER pull a tooth if it is infected? Typically no. Most ERs in BC do not perform dental procedures like root canals or extractions. After stabilizing you, they will direct you to a dentist or oral surgeon for definitive care.
If you have localized dental pain without red flags, call a dentist first. If you have facial swelling that is rapidly worsening, fever with chills, trouble swallowing, or difficulty breathing, go to the ER immediately.
After-hours guidance
If you are in Langley and develop severe pain or swelling after hours, rinse gently with warm salt water, keep your head elevated, and avoid heat on the face. Use over-the-counter pain relief as directed on the label unless your physician has advised otherwise. Do not attempt to drain the area yourself. If breathing or swallowing becomes difficult, seek emergency care right away. Otherwise, contact a dentist as soon as the office reopens or use online booking to request the earliest appointment.
FAQ: quick answers to common questions
- How do I know if a tooth is infected? Look for throbbing pain, lingering sensitivity, swelling, a gum pimple that drains, bad taste, fever, or tender lymph nodes. Facial swelling or trouble swallowing requires urgent medical care.
- Will a dentist pull an infected tooth the same day? Often yes when the tooth cannot be saved safely, or when you choose extraction after reviewing options. In many cases, drainage or starting a root canal happens first to save the tooth.
- Will the ER pull a tooth if it is infected? Generally no. The ER manages serious infection symptoms and safety risks, then refers you to a dentist for definitive treatment.
- Can the ER help with a tooth? Yes for urgent symptoms. They provide antibiotics and pain control, and assess airway risk. For lasting relief, you will still need a dentist.
Your next step
If you are worried about a tooth infection, do not wait. Prompt care relieves pain, reduces risk, and can often save the tooth. If you are in Langley and need an attentive, technology-forward team, learn more about our services and book an urgent visit with our dentist in Langley at Ethos Dental Studio. You can also explore our full services if you are looking for a trusted dental clinic in Langley, BC. We will explain options, support you with sedation if needed, and help you navigate insurance so you feel heard and cared for from the first call.
To book, call (604) 513-8282, text 778-401-6126, or visit our website to request an appointment.
Internal links:
Learn more or book with our dentist in Langley:
https://www.ethosdentalstudio.ca
Explore dental services at our dental clinic in Langley, BC: https://www.ethosdentalstudio.ca/services







