Dental emergencies can be frightening, especially when they strike suddenly. If you are in severe pain or suffering from trauma, you may wonder: should I go to A&E or do I need to see an emergency dentist instead?
At Whites Dental, with clinics in Waterloo (SE1) and Marble Arch (W2), we see many patients facing this exact dilemma. Knowing the difference between when to visit an London based emergency dentist and when to go to A&E (Accident & Emergency) can save you time, money, and unnecessary stress — and in some cases, it can even save your life.
This guide explains the differences, what each service can provide and how to make the right choice when an urgent dental issue arises.
What Is A Dental Emergency?
Not every toothache or broken filling counts as a true dental emergency. Understanding what qualifies can help you decide whether you need an emergency dentist or a hospital.
Common dental emergencies include:
- Severe, unrelenting toothache that does not improve with painkillers
- Swelling in the face or jaw, particularly if it spreads or causes fever
- Knocked-out tooth due to trauma or accident
- Severe dental abscess with throbbing pain and possible discharge
- Broken crown, filling, or tooth causing significant pain
- Excessive bleeding following a dental procedure or injury
If you experience any of these, you should act quickly. The key question is: who should you call first — an emergency dentist or A&E?
What Can A&E Do In A Dental Emergency?
A&E departments are equipped to deal with life-threatening emergencies, but their ability to treat dental issues is limited.
At A&E, doctors may be able to:
- Provide antibiotics for severe infections
- Prescribe strong pain relief
- Treat life-threatening complications such as swelling affecting breathing or airway
- Manage trauma involving broken jaws, severe facial injuries, or uncontrolled bleeding
However, A&E staff are not dentists. They cannot provide:
- Fillings
- Extractions (unless absolutely necessary for trauma)
- Root canal treatments
- Crown or veneer repairs
This means that, while A&E can stabilise you in critical situations, you will still need to see a dentist afterwards for definitive care.
What Can An Emergency Dentist Do?

An emergency dentist specialises in treating urgent dental problems quickly and effectively. Unlike A&E, emergency dentists can provide comprehensive dental care on the spot.
Emergency dentists can:
- Relieve severe toothache by treating the cause (e.g., start a root canal or extraction)
- Drain abscesses and prescribe targeted antibiotics
- Re-implant knocked-out teeth (if brought in quickly)
- Repair broken crowns, fillings, or veneers
- Control dental bleeding from extractions or trauma
- Provide temporary or permanent restorative treatments
In most cases, if your dental emergency is not life-threatening, an emergency dentist in London is the fastest, most effective route to care.
When Should You Go To A&E Instead Of A Dentist?
You should only go to A&E for a dental problem if:
- You have swelling that threatens your airway (difficulty breathing or swallowing)
- You are experiencing uncontrollable bleeding in the mouth or face
- You have suffered severe facial trauma (broken jaw, facial fractures, or deep lacerations)
- You have signs of systemic infection (high fever, rapid swelling, confusion, or feeling very unwell)
⚠️ In these situations, A&E is the right choice because the problem could be life-threatening. Once stabilised, you will still need a dentist to complete treatment.
When Is An Emergency Dentist The Better Option?
In contrast, you should see an emergency dentist in London if you have:
- Severe toothache or abscess
- Knocked-out or loose tooth
- Broken crown, veneer, or filling
- Dental trauma with minor bleeding
- Swelling not affecting your airway
- Urgent need for restorative or cosmetic repair
Here, A&E won’t be able to help beyond prescribing pain relief. An emergency dentist will not only ease the pain but also provide a lasting solution.
Cost Differences – Emergency Dentist Vs A&E

One of the biggest considerations is the emergency dentists cost.
- NHS A&E – Free at the point of use, but treatment is limited to medical stabilisation. You will still need to pay for follow-up dental care elsewhere.
- NHS Emergency Dentist Appointment – Fixed Band 1 charge (£25.80 at time of writing), but access is extremely limited.
- Private Emergency Dentist – a private dentist costs usually between £75–£250 depending on the treatment. This provides immediate relief and definitive care.
💡 While private dentistry involves a fee, many patients find the speed of access and quality of treatment worth the investment compared to waiting for NHS availability.
NHS 111 And Urgent Dental Centres – The Middle Option
If you are unsure whether to go to A&E or a private emergency dentist, calling NHS 111 can be helpful.
- NHS 111 can assess your symptoms over the phone.
- They may refer you to an urgent dental care centre if available.
- These centres can provide antibiotics, extractions, or temporary pain relief.
⚠️ The drawback is that these appointments are limited, often require travel, and may only offer temporary fixes. For many Londoners, calling an emergency dentist near me provides faster and more reliable care.
What To Do In A Dental Emergency
If you’re unsure whether to go to an emergency dentist or A&E, follow this simple guide:
- Check your symptoms
- Airway difficulty, heavy bleeding, or facial trauma → Go to A&E
- Severe pain, abscess, knocked-out tooth, broken filling → Call an emergency dentist
- Call Whites Dental immediately
- Waterloo (SE1): 172 Blackfriars Rd, London SE1 8ER – 020 8616 0590
- Marble Arch (W2): 52B Kendal St, St George’s Fields, London W2 2BP – 020 3576 2325
- Manage pain and swelling at home (while waiting for your appointment)
- Apply a cold compress
- Take painkillers (paracetamol/ibuprofen if suitable)
- Keep a knocked-out tooth in milk or saliva
Accessibility In London – Getting To Emergency Dental Care
One major advantage of Whites Dental is how easy it is to reach our clinics when time is critical.
- Waterloo (SE1) – Located on 172 Blackfriars Road, minutes from Waterloo, Southwark, and Blackfriars stations. Bus routes including 1, 45, 63, 100, 172, 188, and 381 stop nearby.
- Marble Arch (W2) – Found at 52B Kendal Street, a short walk from Marble Arch, Edgware Road, and Paddington stations. Nearby bus routes include 7, 23, 36, 94, 98, 159, and 274.
This means whether you live, work, or are visiting central London, urgent care is always within easy reach.
Real-Life Scenarios: Dentist Vs A&E
Let’s look at a few examples to make things clearer.
- Scenario 1: Severe Toothache at Night
- Best choice: Emergency dentist. A&E will only offer painkillers.
- Scenario 2: Knocked-Out Tooth During Sports
- Best choice: Emergency dentist. If seen quickly, the tooth may be saved.
- Scenario 3: Swelling Making It Hard to Breathe
- Best choice: A&E. This is a life-threatening situation.
- Scenario 4: Broken Crown Before a Job Interview
- Best choice: Emergency dentist. Fast, cosmetic-focused treatment available.
Why Choose Whites Dental For Emergency Care?
At Whites Dental, we pride ourselves on offering rapid, high-quality emergency dental care in central London.
Why patients choose us:
- Two convenient locations – Waterloo (SE1) & Marble Arch (W2)
- Same-day appointments available
- Comprehensive treatments (not just pain relief)
- Trusted, experienced dentists
- Excellent transport links for easy access in emergencies
Whether you live, work, or are visiting London, our clinics are ideally placed to provide urgent care when you need it most.
FAQs
Q. Can I go to A&E for toothache?
You can, but they cannot treat the cause — only provide painkillers. An emergency dentist is better for toothache.
Q. Is a dental abscess an emergency?
Yes. Abscesses can spread quickly and require urgent dental treatment.
Q. What happens if I ignore a dental emergency?
Problems like abscesses, broken teeth, or infections will only worsen, potentially leading to hospitalisation.
Q. Do I need to be registered with Whites Dental to get emergency care?
No. We welcome both registered and non-registered patients for urgent treatment.
Final Thoughts
Knowing whether to go to an emergency dentist or A&E in London can make all the difference in a dental crisis.
- Go to A&E for airway problems, heavy bleeding or severe facial trauma.
- Go to an emergency dentist for toothache, abscesses, knocked-out teeth and restorative issues.
At Whites Dental Waterloo (SE1) and Whites Dental Marble Arch (W2), we provide same-day, expert emergency care so you don’t have to suffer unnecessarily. Save our details now — when a dental emergency strikes, you’ll know exactly who to call.
📞 Waterloo SE1 – 020 8616 0590
📞 Marble Arch W2 – 020 3576 2325