Emergency Endodontic Care

Emergency Endodontic Care in in Burien, WA

Dental pain doesn't follow a convenient schedule for anyone's life. When severe tooth pain strikes suddenly or a dental injury occurs, knowing when you need emergency endodontic care can save you from prolonged suffering and prevent further damage to your tooth. Emergency endodontic care becomes necessary when you experience severe, persistent tooth pain, significant swelling, sensitivity to temperature, traumatic injuries, or pain when biting and chewing.

At Burien Endodontics, we prioritize emergency cases to provide prompt relief from dental pain throughout Burien, Kent, Federal Way, SeaTac, and Normandy Park. Our team is committed to preserving your natural teeth through non-surgical root canal therapy and other endodontic treatments in Burien. Using advanced diagnostic imaging technology, including CBCT scans and digital radiography, we can quickly identify the source of your pain and implement the most effective treatment plan. Learn more about our endodontics services.

How to Know If Your Symptoms Are Considered Endodontic Emergencies

Not all dental pain requires immediate attention, but certain symptoms indicate you may need emergency endodontic care. Recognizing these signs early can help you seek appropriate treatment before the condition worsens and protect your natural tooth from extraction. Some signs of an endodontic emergency include the following:

Severe and Persistent Tooth Pain

Severe, persistent tooth pain is often the most obvious indicator of an endodontic emergency. Unlike occasional mild toothaches, endodontic pain is typically intense and doesn't respond well to over-the-counter pain relievers. The pain may be constant or may come and go, but it generally worsens over time if left untreated. This type of pain often signals infection or inflammation within the tooth's pulp tissue.

Significant Swelling in the Gums or Face

Significant swelling in your gums, face, or neck requires immediate attention. This swelling often indicates an infection has spread beyond the tooth root and requires prompt intervention to prevent serious complications. The swelling may be accompanied by drainage, a foul taste, or bad breath. If you notice facial swelling along with tooth pain, contact our office immediately for same-day emergency care.

Extreme Temperature Sensitivity

Extreme sensitivity to hot or cold temperatures that lingers even after the stimulus is removed suggests nerve damage within the tooth. In healthy teeth, sensitivity typically subsides quickly once the hot or cold item is removed from the mouth. Prolonged sensitivity lasting more than a few seconds indicates potential pulp inflammation or infection requiring emergency endodontic assessment.

Significant Pain When Biting or Chewing

Pain when biting or chewing could signal a cracked tooth or an infection at the root tip. This type of pain often intensifies with pressure and may be sharp or throbbing in nature. Even if the pain subsides temporarily, the underlying problem will persist without proper treatment. Our team has experience diagnosing and treating cracked teeth and root infections throughout the Burien area.

Expert Endodontic Care When You Need It Most

Specialized root canal therapy and endodontic treatment delivered with precision and compassion.

  • Board-certified endodontists with advanced training
  • Advanced microscopic techniques for optimal outcomes
  • Same-day emergency appointments available
  • Pain-free procedures with modern anesthesia options
Beautiful young woman checking teeth in mirror

What Are Common Causes of Emergency Endodontic Situations?

Several factors can trigger the need for emergency endodontic care. Understanding these causes can help you recognize when immediate treatment is necessary. Some common causes of endodontic emergencies include the following:

  • Deep decay that has reached the dental pulp, causing infection and inflammation
  • Cracked or fractured teeth exposing the sensitive inner tissues
  • Traumatic dental injuries from accidents, sports, or falls
  • Failed previous dental work that allows bacteria to enter the tooth
  • Untreated dental issues that have progressed to affect the tooth roots

Early intervention for these conditions not only relieves pain but also increases the chances of saving your natural tooth. The longer these issues remain untreated, the more complex the required treatment becomes. In trauma cases, early intervention with laser therapy may allow us to avoid needing root canal therapy in the first place. If you believe you have an endodontic emergency, contact our office as soon as possible for same-day treatmentWe also provide assessment of traumatic injuries and tooth restorability.

What to Expect During Emergency Endodontic Treatment in Burien

When you arrive for emergency care at Burien Endodontics, our first priority is alleviating your pain and addressing the infection. Our approach focuses on providing effective, efficient treatment while ensuring your comfort throughout the process. We maintain 100% digital patient records, allowing us to access your dental history quickly during emergency visits.

The Emergency Treatment Process

Your emergency visit begins with a thorough localized exam to identify the source of your pain. We take diagnostic images, including CBCT scans, to gain a detailed view of your tooth and surrounding structures. These high-resolution, three-dimensional images allow us to see details not visible on traditional X-rays, helping us make an accurate diagnosis. Dr. Matthew Tomala uses Global A-Series 6 Step Dental Microscopes for precision during procedures, ensuring we can address even complex canal systems effectively.

Based on our assessment, we will have a discussion of treatment options with youMost often, endodontic emergencies require root canal therapy to remove the infected or inflamed pulp tissue. In some cases, we may need to drain an abscess or provide immediate pain relief before proceeding with definitive treatment. The root canal procedure itself involves creating a small access opening in the tooth, removing the damaged pulp tissue, disinfecting the root canal system with laser therapy, and sealing the space to prevent reinfection. We use advanced instruments and techniques to thoroughly clean the canals while preserving the natural tooth structure.

Pain Management During Emergency Care

We provide great care in a comforting environment and recognize that many patients seek emergency care primarily for pain relief. Our approach to pain management includes the following:

  • Effective local anesthesia to ensure you remain comfortable during treatment
  • Laser therapy for disinfection, pain management, acceleration of healing, and reduction of inflammation
  • Precise techniques that minimize post-treatment discomfort
  • Recommendations for appropriate medications following your procedure
  • Treatment of infection that addresses the root cause of your pain

Most patients report significant pain relief immediately after their emergency endodontic treatment. Any residual discomfort typically subsides within a few days and can be managed with over-the-counter pain relievers. Our state-of-the-art technology, including TDO software and laser treatment, provides more effective care with faster healing times.

Insurance and Payment Options for Emergency Endodontic Care

We recognize that dental emergencies can create unexpected financial concerns. As a courtesy, our front office staff will check your benefits and send in the proper claims for reimbursement. Our office software provides real-time claim processing so you will be clear about the estimated portion your insurance provider will cover and which portion you will be responsible for.

We accept most insurance plans and are proud to be Preferred Providers for Aetna, Delta Dental, and Principal. We are experienced in dealing with most insurance companies and will be happy to assist you in filing with them to recover the maximum benefit possible. Only the estimated portion of your bill not covered by insurance will be due at the time of service.

If your portion cannot be paid at the time of service, we will have a discussion about other financing options with you prior to treatment. For patients without dental insurance, we request the total fee be paid upon completion of the treatment. We offer a 10% courtesy for balances paid in full with cash or check. Regardless of your dental coverage, you are responsible for the entire account.

Frequently Asked Questions About Emergency Endodontic Care

We prioritize emergency cases and make every effort to see patients experiencing severe pain or dental trauma on the same day. When you call our office at (206) 402-5147, our staff will assess your situation and schedule you as quickly as possible, often within hours of your call. We serve patients throughout Burien, Kent, Federal Way, SeaTac, and Normandy Park.

If a tooth is completely knocked out, time is critical. Rinse the tooth gently with water without touching the root, and try to place it back in the socket if possible. If you cannot reinsert it, keep the tooth moist in milk or saliva and contact our office immediately. Early intervention may save the tooth and prevent the need for more extensive treatment. We provide assessment and treatment of dental injuries.

Not all dental emergencies require urgent root canal therapy. During your localized exam, Dr. Tomala will use CBCT scans and other diagnostic tools to determine the extent of damage or infection. We will have a discussion of treatment options with you based on our findings.

Yes, we welcome emergency patients from throughout the region, including Kent, Federal Way, SeaTac, and Normandy Park. Our location in Burien makes us accessible to patients across King County who need urgent endodontic care. No referral is needed—you can contact us directly for same-day emergency treatment.

No, you do not need a referral to receive emergency endodontic care at our office. While we maintain strong relationships with referring dentists throughout the area, you can contact us directly if you're experiencing severe tooth pain or a dental emergency. We welcome both referred patients and those seeking care on their own.

Yes, we welcome emergency patients from throughout the region, including Kent, Federal Way, SeaTac, and Normandy Park. Our location in Burien makes us accessible to patients across King County who need urgent endodontic care. No referral is needed—you can contact us directly for same-day emergency treatment.

No, you do not need a referral to receive emergency endodontic care at our office. While we maintain strong relationships with referring dentists throughout the area, you can contact us directly if you're experiencing severe tooth pain or a dental emergency. We welcome both referred patients and those seeking care on their own.

Get Same-Day Emergency Endodontic Care at Burien Endodontics

At Burien Endodontics, Dr. Matthew Tomala and our team combine high-quality, gentle care with cutting-edge technology, extensive training, and patient education to deliver the endodontic care our patients deserve. We strive to create a warm, welcoming environment where patients can leave with alleviated pain and restored oral health. Our commitment to preserving your natural teeth drives everything we do, and our state-of-the-art technology enables more effective treatment with faster healing times.

If you're experiencing severe tooth pain or any signs of an endodontic emergency, contact Burien Endodontics at 206-402-5147 or through our contact form for same-day emergency care.

My smile is perfect! Portrait of happy patient in dental chair.
Reviewed by Dr. Matthew Tomala
Endodontist / Practice Owner

Dr. Matthew Tomala has dedicated over 14 years to perfecting the art and science of root canal therapy. While maintaining his practice in Burien, he also teaches future endodontists at the University of Washington. Known for his gentle approach and ability to explain complex procedures simply, he makes root canals far more comfortable than most patients expect. His commitment to using the latest techniques and equipment means better outcomes and faster healing for every patient he treats. 

This content is for informational purposes only. Individual cases vary, and proper diagnosis requires professional examination. For personalized advice about your dental health, contact your endodontist or dentist.