Severe tooth pain, a cracked tooth, or signs of infection can turn any ordinary day into an urgent situation. When that happens in or around Seattle, you need access to fast, focused care — not a rushed general visit or a long wait at an emergency room. Knowing where to go before a dental emergency strikes can mean the difference between keeping your natural tooth and losing it. At Burien Endodontics, we provide emergency dental treatment in Seattle, WA, offering same-day appointments and advanced pain management solutions. Dr. Matthew Tomala and our specialized team understand that dental emergencies don't wait for regular business hours.
At Burien Endodontics, located at 118 SW 160th Street in Burien, our team provides emergency dental care for patients throughout Seattle, WA and the surrounding communities. Dr. Matthew Tomala and our team offer same-day appointments for urgent cases, prioritizing pain relief and a thorough evaluation from the moment you call.
Dental emergencies involving the interior of the tooth are among the most painful and time-sensitive issues a patient can face. These situations require prompt evaluation — not a wait-and-see approach. Common dental emergencies we treat for Seattle patients include severe or throbbing tooth pain, jaw or gum swelling, lingering temperature sensitivity, a cracked or fractured tooth, a knocked-out or dislodged tooth, and signs of infection such as fever or visible pus.
According to the American Association of Endodontists (aae.org), endodontic offices are the appropriate first contact for dental emergencies involving tooth pain and infection — and can help patients avoid endodontic care include severe toothache that keeps you awake, sensitivity to hot or cold lasting more than 30 seconds, facial swelling, and pain when biting down. Additional emergency indicators include visible tooth cracks, trauma from sports injuries, and abscessed teeth showing infection signs.
If you experience these symptoms, especially with fever or facial swelling, contact our Seattle emergency dental team immediately at (253) 265-4856. Early intervention often means the difference between saving your natural tooth and requiring extraction.
An endodontist focuses entirely on the diagnosis and treatment of tooth pain, root canal therapy, and conditions affecting the inside of the tooth. When a dental emergency involves the pulp, nerve, or root system, that level of focus matters — especially when a same-day decision is required. Dr. Tomala's training covers the full scope of emergency care, from identifying the source of pain using 3D CBCT imaging to completing emergency root canal therapy in a single visit when needed. When you call, we'll schedule you for same-day appointments when possible. Dr. Tomala begins each emergency visit with thorough examination and advanced 3D imaging to identify the exact pain source.
Our office works closely with referring general dentists throughout the Seattle area, and we maintain 100% digital patient records so your care is coordinated and your information is immediately available for any follow-up treatment.
Specialized root canal therapy and endodontic treatment delivered with precision and compassion.
Every emergency visit follows a clear, focused process. When you call, we prioritize same-day scheduling for urgent situations. Dr. Tomala begins with a localized exam and takes diagnostic images — including digital X-rays and CBCT 3D scanning — to identify the precise source of pain.
Once we have a clear diagnosis, we walk you through your options — including whether root canal therapy, pulp capping, retreatment, or another approach is appropriate. You will understand what we recommend before anything begins. Most emergency treatment can be completed the same day.
| Emergency Symptoms | Likely Cause | Treatment Needed |
|---|---|---|
| Severe, throbbing pain | Infected pulp | Emergency root canal |
| Pain when biting | Cracked tooth | Crack assessment |
| Facial swelling | Abscess | Drainage/antibiotic therapy |
| Temperature sensitivity | Exposed nerve | Pulp capping/root canal |
Our emergency dental care centers on endodontic services — treatment involving the inside of the tooth. We provide emergency root canal therapy, direct and indirect pulp capping, cracked tooth assessment, dental injury assessment with early laser intervention, root canal retreatment, and abscess and infection management.
We use Fotona laser technology during treatment for disinfection, pain management, acceleration of healing, and reduction of inflammation. In trauma cases, early laser intervention may allow us to help the tooth stabilize without root canal therapy.
Dr. Matthew Tomala brings extensive experience in both general dentistry and specialized endodontics to emergency situations. His University of Washington training and role as affiliate faculty member ensure current emergency treatment protocols. We accept most dental insurance plans and offer flexible payment options.
Same-day appointments are available for urgent cases, emergency procedures most often take 60 to 90 minutes, and we accept most dental insurance plans. Our front office staff will verify your benefits before treatment begins and provide an estimate of your expected portion. Financing options are available for any remaining balance.
When tooth pain cannot wait, our team at Burien Endodontics is ready to help. We serve patients from Seattle and surrounding communities from our office in Burien, accessible via WA-518 and just minutes from the greater Seattle area. Contact our office to request a same-day appointment or speak with a member of our team about your symptoms.
📍 118 SW 160th Street, Burien, WA 98166
📞 (206) 402-5147
