Welcome NHS Providing NHS Dentistry

Emergencies and Out-of-hours Care

Please call the practice on 0208 337 4448 during surgery hours as early in the day as possible to arrange an emergency appointment with us.

For out-of-hours care, when you ring us, we will provide you with the details of the local out-of-hours dental assessment service. You can ring them on 0203 402 1333. The NHS may also be contacted on 111

First aid. Here are some self-help tips which may be helpful for dental pain and some dental injuries.

... a painful tooth

If you have a constant toothache or a tooth has suddenly become very sensitive,

  • Avoid hot/cold food and drinks as they may worsen the pain.
  • A toothache can feel worse when lying flat; therefore try lying propped up (rather than lying flat) and see if this eases the pain
  • If you need to take painkillers, use those which have worked well for you in the past without any adverse effects. Always follow the instructions on the packaging.

If the pain continues, please call us for an appointment.

... broken a tooth

If the tooth is painful/sensitive, do call us straight away. An emergency appointment is usually recommended to avoid any further damage to the tooth and the nerve inside

Meanwhile, try and avoid biting on that tooth. Chew on the other side where you can.

If the tooth is just chipped and not particularly sensitive, you may not require emergency care. But do call us to for an appointment. Your dentist can check over the tooth, smooth over any sharp edges and improve the appearance.

... an adult tooth has been knocked out

We may be able to replant the tooth back into its socket. An emergency appointment is needed - the sooner this can be done the better.

Meanwhile, place the tooth in some milk or even on one side of your mouth between your teeth and cheeks until you can be seen either by us or a local hospital emergency dental department.

Do not place the tooth in water. Try to handle the tooth by its "crown" only, and avoid touching the root.

...my child's baby tooth has been knocked out

The tooth should not be replanted, but do arrange an urgent appointment with us, so we can check if there is any potential damage to the developing permanent teeth.

If your child is in pain,

  • Avoid hot/cold food and drinks as they may worsen the pain.
  • See if the child can lie propped up (rather than lying flat) – it may ease the pain
  • If he/she needs to take painkillers, use those which have worked well for them in the past without any adverse effects. Always follow the instructions on the packaging.

... a swelling

This is usually caused by an infection, which may be of tooth or gum origin and treatment or antibiotics will be required.

It's important that you contact us as soon as possible, especially if the swelling is restricting you swallowing or extending to the eye area.

In the meantime, if your face is swollen, apply a cold compress and do drink plenty of fluids if eating is difficult.

... crown has come off

Please keep the crown secure as we may be able to place it back for you. If the underlying tooth is painful or sensitive, do avoid eating near it and drink tepid room temperature drinks only.

It is essential we see you promptly, so that we can either put the crown back on or put a material to seal the tooth. These measures aim to protect the underlying tooth and reduce the risk of infection.

Please avoid the temptation to "glue" the crown back in. If you wish, you can obtain from your pharmacist a denture adhesive/cement kit as a short-term measure – typically this can then be cleaned off relatively easily by your dentist.

... broken dentures

Broken dentures can usually be repaired.

Please call us for an appointment and we will do our best to arrange a prompt repair.

Occasionally, we may need to take an impression of your teeth/mouth to give an accurate record for your denture repair. Your dentist will advise you if this is necessary.