Emergency Dentist vs ER in Canada: Where Should You Go?

Key Takeaways

• A dental emergency involves severe pain, infection, or trauma requiring immediate care.
• ERs in Canada can offer temporary relief but rarely perform dental procedures.
• Dentists provide the most effective treatment for urgent oral issues.
• Markham Smile Centre offers fast emergency dental care in Markham, Ontario — often the best first step for sudden pain or injury.

What qualifies as a dental emergency in Canada?

A sudden sharp pain when biting into something cold, a tooth knocked loose during a hockey game — these moments make anyone wonder, “Do I need to see a dentist right now?” In Canada, a dental emergency is any oral health issue that requires immediate attention to relieve severe pain, stop bleeding, or prevent an infection from spreading.

What counts as a dental emergency?

Some common examples include:

• Severe or persistent toothache that prevents sleep or eating.
• A dental abscess, which often presents as swelling, pus, and fever.
• Knocked-out or broken tooth, especially if the roots are exposed.
• Heavy or uncontrolled bleeding following an injury or dental procedure.
• Swelling of the jaw or face, which may indicate a spreading infection.

According to Dr. Amir Guorgui, BSC, DMD, MACSD, “If you’re experiencing pain that affects your daily life or swelling that extends beyond the mouth, it’s no longer a minor issue. These are clear signs to seek immediate dental attention.”

What dentists classify as urgent

Dentists evaluate emergencies based on pain severity, infection risk, and whether the issue could worsen without prompt treatment. The Canadian Dental Association (CDA) defines urgent dental care as any condition where delayed treatment may lead to serious health complications.

Dr. Rob Eisen, DDS, adds: “A knocked-out tooth can often be saved if you reach a dentist within an hour. Every minute counts.”

For immediate support, clinics like Markham Smile Centre offer emergency dental services with same-day appointments.

Can you go to the ER for a toothache or dental emergency?

Technically, yes — but the ER is not always the right place for dental problems. Canadian hospitals do not have on-site dentists. Emergency room doctors can manage pain, prescribe antibiotics, and rule out life-threatening infections, but they rarely perform dental treatments.

When will hospitals treat dental issues

Hospitals will provide emergency help if:

• The infection is spreading into the jaw, neck, or bloodstream.
• There is severe bleeding that cannot be controlled.
• The patient has facial trauma involving bone fractures or airway obstruction.

In these situations, emergency physicians stabilize the condition and then refer patients to a dentist or oral surgeon.

What to expect in the ER

At the hospital, treatment typically includes:

• Pain medication (ibuprofen, acetaminophen, or stronger analgesics).
• Antibiotics for abscesses or infections.
• Referral to a dentist for follow-up and definitive care.

However, emergency departments are not equipped for tooth extractions, root canals, or restorations.

Cost differences: ER vs. dentist

As Dr. Guorgui points out, “Hospitals can help control infection, but only your dentist can solve the problem permanently.”

So, unless the issue is life-threatening, calling your local emergency dentist first often saves time, money, and discomfort.

Will the hospital pull a tooth in Canada, or refer you elsewhere?

This question comes up often — especially late at night when pain feels unbearable. The short answer is: most hospitals in Canada do not perform tooth extractions unless there’s a severe infection threatening a patient’s overall health.

Typical ER procedure for dental pain

When someone comes to the ER with dental pain, the steps usually include:

1. Assessment — A doctor checks for signs of infection, fever, or swelling.
2. Pain management — Medication is given to stabilize discomfort.
3. Antibiotics — Prescribed if infection is detected.
4. Referral — The patient is referred to a dental clinic or oral surgeon for follow-up.

According to data from the Canadian Institute for Health Information (CIHI), over 60,000 ER visits annually are due to dental pain or infection — yet fewer than 5% involve dental procedures. The rest are referrals.

When extractions might happen

Tooth removal in a hospital is rare and usually limited to:

• Severe facial infection (cellulitis) threatening the airway.
• Trauma requiring surgical intervention.
• Oral surgery cases where an oral and maxillofacial surgeon is available on-site.

Otherwise, you’ll be referred to a clinic such as Markham Smile Centre for definitive care.

When should you choose a walk-in dentist instead of going to the hospital?

It’s 8 p.m. on a Friday, and a toothache strikes. Should you rush to the ER or look for a walk-in dental clinic? In most cases, Canadians receive faster, more effective care at a walk-in dentist. Hospitals are vital for trauma and infections that threaten breathing or swallowing — but for almost every other urgent dental issue, a dentist is the better choice.

Benefits of walk-in dental clinics

Walk-in dentists offer:

• Extended hours: Many clinics, like Markham Smile Centre, are open late evenings and weekends.
• Immediate treatment: Dentists can diagnose and treat the root cause of pain on the same day.
• Specialized care: Access to dental X-rays, local anesthesia, and sterilized tools — all unavailable in most ERs.
• Cost efficiency: ER visits may be covered, but you’ll still need to see a dentist afterward. A walk-in clinic solves the issue directly.

When to choose a walk-in clinic instead of the ER

Dr. Rob Eisen, DDS, notes: “Even if you start at the hospital, you’ll almost always be referred to a dental professional. Choosing a walk-in clinic first saves time and pain.”

What treatments can an emergency dentist offer that an ER can’t?

Emergency dentists are uniquely equipped to handle complex oral procedures directly at the clinic. While ER physicians focus on stabilization, dentists provide definitive treatment to eliminate pain and restore function.

Key treatments exclusive to emergency dentists

Dr. Guorgui explains: “Dentistry requires specialized equipment and training. That’s why ERs focus on stabilization — and dentists on resolution.”

How much does it cost to go to the ER vs an emergency dentist in Canada?

Cost is a major factor when deciding between the ER and a dental clinic. In Canada, ER visits are covered under provincial health insurance, but dental procedures are not — unless the issue becomes medically critical.

Understanding coverage

• ER visits: Covered by OHIP and other provincial plans; however, ERs typically provide only temporary relief (painkillers or antibiotics).
• Emergency dentist visits: Out-of-pocket or covered by private dental insurance; includes treatment to resolve the issue permanently.

Cost breakdown

What should you bring when visiting an emergency dentist or hospital?

When dental pain strikes suddenly, preparation can make your visit go more quickly and smoothly. Whether you’re heading to a hospital ER or a walk-in dental clinic, having key information ready helps healthcare providers treat you more efficiently. According to the Ontario Dental Nurses Association, most treatment delays occur because patients forget essential documents or cannot recall important details about their symptoms.

Step-by-step guide: what to bring

1. Government-issued ID — Required for all medical and dental records. In Ontario, your OHIP card ensures coverage for eligible hospital visits.
2. Insurance information — Bring your dental insurance card or policy number. Even partial coverage helps offset treatment costs.
3. Medication list — Include all prescriptions, over-the-counter drugs, and supplements you’re currently taking. This prevents dangerous interactions with antibiotics or anesthetics.
4. Symptom timeline — Note when pain or swelling started, how it has changed, and any triggers (e.g., chewing or temperature sensitivity). This helps the dentist identify the root cause faster.
5. Photos or videos of swelling — If your appearance has changed rapidly, showing photos can help assess the progression of the infection.
6. Emergency contact — Always list someone who can assist if sedation or anesthesia is required.

Checklist prepared by Ontario dental nurses

What happens after you leave the ER or dental clinic for tooth pain?

Relief after an emergency dental visit doesn’t mean the job is done. Proper post-visit care is crucial to ensure recovery and prevent infection from returning.

Step-by-step recovery guide

1. Follow medication instructions carefully. Take antibiotics for the full prescribed course and use pain relievers as directed.
2. Avoid chewing on the treated side for at least 24 hours to protect any temporary fillings or swollen tissue.
3. Maintain gentle oral hygiene. Brush and floss carefully, avoiding irritated areas.
4. Apply cold compresses to the outside of your cheek for swelling or tenderness.
5. Schedule a follow-up appointment with your dentist, ideally within 3–5 days after emergency care.
6. Monitor for complications: If swelling, fever, or severe pain return, contact your dentist immediately or go to the ER.

CDA-approved post-visit care tips

Where should you go for dental emergencies in Canada?

When pain strikes, knowing where to go can make all the difference. The answer depends on the severity of your symptoms — but in most cases, a dental clinic remains the fastest and most effective choice.

Summary comparison

In short, go to the ER if your breathing or swallowing is affected, but choose an emergency dentist for everything else. Clinics like Markham Smile Centre ensure you receive professional care without unnecessary delays.

Frequently Asked Questions

What is considered a dental emergency in Canada?

A dental emergency includes severe tooth pain, swelling, infection, trauma, or bleeding that requires immediate attention. Common examples are abscesses, knocked-out teeth, and facial swelling.

Can I go to the ER for a dental emergency?

Yes, but hospitals can only manage pain or infection temporarily. They usually refer patients to a dentist for treatment. For most cases, an emergency dental clinic is faster and more effective.

What should I bring when visiting an emergency dentist?

Bring your ID, insurance information, a list of medications, notes about your symptoms, and any photos of swelling or trauma. These details help the dentist provide prompt and accurate care.

Will the hospital pull a tooth in Canada?

Only in rare cases, such as severe infection or airway trauma. Most hospitals refer patients to an emergency dentist for extraction or root canal treatment.

How much does an emergency dental visit cost in Canada?

ER visits are covered by provincial health insurance, such as OHIP, but dental treatments are not. Expect to pay between $100 and $1,200 at a private clinic, depending on the procedure.

What should I do after an emergency dental visit?

Follow all medication instructions, avoid chewing on the treated side, apply cold compresses, and book a follow-up appointment within 3–5 days. If pain or swelling worsens, contact your dentist immediately.