Emergency Dental Treatment
Emergency Dental Treatment — Cost Breakdown
Quick answer
NHS emergency dental treatment costs £27.90 in England (Urgent course of treatment). Call NHS 111 for referral to an out-of-hours dental service. Private emergency consultations cost £80–£200, rising to £150–£400 for out-of-hours appointments. Specific treatments (extraction, root canal start) add £150–£500. Do not go to A&E for dental pain — they cannot treat dental issues, only prescribe pain relief.
Key facts
- NHS England urgent course: £27.90
- Private emergency consultation: £80–£200
- Out-of-hours emergency: £150–£400
- Emergency extraction: £150–£350
- Knocked-out tooth: re-implant within 60 minutes for best chance
- Call NHS 111 — not A&E — for out-of-hours dental issues
Emergency dental care covers severe pain, swelling, knocked-out teeth, broken teeth and uncontrolled bleeding. NHS 111 can direct you to an out-of-hours dental service. Private emergency dental clinics are widely available in cities, often open 7 days a week.
What is emergency dental treatment?
A UK dental emergency means severe pain, swelling, knocked-out teeth, broken teeth with sharp edges, or uncontrolled bleeding after extraction. NHS 111 can refer to out-of-hours dentists for £27.90 (Urgent course of treatment). Private emergency dentists charge £80–£600 depending on time of day, treatment needed and whether sedation is required.
Who needs this treatment?
- Anyone with severe pain that wakes them at night or isn’t controlled by painkillers
- Facial swelling — especially if the eye is involved (call 999)
- A tooth knocked out (call dentist within 60 minutes — best chance of saving)
- Broken teeth with sharp edges cutting the tongue or cheek
- Uncontrolled bleeding after extraction
- Lost crown or filling causing pain
What does the procedure involve?
NHS 111 will assess and refer to an emergency dentist. The emergency appointment focuses on pain relief and temporary treatment — typically: extraction of an abscessed tooth, drainage of pus, temporary filling, or re-cementing a crown. Definitive treatment (root canal, permanent crown) usually requires a follow-up appointment.
Recovery time
Depends on treatment performed. Most patients feel significantly better within 6–24 hours after the emergency appointment. Follow-up care for definitive treatment is usually needed within 1–2 weeks.
How long does it last?
Emergency treatment is by definition temporary — definitive treatment (root canal, crown, implant) is needed to complete the case.
NHS Coverage
Falls under Urgent treatment. NHS 111 can refer you to an emergency dental service. The £27.90 urgent fee covers initial pain relief and temporary treatment for one course.
| Nation | NHS patient charge |
|---|---|
| England | £27.90 |
| Wales | £20.00 (legacy) |
| Scotland | Free examination + 80% of item costs |
| Northern Ireland | item-of-service charge |
NHS charges effective from 1 April 2026.
Private Cost Range
| Option | UK average | Central London |
|---|---|---|
| Emergency consultation | £80–£200 | £120–£300 |
| Out-of-hours emergency (evenings/weekends) | £150–£400 | £250–£600 |
| Emergency extraction | £150–£350 | £200–£500 |
| Emergency root canal start (pulp extirpation) | £200–£500 | £300–£700 |
Private fees compiled from UK clinic price lists and 2026 market surveys.
What Affects the Cost
- Time of day (out-of-hours commands a premium)
- Whether you are an existing or new patient
- Type of treatment needed
When is this treatment available on the NHS?
NHS Urgent course of treatment costs £27.90 (England and Wales). NHS 111 can refer you to an out-of-hours dentist. Some NHS emergency dental hubs operate weekend and evening slots.
How to save money on this treatment
- Always try NHS 111 first — £27.90 is far cheaper than private emergency fees
- Avoid going to A&E for dental pain — they cannot treat dental issues, only prescribe pain relief
- See your regular dentist within 24–48 hours rather than waiting for an emergency to escalate
- Keep emergency dental kit (gauze, temporary filling material) at home
- For broken teeth, smooth sharp edges with sugar-free gum until you can see a dentist
Does dental insurance cover this?
Most UK dental insurance covers emergency treatment up to per-incident limits (typically £150–£500). Capitation plans include emergency cover in base price.
Risks and side effects
- Out-of-hours treatment is more limited than full appointments
- Sedation rarely available in emergency settings
- Some emergency dentists do not follow up — you may need to find a regular dentist for ongoing care
- Antibiotics prescribed without addressing root cause delays proper treatment
Red flags to watch for
- Quotes over £200 just for the emergency consultation without treatment included
- Excessive antibiotics without addressing the cause
- Pressure to commit to expensive follow-up treatment during an emergency visit
- No NHS option offered when NHS 111 referral is available
Alternatives to consider
- Tooth Extraction — Often the emergency solution for an abscessed tooth.
- Root Canal Treatment — Definitive solution for an abscessed tooth that can be saved.
Frequently Asked Questions
What counts as a dental emergency?
Severe pain not controlled by painkillers, facial swelling, uncontrolled bleeding after extraction, a tooth knocked out and broken teeth with sharp edges.
Should I go to A&E for dental pain?
No — A&E cannot treat dental problems, only prescribe pain relief. Call NHS 111 instead for dental triage.
What should I do if I knock out a tooth?
Pick it up by the crown (not the root), rinse gently in milk or saliva (NOT water), and re-implant if possible. If not, transport in milk or in your own saliva and see a dentist within 60 minutes.
How do I get an NHS emergency dentist?
Call NHS 111. They will assess and refer to a local emergency dental service. Treatment is £27.90 (Urgent course of treatment) in England and Wales.
Can I take antibiotics for tooth pain?
Only if prescribed — antibiotics treat infection but don’t address the dental cause. Your dentist needs to remove the source (root canal, extraction, drainage).
My filling fell out — is it an emergency?
Only if it’s painful or causing sharp edges. Otherwise, see your regular dentist within 1–2 weeks. Use over-the-counter temporary filling material as a stopgap.