If you need an emergency dentist near Pine Beach or Toms River, call Century Dental East at (732) 341-6010. Call right away for severe pain, facial swelling, bleeding that will not stop, or a knocked-out tooth. Problems like mild sensitivity or a small painless chip can usually wait a day or two for a regular visit.
This guide will help you tell the difference between a true dental emergency and a problem that can safely wait, walk you through what to do in the meantime, and explain what to expect when you come in for same-day emergency dental care at Century Dental East. When in doubt, call us at (732) 341-6010. It is always better to ask.
What Counts as a Dental Emergency?
Most dental emergencies fall into a handful of categories, and the warning signs of a dental emergency are worth knowing before one happens. If any of these describe your situation, you should be seen as soon as possible:
- A knocked-out (avulsed) adult tooth: time matters most here. A tooth has the best chance of being saved when it is replanted within 30 minutes, and ideally within the first hour.
- A cracked, broken, or badly chipped tooth, especially with pain or a sharp edge cutting your tongue or cheek.
- A severe or worsening toothache that keeps you up at night, lasts more than 24 hours, or does not respond to over-the-counter pain relievers.
- Facial swelling or a gum abscess: swelling can signal an infection that needs prompt attention.
- A lost filling or crown that leaves a tooth painful or vulnerable.
- Bleeding that will not stop after 10 to 15 minutes of firm pressure following an injury to the mouth.
- A loose adult tooth, whether from an injury or without an obvious cause.
Dental Problems That Usually Can Wait
Some issues are uncomfortable but can typically wait for a regular appointment within a few days. These include:
- A dull ache that comes and goes
- Mild sensitivity to hot or cold that fades within seconds
- A small chip with no pain and no sharp edge
- A lost crown that is not causing discomfort
- A loose or broken orthodontic wire that can be covered with orthodontic wax
- Minor gum irritation from food stuck between teeth
Booking promptly is still smart, since small problems have a way of becoming bigger ones, but you likely do not need to rush in within the hour.
Immediate Steps
Here is what to do before you reach the office, organized by the most common situations.
Knocked-Out Tooth
- Pick the tooth up by the crown (the white part), not the root.
- If it is dirty, rinse it briefly with water. Do not scrub it.
- Try to place it back in the socket and hold it there by gently biting on a clean cloth.
- If that is not possible, keep it in a container of milk or your own saliva and bring it with you.
- Call us immediately. Every minute counts.
Broken or Cracked Tooth
- Rinse your mouth with warm water.
- Apply a cold compress to the outside of your cheek for 10 to 15 minutes at a time to limit swelling.
- Save any pieces of the tooth in milk or saliva.
- Chew on the other side until you are seen.
Toothache
- Rinse with warm salt water (about 1/2 teaspoon of salt in a cup of warm water).
- Gently floss to remove any trapped food.
- Take an over-the-counter pain reliever as directed on the label.
- Use a cold compress on the cheek if the area is swollen.
Lost Filling or Crown
Keep the crown if you have it, in a clean container. A dab of clove oil on the sensitive area can ease discomfort, and temporary dental cement from a pharmacy can protect the tooth until your visit, when we can recement it or fit a new dental crown. Aim to be seen within 24 to 48 hours.
Swelling or Abscess
Rinse with warm salt water, use a cold compress on the outside of your face, and call us promptly. An infection may need treatment beyond the tooth itself. If swelling spreads, comes with fever, or affects breathing or swallowing, go to the nearest emergency room.
Bleeding After an Injury
Fold clean gauze or a clean cloth and apply firm, steady pressure for 15 minutes without checking. If the bleeding slows and stops, call us to have the area examined. If it is heavy or will not slow, seek emergency care.
What Not to Do
- Do not place aspirin directly on the gum. It can burn the tissue and does not relieve tooth pain that way.
- Do not handle a knocked-out tooth by the root, scrub it, or let it dry out.
- Do not use household glue on a crown or broken tooth. It irritates tissue and can make proper repair harder.
- Do not use heat on facial swelling. Cold compresses are the safer choice.
- Do not ignore swelling or assume it will go away on its own. Dental infections need treatment.
- Do not rely on pain relievers alone. They are a short-term bridge, not a fix.
- Do not chew on the injured side until a dentist has examined the tooth.
When to Call Us
Call Century Dental East right away if you have severe pain, facial swelling, a knocked-out or loose adult tooth, a broken tooth with pain, or bleeding that continues after 15 minutes of pressure. Call within 24 to 48 hours for a lost crown or filling, a small chip, or a toothache that is manageable. If you are not sure which category you are in, call and describe what happened. We would rather answer your questions than have you wait in pain.
Our emergency availability and after-hours instructions: [[AWAITING CDE]].
Dentist or Emergency Room?
For most dental problems, a dentist is the right first call. Emergency rooms can help with pain and infection, but they usually refer patients to a dentist for the actual repair. Go to the ER first if you have:
- Swelling that affects breathing or swallowing, or swelling with a high fever
- Heavy bleeding that will not slow with pressure
- A dental injury that is part of a larger head or face injury, or any loss of consciousness
- A possible broken jaw
What to Expect at Your Emergency Visit
When you arrive, our team focuses first on relieving your pain and stabilizing the problem. Here is how a typical visit flows:
- A quick check-in. We gather your health history and ask what happened and when.
- A focused exam. Dr. Mariya Medlenov examines the area and takes any necessary digital X-rays.
- A plain-language explanation. She explains what is happening, what your options are, and what each will cost.
- Relief and stabilization. In many cases we can provide treatment the same day. In others, we stabilize the tooth and schedule follow-up care.
- A clear next step. You always leave knowing what comes next and what it will cost, with no surprises.
What to Bring
- Any tooth, crown, or broken piece, stored in milk, saliva, or a clean container
- A list of medications you take, including blood thinners
- Your dental insurance card, if you have one. Accepted plans: [[AWAITING CDE]]
- A photo ID
Serving Pine Beach, Toms River, Bayville, and Ocean County
Century Dental East is located at 241 Washington Avenue in Pine Beach, and we welcome emergency patients from Toms River, Bayville, Beachwood, Berkeley Township, and the surrounding Ocean County communities. If you are driving in from Toms River, here are directions and contact details. For many Ocean County residents, our office is a short drive away, which matters when a knocked-out tooth or severe pain makes every minute count.
How to Lower Your Risk of a Dental Emergency
- Keep regular checkups. Small cracks, worn fillings, and early decay are easier to address before they cause pain.
- Wear a mouthguard for sports. It is one of the simplest ways to prevent knocked-out and broken teeth.
- Avoid chewing ice, hard candy, and popcorn kernels. These are common causes of cracked teeth and loose crowns.
- Do not use your teeth as tools. Opening packages or bottles with your teeth puts them at risk.
- Save our number now. Having (732) 341-6010 in your phone saves time when it matters.
Need Help Now?
Call Century Dental East at (732) 341-6010, or learn more about our emergency dental care services. Fast, gentle relief is closer than you think.
Frequently Asked Questions
How do I know if I need an emergency dentist?
Call an emergency dentist if you have severe pain, facial swelling, a knocked-out or loose adult tooth, a broken tooth with pain, or bleeding that continues after 15 minutes of pressure. Mild sensitivity or a small painless chip can usually wait for a regular appointment.
How quickly should I see a dentist for a knocked-out tooth?
Immediately. A knocked-out adult tooth has the best chance of survival when it is replanted within 30 minutes. Keep it moist in milk or saliva, handle it only by the crown, and call us on your way.
Should I go to the ER or a dentist for a toothache?
For most toothaches, a dentist is the better choice because the ER usually cannot treat the tooth itself. Go to the ER if you have swelling that affects breathing or swallowing, swelling with a high fever, or heavy bleeding.
Can a lost crown wait until tomorrow?
Usually, yes. If you have no severe pain or swelling, keep the crown safe, protect the tooth with temporary dental cement, and plan to be seen within 24 to 48 hours.
Do you see emergency patients from Toms River?
Yes. Century Dental East in Pine Beach welcomes emergency patients from Toms River, Bayville, Beachwood, Berkeley Township, and throughout Ocean County.
What should I do if my tooth hurts but I am not sure it is an emergency?
Call us and describe your symptoms. Our team will help you decide whether you should come in today or whether it can safely wait a day or two. In the meantime, rinse with warm salt water and use an over-the-counter pain reliever as directed.

