We won't decide that on day one — and we won't pressure you into deciding either.
The emergency visit is about pain relief and diagnosis, not committing to a treatment plan. Here's what typically happens:
Step one: work out what's actually happening.
Severe dental pain most often comes from two sources: an inflamed or dying nerve (pulpitis) that has progressed to a point of no return, or a dental abscess — an infection at the root tip or in the gum. Both need examination and imaging to properly assess. In fact, abscesses and severe toothache account for the majority of all dental emergency presentations in Australia.
Step two: get you out of pain today.
This is the only job that matters on the day. That usually means numbing the tooth, draining the abscess if one is present, or placing a sedative dressing to calm the nerve. You'll leave more comfortable than you arrived.
Step three: talk through the options.
Once the acute pain is managed and you've had time to think, we'll go through what you're facing: root canal therapy (which saves the tooth), extraction (which removes it), or in some cases, a watch-and-wait approach. Most teeth with a nerve problem have at least two real options. We'll explain the pros and cons of each — cost, timeline, long-term outcome — without pushing you toward one or the other.
The decision is yours, made when you're not in pain.
We see patients who've been told "you need a root canal" in an emergency appointment and signed up for it in the same breath while still in agony. We don't do that. You can take the information home, think about it, and come back.
If you want to read more about what a full examination involves,
our general dentistry page covers the process. If you’re worried about post-extraction complications specifically — bleeding, infection, or dry socket — our
tooth extractions page explains recovery expectations and warning signs.