Most dental emergencies begin with a “toothache”. While the severity of pain caused by a toothache can vary, we suggest you reach out immediately to schedule an appointment with Dr. Rapp whenever a toothache persists for more than 48 hours, especially if it is severe.

All emergency visits begin with a thorough evaluation to medically identify the source of the pain. Evaluations include a thorough oral examination, tooth testing, and dental x-rays when appropriate to ensure the correct diagnosis before treatment begins.


When restorative techniques like root canals, crowns or fillings are not sufficient to restore a tooth’s form and function, extraction may be needed. Patients generally experience no pain or discomfort during an extraction due to modern day anesthetics and sedatives. Dr. Rapp refers patients to a trusted Oral Surgeon when extraction is needed to ensure the highest quality of care.

Wisdom Teeth

If you have never had your wisdom teeth removed, toothaches may be the result of “impacted” wisdom teeth (your third molars) which are quite common in young adult patients. Symptoms of impacted wisdom teeth include facial swelling, severe discomfort, infection, and swollen gums. If you are experiencing any of these symptoms you should reach out to schedule an evaluation with Dr. Rapp immediately so that you can be referred to an oral surgeon for extraction if appropriate.

Oral Emergencies

If you are experiencing a true oral emergency on a night or weekend we suggest you go to your local hospital emergency room or call 911 immediately (symptoms such as excessive bleeding or unbearable pain)

In all other instances, please reach out immediately to request an appointment. In most emergency cases it is best to call our office directly, (203) 741-8426, if your emergency occurs during business hours.