Severe tooth pain doesn’t check your calendar. When a tooth wakes you at night, throbs with your heartbeat, or makes chewing unthinkable, you don’t need a waiting list — you need a specialist who can diagnose the problem today and end the pain at its source. At Centre Endodontics, urgent cases are prioritized and seen as soon as possible — often the same day. Dr. Miguel Roque, a Board Certified Endodontist, treats emergencies with the same 3D CBCT imaging and microscope-guided precision as every planned procedure. Call (617) 410-8595 and tell us it’s an emergency.

Severe or throbbing tooth pain that over-the-counter medication no longer touches; swelling in the gum, face, or jaw near a painful tooth; a pimple-like bump or bad taste that suggests an abscess; extreme, lingering sensitivity to hot or cold; pain on biting that’s become constant — these are signs the pulp inside a tooth is inflamed or infected, and they rarely improve on their own. Infection can spread beyond the tooth, so acting the same day protects more than your comfort. (A knocked-out, displaced, or broken tooth from an accident is also an emergency — see our dental trauma page for exactly what to do in the first hour.)

Call us first: (617) 410-8595. Until your visit: over-the-counter pain relievers used as directed can take the edge off (avoid placing aspirin against the gum — it burns tissue); a cold compress on the outside of the face helps with swelling; keep your head elevated when lying down. If you have facial swelling spreading toward the eye or neck, fever, or difficulty swallowing or breathing, go to the emergency room immediately — that’s beyond a dental office and needs hospital care now.

Emergency rooms can prescribe antibiotics and pain medication, but they cannot treat the tooth — most hospital visits for tooth pain end with a referral to exactly the kind of specialist you can call directly. As an endodontic practice, we go straight to the cause: a definitive diagnosis with CBCT 3D imaging, and, whenever the schedule and your case allow, prompt treatment — usually root canal therapy — that removes the infection and ends the pain, often in a single visit. Your natural tooth is almost always worth saving, and speed is what keeps it savable.

General dentists across Wellesley, Newton, Needham, Natick, and Greater Boston send us their urgent cases because they know the answer will be fast: prioritized evaluation, a same-day report back to the referring office, and coordinated follow-up for the final restoration. If your dentist told you “you need to see an endodontist right away” — that call is this call.

Only a minority of practicing endodontists have completed the rigorous examination process to become a Diplomate of the American Board of Endodontics. Board certification is the highest credential in the specialty — a voluntary, demanding validation of clinical knowledge and judgment. When your tooth is on the line, that distinction matters.

Centre Endodontics is located at 486 Washington Street in the heart of Wellesley, minutes from Wellesley Square. Patients visit us from Wellesley, Newton, Needham, Natick, Weston, Dover, and across Greater Boston, both by referral from their general dentist and directly.

Tooth pain that can’t wait shouldn’t have to. Call (617) 410-8595 now — tell us it’s an emergency, and we’ll take it from there.