(716) 772-7500
info@drkaplansky.com
8038 Rochester Rd. Gasport NY
A dental emergency is any situation that causes significant pain, poses a risk of serious infection, or involves trauma that may be time-sensitive to treat. If you are uncertain whether your situation qualifies, call (716) 772-7500 and describe what you are experiencing. We will tell you whether to come in today or schedule for the near term. We make every effort to see patients with acute dental pain or trauma the same day they call — earlier in the day is better for same-day availability.
For implant patients who experience sudden pain, swelling, or mobility around a restoration, call immediately. Peri-implant complications are easier to resolve when caught early. Dr. Igor Kaplansky and the surgical team handle implant-specific emergencies in-house — same surgeon, same plan, no rotating associates.
Common dental emergencies include severe toothache that does not resolve with over-the-counter pain relief, a broken or knocked-out tooth, a lost crown or filling that is causing pain or has left a sharp edge, a dental abscess (swelling, fever, pus, bad taste in the mouth), and soft tissue injuries to the lips, cheeks, gums, or tongue. Some of these warrant immediate evaluation; others can wait until business hours.
A persistent throbbing toothache — especially one that wakes you at night or is not controlled by ibuprofen or acetaminophen — may indicate an abscess or pulp infection that requires same-day evaluation. A knocked-out permanent tooth is a time-sensitive emergency: reimplantation success drops sharply after one hour. Pick up the tooth by the crown (not the root), gently rinse if dirty, and either reinsert it into the socket or store it in milk or between cheek and gum on your way to the office.
Same-day appointments for emergency situations are accommodated whenever possible. Call early in the day for the best chance of being seen the same visit. Describe your symptoms when you call — this helps the team determine urgency and allocate appropriate time. New patients are welcome for emergency evaluations; you do not need to be an established patient to be seen for acute dental pain.
If you call after business hours, our voicemail message provides guidance for common emergency situations and instructs you to leave a detailed message. We check messages at the start of each business day and prioritize emergency callbacks. If you are experiencing facial swelling that is spreading rapidly, difficulty swallowing, or difficulty breathing — do not wait for a callback. Go to the nearest hospital emergency room. These symptoms may indicate a spreading dental infection that requires immediate medical intervention beyond what a dental office provides.
For acute toothache, the first step is identifying the cause. X-rays and a clinical exam typically reveal whether the source is deep decay, a cracked tooth, a failed restoration, periodontal abscess, or referred pain from a sinus or jaw issue. Treatment depends on the diagnosis. A reversible pulpitis may resolve with a new filling. An irreversible pulpitis or abscess requires root canal therapy or extraction. Antibiotics may be prescribed if there is signs of spreading infection.
An abscess is a localized pocket of pus caused by bacterial infection at the root tip of a tooth or in the gum tissue. Swelling, fever, lymph node enlargement, and a foul taste in the mouth are common signs. Untreated, an abscess can spread into the surrounding facial spaces — and in rare cases, into spaces that compromise the airway. This is why facial swelling that involves the eye or under the jaw warrants emergency room evaluation rather than waiting.
For a broken or chipped tooth, the urgency depends on the size and depth of the fracture. A small chip with no pain can wait a few days. A larger fracture that exposes dentin or pulp, causes sharp pain, or creates a sharp edge cutting the tongue or cheek warrants same-day evaluation. Treatment options range from cosmetic bonding for small chips to crown placement for larger fractures, and root canal or extraction if the fracture extends into the pulp.
A lost crown or filling exposes the underlying tooth to pain, temperature sensitivity, and potential further fracture. Do not leave it uncovered. Temporary cements available at pharmacies can protect the tooth until your appointment, but they are short-term. Call the office to schedule prompt re-cementation or replacement. For knocked-out teeth, the protocol is described above — time is critical and the office should be called immediately.
Most dental emergencies are preventable. Consistent oral hygiene, twice-yearly cleanings, and timely treatment of small problems before they become big ones prevent the overwhelming majority of acute pain cases we see. A small cavity diagnosed at a recall visit is a 30-minute filling. The same cavity ignored for a year often becomes a root canal, a crown, or an extraction.
Custom mouthguards prevent traumatic injuries in contact sports and protect teeth from grinding-related fractures at night. Patients with a history of bruxism — worn tooth surfaces, cracked teeth, jaw soreness on waking — benefit from a night guard. We fabricate custom guards in-office and the cost is significantly less than the restorative work that grinding eventually causes.
Call (716) 772-7500 for emergency dental care. We are located at 8038 Rochester Rd in Gasport, NY, serving Lockport, Buffalo, Niagara Falls, Rochester, and the Western New York region. Hours are Monday through Thursday 8am to 8pm and Friday 8am to 3pm. Same-day emergency appointments accommodated whenever possible. New patients welcome. Most major dental PPO plans accepted; insurance verified at the time of the visit. CareCredit and in-house financing available for treatment that exceeds insurance coverage.
We create personalized treatment plans based on your unique dental goals and needs for the best outcome.
DDS, DABOI, FAAID, FICOI, FAGD
Dr. Igor V. Kaplansky’s exceptional qualifications set the standard in implant dentistry.
Qualifications:






