Specialist endodontists · Crows Nest, Sydney

Emergency Endodontist in Sydney

Severe toothache, swelling or a cracked tooth? Our specialist endodontists in Crows Nest offer emergency appointments, Monday to Friday, 9am to 5pm.

  • Registered specialist endodontists
  • Open Mon–Fri, 9am–5pm
  • Near Crows Nest Metro, free 2-hour parking
Specialist endodontist in a treatment room fitted with an operating microscope
In short

If you have severe tooth pain, swelling, a cracked tooth or pain in a tooth that’s already had a root canal, call us on (02) 9129 0009 between 9am and 5pm on weekdays. If swelling spreads towards your eye or neck, or you have trouble breathing or swallowing, call 000 or go to your nearest hospital emergency department.

Check your symptoms

Is your toothache a dental emergency?

Not every toothache needs to be seen today, but some can’t wait. Call us as soon as you can if you notice any of these.

Severe or throbbing pain

Pain that painkillers barely touch, or that keeps coming back in waves.

Swelling

Swelling in your gum, cheek or jaw, even if the pain has settled.

Pain when you bite

A sharp pain when you bite down, or a tooth that feels “high”.

A pimple on the gum

A gum pimple that keeps coming back or leaks a bad taste.

Cracked or knocked-out tooth

A tooth that has cracked, broken badly or been knocked out.

Lingering sensitivity

Pain that lingers for more than a few seconds after something hot or cold.

Pain or swelling around a tooth that has already had a root canal also needs checking. These are often signs that the nerve inside the tooth is inflamed or infected, and the sooner it’s looked at, the more options you usually have for saving the tooth.

When to go to hospital instead

Some symptoms mean an infection may be spreading. Call 000 or go straight to your nearest hospital emergency department if you have:

  • swelling that spreads towards your eye, down your neck or under your jaw
  • trouble breathing or swallowing
  • a fever with facial swelling, or you feel very unwell
  • a blow to the face or head, especially if you blacked out or your jaw won’t close properly

Once you’re stable, we can help with the tooth that caused the problem.

How it works

Your emergency appointment, step by step

From your first call to finishing treatment, here’s what to expect.

  1. You call usTell our team about the pain, any swelling and how long it’s been going on, so we understand how urgent it is.
  2. We find a timeWe’ll offer the earliest suitable appointment. If we can’t see you soon enough, we’ll tell you so you can get care elsewhere.
  3. DiagnosisWe test the teeth, take detailed X-rays and examine the tooth under a dental operating microscope to find the source.
  4. Pain reliefWe numb the tooth, remove the inflamed or infected nerve under a dental dam and place a medicated dressing.
  5. Finishing treatmentAt a follow-up visit we complete the root canal. Your dentist then places the final filling or crown.
Why a specialist

Why see a specialist endodontist in an emergency?

Most emergency dental clinics are general practices. An endodontist is a dentist who has completed further university training in endodontics and is registered with the Dental Board of Australia as a specialist. Our work is limited to the inside of the tooth: the nerve, the root canals and the tissue around the root tips.

  • Dental operating microscopes and advanced imaging to find the true source of pain
  • A focus on tricky cases, such as molars with curved or narrow canals and teeth that have had a root canal before
  • Root canal treatment, retreatment and endodontic surgery under one roof
  • Straight answers: if a tooth can’t be saved, we’ll tell you plainly and explain your options
Endodontist reviewing a magnified microscope image of a tooth
Common emergencies

Common endodontic emergencies we treat

Abscessed or infected tooth

An abscess is a pocket of infection at the tip of the root. It often shows up as throbbing pain, swelling or a pimple on the gum. It usually needs root canal treatment, or sometimes an extraction.

Cracked tooth

A sharp pain when you bite, then release, is a classic sign of a crack. Cracks can be very hard to see, so we use magnification and careful testing. Read more about cracked tooth treatment.

Failed root canal

A root-filled tooth can become infected again, sometimes years later. Look out for tenderness, swelling or a gum pimple near the tooth. Here are the signs a root canal has failed.

Knocked-out tooth

Minutes count. Hold the tooth by the crown, never the root. Rinse it briefly in milk or saline, push it gently back into the socket if you can, or keep it in milk. See a dentist straight away, ideally within 30 minutes. Don’t put a baby tooth back in.

Specialist Endo Sydney team at the Crows Nest practice
Before you see us

What to do before your appointment

  • Ask a pharmacist which over-the-counter pain relief suits you, and stick to the dose on the pack.
  • Don’t hold aspirin against the gum. It can burn the tissue.
  • Hold a cold pack wrapped in a cloth against your cheek for 15 to 20 minutes at a time. Never use heat.
  • Chew on the other side and avoid very hot, cold or sugary food and drinks.
  • Keep your head raised on an extra pillow at night, which can ease the throbbing.
  • Rinse gently with warm salt water (half a teaspoon of salt in a glass of warm water).
  • If you have recent X-rays, ask your dentist to email them to us.
Your specialists

Meet our specialist endodontists

Both of our specialists are registered with the Dental Board of Australia as specialists in endodontics.

Dr Omar Ikram, specialist endodontist

Dr Omar Ikram

Specialist Endodontist
BDS (Otago), FRACDS, MClinDent (London), MRD (Edinburgh), FICD, FPFA

Read profile

Dr Jasmine Holgate, specialist endodontist

Dr Jasmine Holgate

Specialist Endodontist
BDent (Hons, Sydney), DClinDent (Endodontics, Queensland), FICD

Read profile

Find us

Opening hours and how to reach us

  • Phone(02) 9129 0009
  • HoursMonday to Friday, 9am to 5pm
  • AddressLevel 3, Suite 301/34 Hume St, Crows Nest NSW 2065
  • Getting hereA short walk from Crows Nest Metro. Free 2-hour parking at the Hume Street Council car park.

Patients come to us from North Sydney, St Leonards, across the Lower North Shore and further afield. Call early in the day if you can, as it gives us the best chance of fitting you in.

Specialist Endo Sydney building in Crows Nest
FAQs

Emergency root canal FAQs

Quick answers if you’re in pain and need to know what happens next.

Many patients are referred by their general dentist, but you can also contact us directly to discuss your situation. If you have recent X-rays, ask your dentist to email them to us. It can save time on the day.

It depends on the tooth and how much treatment it needs. A front tooth with one canal usually costs less than a molar with three or four. We’ll explain the fees before treatment goes ahead. Private health extras cover may help with part of the cost, so check with your fund.

Sometimes. If there’s no major infection and enough time, it may be finished in a single appointment. In an emergency, it’s more common to relieve the pain first, place medication in the tooth, and complete the treatment at a second visit.

We numb the tooth with local anaesthetic before we start and check that it’s working. A very inflamed tooth can take longer to numb, and we’ll take that time. If you’re anxious, ask us about sedation options.

Antibiotics may help if an infection is spreading, but they can’t clear the source of infection inside the tooth. That usually needs root canal treatment, or sometimes an extraction. Ask your dentist or doctor before taking antibiotics.

Outside our hours, call healthdirect on 1800 022 222 for free advice from a registered nurse. If you have spreading swelling, a fever, or trouble breathing or swallowing, go to your nearest hospital emergency department or call 000. Then call us when we open.

Don't wait it out

In pain right now? Call us

The sooner the tooth is seen, the more options you usually have. Call (02) 9129 0009 between 9am and 5pm on weekdays, or send a request and our team will get back to you.

Any surgical or invasive procedure carries risks. Before going ahead, you may want to get a second opinion from an appropriately qualified health practitioner.

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