Severe Toothache Care in MaryleboneUrgent Toothache Appointments in W1
Tooth pain keeping you awake? Severe toothache rarely settles by itself and usually worsens as the underlying cause progresses. Our experienced W1 dentists work to pinpoint the source of your pain and provide appropriate treatment, often at a same-day appointment, subject to availability.
Emergency exam + assessment
X-rays £20 if clinically needed
Emergency Toothache Assessment
New patient offer (usual £95)
Includes:
- Full examination by a dentist
- X-rays £20 if clinically needed
- Assessment & diagnosis of your pain
- Written treatment plan with costs
Or call: 020 7183 0692
Getting to the Root of Your Toothache in W1
Severe toothache can be debilitating, making eating, sleeping and concentrating a struggle. If your pain isn't eased by over-the-counter painkillers, prompt professional care is important: delaying treatment gives the underlying condition time to progress and can make treatment more complex.
At Wimpole Street Medical & Dental in Marylebone, our emergency dentists in London aim to see toothache patients the same day wherever possible, subject to availability. Using digital X-rays and a thorough clinical examination, we identify the cause of your pain, deep decay, infection, a cracked tooth or something else, and discuss suitable treatment options with you.
We're open 6 days a week, with late evenings on Tuesdays and Thursdays until 8pm and Saturday hours (10am–4pm). Our practice at 22 Wimpole Street is a short walk from Bond Street and Oxford Circus stations, easy to reach from Mayfair, Fitzrovia, Soho and across London.
Warning Signs of a Serious Toothache
Recognise any of the following? We'd recommend a professional dental assessment, early evaluation may stop the problem from getting worse.
Sharp, throbbing, or constant pain
Sensitivity to hot or cold foods and drinks
Pain when biting down or applying pressure
Swelling around the tooth, gums, or jaw
Headache or fever alongside tooth pain
Bad taste in the mouth or persistent bad breath
What Your Type of Tooth Pain Can Tell Us
Toothaches differ, and the character of your pain can give our dentists useful clues about the cause even before imaging.
Sharp, Shooting Pain (Sensitivity)
ModerateA sharp sensation when eating cold or hot foods that disappears quickly may suggest a cavity, a loose filling, or a cracked tooth. The dental nerve is irritated but may still be treatable with a filling or crown.
Dull, Throbbing, Constant Ache
SeriousPain that lingers long after eating or drinking, starts spontaneously, or worsens when lying down often indicates that the nerve inside the tooth may be significantly damaged. This type of pain may require root canal treatment or extraction.
Pain on Biting or Pressure
UrgentIf a tooth feels "high" or bruised when you tap it, this may indicate that an infection has spread beyond the root tip into the surrounding jawbone, which can lead to an abscess.
Why Teeth Become Severely Painful
Knowing what might be behind your toothache helps explain why professional assessment matters. Several conditions commonly cause severe tooth pain.
Advanced Tooth Decay
Bacteria in the mouth produce acid that can gradually erode the hard enamel of a tooth. Once decay reaches the softer dentine and eventually the pulp (nerve), infection can develop, often causing significant pain.
Dental Abscess
If tooth decay is left untreated, the nerve tissue may become non-vital and a pocket of pus (abscess) can form at the root tip. This creates pressure inside the jawbone that can cause intense, throbbing pain and facial swelling.
Cracked Tooth
A hairline fracture in a tooth may not always be visible to the naked eye. However, each time you bite down, the crack can open slightly and irritate the nerve. Over time, this may worsen and potentially reach the pulp.
Impacted Wisdom Teeth
Wisdom teeth that do not have sufficient room to emerge properly can push against neighbouring teeth or become partially trapped beneath the gum (pericoronitis), potentially causing pain that may radiate to the ear and jaw.
How We Treat Toothache at Your Appointment
At our Marylebone clinic, the aim is an accurate diagnosis and appropriate treatment, not just painkillers and a trip home.
Diagnostic Imaging
We use low-dose digital X-rays to help identify what may be happening inside the tooth and beneath the gum line, aiding in accurate diagnosis.
Local Anaesthesia
We use modern local anaesthetics to help numb the affected area. For anxious patients, we can apply a topical numbing gel beforehand to help minimise discomfort from the injection.
Targeted Treatment
Depending on the diagnosis, treatment may include an emergency pulp extirpation (nerve removal) to help relieve pressure, a gentle extraction if the tooth cannot be saved, or a restorative filling to address deep cavities.
Easing Toothache at Home Before You're Seen
While you wait for your urgent appointment, these steps may temporarily take the edge off. They're no substitute for professional treatment.
- Take anti-inflammatory painkillers such as Ibuprofen (if suitable for you), they may be more effective for dental pain than Paracetamol alone.
- Avoid very hot or very cold foods and drinks, which may worsen sensitivity.
- Try sleeping with your head slightly elevated on pillows to help reduce blood pressure in the head.
- Rinse gently with warm salt water to help keep the area clean.
- Do not place aspirin directly on the gum, this can cause chemical burns to the soft tissue.
Important: If you experience severe facial swelling, difficulty breathing or swallowing, or a high fever, please call 999 or attend A&E immediately. These may indicate a serious infection that requires urgent medical attention.
Emergency Dental Repairs – Patient Results
Genuine patient results. Individual outcomes may vary. Drag the slider to see the transformation.
Toothache Treatment Fees at Our W1 Clinic
Clear pricing for urgent dental care. Figures are indicative, a full treatment plan with costs follows your assessment.
| Treatment | Price |
|---|---|
| Emergency Assessment (New Patient Offer) | £30 (new patients) |
| Dental Examination | £95 |
| Digital X-Ray | £20 |
| Composite Filling | from £185 |
| Root Canal (Front Tooth) | from £695 |
| Root Canal (Molar) | from £895 |
| Simple Extraction | from £250 |
Toothache Treatment – Your Questions Answered
Other Emergency Dental Treatments We Offer
Toothache Wearing You Down? Let Us Help
Our dentists are here 6 days a week at our Marylebone clinic, a short walk from Bond Street and Oxford Circus stations.
If you are experiencing a life-threatening emergency such as severe uncontrolled bleeding, difficulty breathing, or loss of consciousness, please call 999 or go to A&E immediately.
Google reviews of our sister clinic, South Kensington Medical & Dental.
Meet Our Dental Team
Our experienced dental team is fully qualified and registered with the GDC, delivering safe, high-quality care in line with the highest professional standards.
Because our patients deserve nothing less.
Registered. Regulated. Trusted.
At Wimpole Street Medical & Dental, our clinicians are registered with the relevant UK regulatory bodies, including the GDC, GMC and NMC. Our dentists, dental nurses and medical professionals deliver care that meets the highest clinical, safety and ethical standards, because our patients deserve nothing less.
We Accept All Major Dental Insurances
We accept all major UK dental insurances, including AXA PPP Healthcare Dental Cover, Aviva Dental Insurance, Bupa Dental Cover, Cigna Dental Insurance, Vitality Dental Health Insurance, Unum and Boots Dental Plan Cover. We provide itemised receipts so you can claim back your treatment costs.
