Emergency Dentist in West Chester, PA In pain right now? Call us.

East Bradford Dental sees same-day emergencies for active and new patients in West Chester and Chester County. During business hours, we fit emergencies into the schedule and typically see you within 2-3 hours. After hours, our on-call team has direct contact with the doctor.

Call 610-429-2945
Available now during business hours. After hours, the call rolls to our on-call team.

Go to the ER first, not a dental office, if you have:

  • Rapid facial swelling, especially around the eye or under the jaw
  • Trouble breathing or swallowing
  • Uncontrolled bleeding that does not stop with pressure
  • A suspected jaw fracture or broken bone
  • Severe head trauma, even if a tooth is also involved
First Aid

What to do right now.

While you are on your way to us — or before you call — these are the first steps for the most common dental emergencies. None of this replaces being seen; it just buys you time and gives the underlying tissue the best chance of healing well.

Knocked-out tooth

  1. Pick up the tooth by the crown (the white part). Do not touch the root.
  2. Rinse gently with saline or water — do not scrub.
  3. If possible, try to reinsert it into the socket and hold it in place.
  4. If reinsertion is not possible, store the tooth in milk, OR tuck it between the gum and cheek so saliva keeps it alive.
  5. Get to us within an hour. Time matters — the sooner, the better the chance the tooth survives.

Broken or chipped tooth

  1. Rinse your mouth with warm water.
  2. Save any tooth fragments — bring them with you. We can sometimes bond them back.
  3. Apply a cold compress to the outside of the cheek to reduce swelling.
  4. If there is a sharp edge, dental wax or sugar-free gum can cover it temporarily.
  5. Call us.

Severe toothache

  1. Rinse mouth with warm water.
  2. Floss gently around the painful tooth to remove any trapped food.
  3. Take ibuprofen and/or acetaminophen as directed on the bottle. Alternating them often works better than either alone.
  4. Cold compress on the cheek for swelling. Avoid hot or cold foods.
  5. Call us — toothaches that wake you up at night usually mean an infection that needs attention.

Lost crown or filling

  1. Save the piece if you can — sometimes we can re-cement it.
  2. Avoid chewing on that side.
  3. Dental wax (sold at pharmacies) or sugar-free gum can cover a sharp edge temporarily.
  4. Call us. This usually is not a same-hour emergency, but the sooner we get to it, the less likely the situation worsens.

Bitten lip or tongue

  1. Clean the area with water.
  2. Apply firm pressure with clean gauze or cloth.
  3. Cold compress to reduce swelling.
  4. If bleeding does not stop in 15 minutes — go to the ER. This is no longer a dental issue.

What NOT to do

  1. Do not put aspirin, Advil, or Tylenol directly on the tooth or gum. This is a common mistake. The medication only works when swallowed. Placing pills directly on soft tissue can chemically burn the gum.
  2. Do not ignore severe pain hoping it will pass. Dental pain that wakes you up usually means infection — antibiotics may be needed.
  3. Do not pull on a loose adult tooth. Call us and we will evaluate.
  4. Do not apply heat directly to a swollen jaw. Cold compress only.
What We Handle

Emergencies we see every day.

We see most dental emergencies in-office, get you out of pain, stabilize the problem, and coordinate any specialist follow-up if needed. The goal of an emergency visit is not to complete every procedure that day — it is to make sure you are safe, comfortable, and on the path to resolution.

We treat

Severe toothache & infection

The most common emergency we see. We diagnose the source, treat any infection (antibiotics if needed), and get you out of pain. If a root canal is needed, we coordinate referral to an endodontist within 1-2 days.

We treat

Broken or chipped teeth

From small chips to fully fractured teeth. Same-day temporary restoration if needed, then a follow-up appointment for the permanent crown, veneer, or bonding.

We treat

Lost crowns & fillings

Re-cement loose crowns, replace lost fillings with temporary or permanent material depending on the situation. Most of these are quick fixes that prevent the situation from getting worse.

We treat

Knocked-out teeth (avulsed)

If you can get to us within an hour, the survival chance is good. We reimplant when possible, splint the tooth for stabilization, and coordinate with an oral surgeon for evaluation if needed.

We treat

Cracked tooth diagnosis

Cracked teeth are often missed on X-ray and can be hard to diagnose. We have the tools and experience to identify them and recommend the right treatment — from bonding to a crown to a root canal referral.

We treat

Dental trauma from accident or sports

Falls, sports injuries, car accidents — we assess the damage, stabilize what we can in-office, and coordinate referral to oral surgery if surgical intervention is needed.

We treat

Wisdom tooth pain

We diagnose the issue, manage the immediate pain and any infection, and refer to an oral surgeon for the extraction itself. We coordinate the referral directly.

We treat

Post-op problems

Pain, infection, or complications from dental work done elsewhere — bring it to us. We evaluate, treat what we can, and coordinate with the original provider when appropriate.

What to Expect

What happens at your emergency visit.

  1. 1

    Call first, even for walk-ins

    Always call before coming in (610-429-2945) so we can fit you into the schedule and gather a few details — what happened, where the pain is, whether there is swelling. This lets us be ready when you arrive instead of triaging at the front desk while you are in pain.

  2. 2

    Limited emergency exam & X-ray

    When you arrive, we take you back, do a focused exam on the affected area, and take any X-rays needed to see what is going on. Diagnosis comes first — we want to be sure of what we are treating before we start.

  3. 3

    Get you out of pain & stabilize

    This is the heart of an emergency visit. Drain an abscess, place a temporary restoration over a fractured tooth, re-cement a loose crown, prescribe antibiotics for infection — whatever stops the immediate problem and gets you comfortable. You walk out of the visit knowing you are no longer in danger of it getting worse.

  4. 4

    Plan the follow-up

    Once the immediate problem is handled, we walk you through what needs to happen next. For some emergencies that is a single follow-up at our office (permanent crown, completed restoration). For others — root canals, surgical extractions, complex trauma — we coordinate referral to a trusted specialist directly. You do not call around to find someone; we make the connection.

  5. 5

    Cost & insurance, before any treatment

    We provide an exact quote at the start of the visit, before any treatment is done. Costs vary by what is needed and whether the visit is after hours. Most PPO plans cover emergency exams, X-rays, and most emergency procedures (fillings, extractions, root canals) as restorative care. We verify your insurance same-day and apply your coverage. CareCredit financing and our benefit plan discount are available for the patient portion.

After Hours

Our on-call team has direct contact with the doctor.

A lot of practices have an after-hours voicemail that says "call back during business hours." That is not how we handle it. Calls to 610-429-2945 outside of business hours forward to a real person on our on-call team. They have direct contact with the doctor for true emergencies.

For most night and weekend calls, the team can triage the situation, call in a prescription if needed (antibiotics for infection, pain management), and schedule you first thing the next morning. For true emergencies that cannot wait — knocked-out teeth, uncontrolled pain, dental trauma — the doctor is reachable.

When in doubt: call. Do not assume it can wait.

610-429-2945
Emergency treatment room
East Bradford Dental practice interior
Treatment room
Common Question

Should I just go to the ER or urgent care?

For true medical emergencies — facial swelling spreading rapidly, trouble breathing or swallowing, uncontrolled bleeding, suspected jaw fracture — the ER is the right place. Always.

For a dental problem, the ER is rarely the right answer. ER physicians can manage your pain and prescribe antibiotics, but they are not equipped to fix the underlying dental issue. You will still need a dentist within 24-48 hours, and you will have paid an emergency room visit on top of the eventual dental fee. The same applies to most urgent care clinics — they can stabilize, not treat.

For tooth pain, broken teeth, lost fillings, knocked-out teeth, dental trauma, and most acute oral conditions — call us first. If we are not the right place, we will tell you and direct you to where you need to go.

Emergency treatment suite
Practice interior
Treatment room
A Real Case

Popcorn kernel, cracked tooth, same-day fix.

One of our patients was eating popcorn at a movie when they cracked a tooth on a kernel. The crack was significant enough that the tooth was sensitive to cold and a piece had broken off. They called us the next morning, we fit them in the same day.

We numbed the area, evaluated the crack, and placed a temporary restoration that afternoon to stabilize the tooth and stop the sensitivity. A few weeks later they came back for the permanent crown. The whole experience — from the cracked tooth on a Friday night to the permanent crown delivery — was handled without them having to scramble.

That is what a dental emergency should feel like. Not a marathon of phone calls and pain. A quick call, a same-day visit, a fix that lasts.

Common Questions

Emergency questions.

  • How fast can I be seen?
    During business hours, we typically see true emergencies within 2-3 hours of the call. We fit emergency visits into the schedule throughout the day. Call 610-429-2945 — the sooner we know you are coming, the better we can prepare.
  • Do you take new patients for emergencies?
    Yes — if you are in pain or have an active emergency, we will see you the same day even if you have never been to our practice before. Routine new-patient exams require an advance appointment, but emergencies do not.
  • What if it is after hours?
    Calls forward to our on-call team, who have direct contact with the doctor for true emergencies. The team can triage, call in a prescription if needed (antibiotics for infection, pain medication), and get you in first thing the next morning. For true emergencies that cannot wait, the doctor is reachable.
  • What does an emergency visit cost?
    Costs vary by what is needed and whether the visit is during or outside business hours. We provide an exact quote at the start of your visit, before any treatment. Most PPO plans cover emergency exams, X-rays, and most emergency procedures as restorative care. We verify your insurance same-day. CareCredit financing and our benefit plan discount are available for the patient portion.
  • Do you do root canals in-office?
    No — for root canals, we refer to endodontists who specialize in that work. They typically see our referrals within 1-2 days. At the emergency visit, we get you out of pain, treat any infection, and coordinate the referral directly so you do not have to call around.
  • Do you do extractions?
    For most extractions — including wisdom teeth — we refer to oral surgeons we trust. We diagnose the issue, manage immediate pain and any infection at the emergency visit, and coordinate the surgical referral directly.
  • My tooth got knocked out — what should I do?
    Pick up the tooth by the crown, not the root. Rinse gently. Try to reinsert it into the socket. If you can't, store it in milk OR tuck it between your gum and cheek — saliva keeps it alive. Get to us within an hour. Call 610-429-2945 immediately.
  • When should I go to the ER instead?
    Go to the ER for rapid facial swelling (especially around the eye or under the jaw), trouble breathing or swallowing, uncontrolled bleeding, suspected jaw fracture, or severe head trauma. For tooth pain, broken teeth, lost fillings, or knocked-out teeth — the dental office is the right place.
  • Do you see kids for dental emergencies?
    Yes. For most pediatric emergencies — pain, broken teeth, lost fillings — we handle the visit in-office. For significant pediatric trauma (knocked-out baby teeth, jaw injuries, complex pediatric cases), we sometimes refer to a pediatric dentist who specializes in those scenarios. We coordinate the referral directly.
Why East Bradford

Three decades of care in West Chester.

East Bradford Dental has been caring for West Chester families since 1993. For emergencies specifically, that experience matters — we have seen most situations many times before, we have a network of trusted specialists for referrals (endodontists, oral surgeons, pediatric dentists), and we know how to make the right call between "treat now," "treat in a few days," and "send to the ER."

We were named to Philadelphia Magazine's Top Dentists 2026 list. Our emergency protocol is built around one principle: get you out of pain, stabilize the problem, and make sure the next step happens without you having to scramble.

Meet the doctors
Dr. Steven Casella, D.M.D.
Dr. Patrick Rupert, D.M.D.
iTero scanner used for emergency diagnostics
In Pain Right Now?

Call us. We can help.

Same-day visits for active and new patients. After-hours line with direct contact to the doctor for true emergencies. The sooner you call, the sooner you are out of pain.