Smile Lab provides access to an emergency dentist in Manhattan for patients who may need an emergency tooth extraction at its Union Square office. Same-day or next-day appointments are often available for severe pain, swelling, infection, trauma, or a broken tooth that cannot wait.
The practice is open from 9 AM to 7 PM on weekdays and 9 AM to 5 PM on weekends. Call (332) 290-3927 or use the online booking tool to request the earliest available visit.
A clinician will examine the affected area and take digital X-rays as needed before deciding whether the damaged tooth can be saved or removed. The goal is to control pain, address infection, and protect the surrounding structures.
Symptoms That Need Prompt Evaluation
Not every toothache requires removal. These signs require timely evaluation:
- Severe or persistent pain that disrupts sleep or daily activity
- Swelling in the gum, jaw, cheek, or face
- A break or crack extending below the gumline
- Pus, fever, or a bad taste associated with an abscess
- Bleeding that is difficult to control
- A loose adult tooth after trauma
- Pain or swelling around an impacted third molar
- Advanced gum disease with major loss of support
The safer option may be a filling, periodontal care, a root canal, or another restorative procedure. Urgent removal is considered when repair is not predictable, or waiting could allow infection or structural damage to progress.
What Should I Do If I Need a Tooth Pulled Immediately?
Call the office and explain where the pain is located, how long it has lasted, and whether you have swelling, fever, bleeding, trauma, or difficulty opening your mouth. These details help the team determine how quickly you should be examined.
Do not attempt to pull the tooth yourself or place aspirin directly against the gum. You may apply a cold compress to facial swelling and follow the label directions for any over-the-counter pain medicine that is safe for you.
Emergency Tooth Extraction Symptoms
When Is Emergency Removal Necessary?
An emergency dental extraction may be recommended after severe decay, major trauma, a deep fracture, an untreatable infection, or advanced periodontal disease. It may also be appropriate when an impacted molar causes recurrent inflammation or damages the adjacent tooth.
Fast evaluation matters because the source of oral pain is not always visible. Antibiotics may be appropriate in some cases involving systemic infection, but they do not repair decay, fractures, or damaged internal tissue.
The American Dental Association recommends prioritizing definitive care for most cases of pulpal and periapical pain or localized swelling, rather than relying on antibiotics alone. Review the ADA’s antibiotics for dental pain and swelling guideline.
Emergency Wisdom Tooth Removal
Emergency wisdom tooth removal may be considered when a third molar is impacted, infected, badly decayed, or damaging a neighboring tooth. Common signs include pain behind the last molar, swelling, difficulty opening the mouth, a bad taste, or recurring inflammation around the gum flap.
Some third molars can be monitored safely. The decision depends on symptoms, position, available space, infection status, and imaging findings. Learn more about wisdom teeth removal.
Should You Visit a Dentist or an Emergency Room?
A dentist is usually the right first call for severe oral pain, a cracked tooth, an abscess, or a suspected need for removal. A hospital may control severe symptoms, but routine emergency room tooth extractions are not commonly performed there.
Call 911 or go to a hospital for trouble breathing or swallowing, rapidly spreading facial swelling, uncontrolled bleeding, a suspected broken jaw, or major facial trauma. Once the immediate danger is controlled, a dentist or oral surgeon can address the underlying cause.
The American Dental Association provides more information about what to do during common dental emergencies.
What Our Patients Say
Improve your smile today
Can You Get a Same Day Tooth Extraction in NYC?
A same-day tooth extraction may be possible when the procedure is clinically appropriate and the required provider is available.
The timing depends on the examination, imaging, medical history, infection, root position, and whether a surgical specialist is needed. Some patients may first require infection control, medical clearance, additional imaging, or a scheduled surgical visit.
If removal cannot be completed during the first appointment, the clinician will explain the reason and arrange the required next step.
Bring a photo ID, your PPO insurance card, a list of current medications, and relevant medical information. Arrange for someone to accompany you when the office advises that sedation or prescribed medication may affect your ability to travel safely.
Patients searching for tooth extraction in Manhattan can visit Smile Lab at 841 Broadway in Union Square. The office is accessible from Flatiron, Greenwich Village, Gramercy, Chelsea, the East Village, and downtown NYC.
What to Expect During the Procedure
Examination and Digital Imaging
The visit begins with an examination of the affected area and nearby structures. Digital X-rays may be recommended to review the roots, surrounding bone, infection, fractures, and the position of an impacted molar.
The clinician will explain whether the tooth can be preserved, whether removal is recommended, and whether a simple or surgical approach is required. You will receive a personalized plan and itemized estimate before work begins.
For a broader overview of the service, learn more about tooth extraction in Manhattan.
Local Anesthesia and Comfort Options
Local anesthesia numbs the area before the procedure. You may feel pressure or movement, but report any sharp pain so the clinical team can adjust the anesthetic as needed.
For anxiety or a more involved procedure, the team may discuss suitable sedation options based on your medical history and the planned care.
Simple or Surgical Removal
During a simple procedure, the clinician loosens the visible tooth and lifts it from its socket. A surgical approach may require a small gum incision, limited bone removal, or sectioning the tooth into smaller pieces.
Complex cases, impacted molars, and broken roots may be managed through Smile Lab’s oral surgery team. The approach depends on the tooth’s position, root shape, bone support, and surrounding tissue.
Bleeding Control and Clot Protection
After removal, gauze is placed over the site to control bleeding and support blood clot formation. Stitches may be used when needed.
You will receive instructions covering gauze, food, brushing, medication, activity, and warning signs. The clot protects the socket during early healing and should not be disturbed.
Improve your oral health today!
Stop waiting! Call now to schedule your root canal appointment at Smile Lab
Emergency Visit Cost, Insurance, and Financing
For patients with participating PPO coverage, the urgent visit is processed in accordance with their plan benefits. Patients without insurance pay a flat self-pay fee of $99 for the emergency visit. Digital imaging may be recommended based on the examination. Any separate imaging fee will be explained before it is performed.
Smile Lab is in-network with most major PPO plans, including:
- Aetna
- Anthem or BCBS
- Cigna
- Delta Dental
- Guardian
- MetLife
- UnitedHealthcare
- United Concordia
Smile Lab does not accept Medicaid.
| Service | What It Covers | Self-Pay Cost or Coverage |
|---|---|---|
| Emergency visit | Focused examination; digital imaging may be recommended | PPO benefits apply; $99 self-pay visit fee |
| Wisdom tooth removal with an oral surgeon | Surgical removal of a wisdom tooth | $1,200 |
| Non-wisdom tooth removal with an oral surgeon | Surgical removal of another damaged or infected tooth | $1,600 |
| Additional services | Bone grafting, sedation, imaging, or other care when recommended | Quoted separately before care |
| Financing | Payment plans for eligible applicants | Possible 0% plans through Cherry |
Final costs depend on the clinical findings, procedure complexity, insurance benefits, and any additional services required. Learn more about how much emergency dental care costs in NYC and the factors that can affect your total treatment estimate.
Financing, including possible 0% plans, is available through Cherry for eligible applicants. Terms and approval requirements apply.
How Long Does a Tooth Extraction Take to Heal?
Recovery depends on the location of the tooth, whether surgery was required, your general health, and how closely you follow the aftercare plan. The first 24 hours focus on controlling bleeding and protecting the clot.
Mild soreness, swelling, and light bleeding can occur during the first few days. Soft tissue continues to close after the initial discomfort improves, while the bone beneath the socket heals over a longer period.
Return-to-work timing depends on the procedure, anesthesia, symptoms, and physical demands of your job. Follow your clinician’s instructions rather than using one recovery timeline for every case.
Early Recovery Instructions
- Bite on gauze for the instructed amount of time
- Choose soft, cool foods and drink from a cup
- Avoid straws, forceful rinsing, and spitting
- Avoid smoking, vaping, and alcohol
- Do not brush directly over the socket during the earliest stage
- Use prescribed or approved pain medicine as directed
- Avoid heavy exercise until the clinical team says it is safe
- Your diet also plays a role in protecting the healing socket. Review the foods to avoid after a tooth extraction during the first days of recovery.
The American Association of Oral and Maxillofacial Surgeons provides further guidance on oral care after dentoalveolar surgery.
When to Call After the Procedure
Contact the office if bleeding remains heavy, swelling continues to worsen, fever develops, pus appears, numbness does not improve as expected, or pain becomes severe after initially getting better.
Seek urgent help for trouble breathing or swallowing, uncontrolled bleeding, or rapidly spreading swelling.
Benefits of Timely Removal
Removing a non-restorable or infected tooth can relieve the source of pain, reduce the risk of infection spreading, and protect nearby structures.
After the area heals, the dentist can explain whether the space should be monitored or replaced based on its location, bite function, and surrounding bone.
Why Choose Smile Lab for Urgent Care?
The Smile Lab clinical team brings general dentists and specialists together in one Union Square office. This allows the team to consider restorative, endodontic, periodontal, and surgical options without sending every patient across the city.
Digital imaging and access to general dentists and surgical specialists enable diagnosis, procedure planning, and follow-up to remain coordinated within a single practice.
The office provides weekday and weekend availability, transparent estimates, access to major PPO networks, and financing options for eligible patients.
Call now to Schedule Your Appointment
At Smile Lab, you will receive experienced & professional dental implant services in a supportive
and high-tech environment, ensuring you get the best care possible.
