Glendale, Arizona

Toothache Relief in Glendale, AZ

A toothache is your body telling you something is wrong. SmileScience Dental Spa finds the cause and relieves your pain -- the same day. No guessing, no "come back next week," no dismissal. Call now and we will fit you in.

Written by Richard Dawson, DMD ICOI Fellow Reviewed by John Turke, DMD DMD Updated April 2026
400+ Five-Star Reviews Google & Yelp combined
Same-Day Emergency Slots Call first thing -- we'll prioritize you
Sedation Available Nitrous, oral sedation, and IV sedation
New Patients Welcome No prior relationship required
Fever + Facial Swelling = Emergency Room Now

If your toothache comes with facial swelling that is spreading, fever above 101 F, or difficulty swallowing or breathing -- stop reading and go to the nearest emergency room or call 911. These are signs of a spreading dental infection that can become life-threatening.

What Is Causing Your Toothache?

A toothache is a symptom, not a diagnosis. The treatment depends entirely on the underlying cause. Tap your situation below to understand what is happening and what to do.

Dental Abscess Call Now

What it feels like: Severe, constant, throbbing pain -- often the worst pain imaginable. May radiate to the jaw or ear. Frequently accompanied by swelling, fever, a bad taste, or a pimple on the gum.

Why it hurts: An infected pocket of pus under the root tip creates pressure that has nowhere to go.

If you have facial swelling or fever alongside the toothache -- go to the ER immediately, not the dentist. Otherwise, call (480) 530-3663 now for same-day treatment.
Cracked Tooth Same-Day

What it feels like: Sharp, electric pain when biting that immediately disappears when you release pressure. Sensitivity to cold. Often difficult to pinpoint which tooth is the problem.

Why it hurts: The two halves of the crack flex under bite pressure, stimulating the nerve. Cracks are often invisible on X-rays -- clinical examination is required.

Deep Cavity (Tooth Decay) Same-Day

What it feels like: Sensitivity to cold or sweets that lingers, or a dull ache that worsens when eating. Deep decay that has reached the nerve causes severe, spontaneous pain that does not need a trigger.

Why it hurts: Bacteria dissolve enamel and dentin, exposing the nerve-rich pulp to temperature and bacterial toxins. Once the pulp is involved, a root canal is needed.

Impacted Wisdom Tooth Schedule Soon

What it feels like: Deep aching in the back of the jaw, pressure, and sometimes difficulty opening the mouth. Can cause referred pain to nearby teeth.

Why it hurts: A tooth that cannot erupt presses against adjacent teeth and bone. The surrounding tissue can become infected (pericoronitis), which can escalate quickly and require urgent care.

Gum Disease (Periodontitis) Schedule Soon

What it feels like: Dull aching around multiple teeth, gum tenderness, bleeding when brushing, and sensitivity where the gum has receded.

Why it hurts: Bacterial infection destroys the bone and tissue supporting the teeth. Receded gums expose root surfaces that lack enamel protection.

Teeth Grinding (Bruxism) Schedule

What it feels like: Diffuse, generalized soreness in the teeth, jaw, and temples -- often worst in the morning. Multiple teeth may be sensitive simultaneously.

Why it hurts: Grinding during sleep subjects teeth to far more force than normal chewing. Enamel wears thin over time, exposing sensitive dentin. Jaw muscles become chronically fatigued.

Exposed Root / Sensitivity Schedule

What it feels like: Brief, sharp pain triggered by cold air, cold liquid, or sweet foods. The pain stops almost immediately when the trigger is removed.

Why it hurts: Exposed root surfaces lack the enamel protection of the crown and contain thousands of open tubules that conduct temperature sensation directly to the nerve.

Sinus Congestion See Your Doctor

What it feels like: Pressure or aching across the upper back teeth on both sides simultaneously, often worse when bending forward. Accompanied by nasal congestion.

Why it hurts: The roots of upper molars sit directly below the maxillary sinuses. Sinus pressure radiates into these teeth and can feel exactly like a toothache. This is not a dental problem -- see your physician for sinus treatment.

When Is a Toothache a Dental Emergency?

Some toothaches can wait a few days for a scheduled appointment. Others cannot. Here is the distinction:

Call Us Today -- These Cannot Wait
  • Severe, throbbing pain that OTC medication cannot control
  • Facial swelling -- near the eye, jaw, or neck
  • Fever accompanying dental pain
  • Pus, bad taste, or a pimple-like bump on the gum
  • Pain keeping you awake at night
  • Jaw stiffness or difficulty opening your mouth
Go to the ER Immediately -- Life-Threatening Signs
  • Difficulty swallowing or breathing
  • Swelling extending into the neck or floor of the mouth
  • High fever (above 101 F) with dental pain
  • Swollen eye or spreading facial swelling
  • Feeling of throat closing

These are signs a dental infection is spreading systemically. Call 911 or go to an emergency room -- do not drive yourself.

For everything that falls between routine sensitivity and a life-threatening emergency -- call us at (480) 530-3663. We will triage over the phone and tell you exactly what to do.

Home Remedies That Help vs. Ones That Don't

These measures can reduce discomfort while you wait for your appointment. They manage symptoms -- they do not treat the underlying problem. Use them to get through the night, not as a reason to delay care.

These Help
Ibuprofen (Advil, Motrin)

400 -- 600 mg every 6 -- 8 hours with food (if not contraindicated by health conditions). Ibuprofen has anti-inflammatory properties that are particularly effective for dental pain, which is largely inflammation-driven.

Warm salt-water rinse

Dissolve 1/2 teaspoon of table salt in 8 oz of warm water. Rinse gently for 30 seconds. Reduces bacteria, clears debris around the tooth, and temporarily reduces minor swelling.

Cold compress

Apply to the outside of the cheek for 15 minutes on, 15 minutes off. Reduces external swelling and has a mild numbing effect. Do not apply ice directly to the skin.

Clove oil (eugenol)

Dilute with carrier oil (1 drop clove oil to 1/2 teaspoon olive oil), then dab on the tooth with a cotton ball. The active ingredient eugenol is the same compound dentists use in many dental cements -- it temporarily numbs the area.

OTC topical anesthetics (Orajel, Anbesol)

Benzocaine gel applied to the gum around the painful tooth provides temporary surface numbing. Useful for managing pain at the gum level. Effect lasts 20 -- 30 minutes.

These Do NOT Help (or Make It Worse)
Aspirin placed directly on the tooth or gum

A very common mistake. Aspirin is an acid. Placing it directly on soft tissue causes a chemical burn -- making the situation much worse. Take aspirin orally, never topically.

Heat (hot packs on the face)

Heat increases blood flow and can accelerate the spread of a dental infection. Always use cold for dental swelling -- never heat. Heat can turn a manageable swelling into a rapidly progressing one.

Antibiotics without a dentist prescription

Leftover antibiotics from a previous prescription will not resolve a dental infection. The infection is inside the tooth or bone -- antibiotics reduce systemic spread but do not eliminate the source. Drainage or root canal is required.

Waiting it out "to see if it goes away"

Sometimes tooth pain stops on its own -- but this is not the problem resolving. When a pulp dies from infection, pain may stop temporarily while infection spreads silently to the surrounding bone. Painless doesn't mean healed.

What Happens at Your Appointment

When you arrive for a toothache appointment at SmileScience Dental Spa, we start with one priority: figuring out what is causing your pain and fixing it that visit.

  1. 1
    Focused Emergency Exam

    We examine the painful area first. Digital X-rays and, when indicated, CBCT 3D imaging are taken immediately. We are not going to start with a full cleaning or unrelated work -- your pain is the entire agenda.

  2. 2
    Diagnosis

    We use percussion testing, thermal testing, bite tests, and probing to isolate the specific tooth and determine what is happening inside it. You will have a clear answer before anything else happens.

  3. 3
    Treatment Options Explained Clearly

    We explain what we found, what treatment options are available, and what each one costs. No pressure, no upselling. You make the decision. If you are in severe pain and want it addressed immediately, we will get started right after consent.

  4. 4
    Pain Management During Treatment

    Profound local anesthesia is administered before anything begins. For infected teeth, we know exactly how to achieve complete numbness even when infection makes standard anesthesia tricky. Nitrous oxide, oral sedation, and IV sedation are all available if you need them.

  5. 5
    Treatment -- Same Visit When Possible

    Depending on what we find, treatment may include a filling, a crown (same-day CEREC available), root canal therapy, extraction, or periodontal treatment. Dr. Dawson and Dr. Turke together cover the full range of restorative, surgical, and emergency dental procedures in-house. You rarely need a separate referral.

Dental Anxiety? We Have You Covered.

Many patients put off calling a dentist about tooth pain because the idea of the appointment itself is frightening. We understand that -- and we built a sedation program specifically so that fear doesn't keep you in pain longer than necessary.

Nitrous Oxide

Inhaled through a small mask. Takes effect in minutes, wears off within minutes of removal. You stay fully conscious and can drive yourself home. Ideal for mild to moderate anxiety.

Oral Conscious Sedation

A prescription sedative taken before your appointment puts you in a deeply relaxed, drowsy state. You remain conscious and responsive but typically have little or no memory of the procedure. Dr. Dawson is OCS-certified in Arizona.

IV Sedation

Administered by our board-certified dental anesthesiologist on-site. You are fully asleep and unaware of the procedure. Ideal for severe anxiety or patients needing extensive work completed in a single visit.

Tell us when you call that anxiety is a factor. We will build your appointment around your comfort level.

What Our Patients Say

4.9 (437 reviews)

Medical Review & Evidence

Richard Dawson, DMD, ICOI Fellow
Author: Richard Dawson, DMD, ICOI Fellow Medically Reviewed by: John Turke, DMD Last Updated: April 2026
Content on dental pain and emergency triage reviewed against published literature on odontogenic infections and pulpal pathology.
  1. Flynn TR, Shanti RM, Hayes C. Severe odontogenic infections, part 1: prospective report. Journal of Oral and Maxillofacial Surgery. 2006;64(7).
  2. Seltzer S, Bender IB. Dental Pulp: Biologic Considerations in Dental Procedures. Quintessence Publishing.

This content is educational. Dental emergencies require professional evaluation. Call (480) 530-3663 for same-day appointments at Smile Science Dental Spa, Glendale, AZ.

Interactive fracture identifier

What type of crack is in your tooth?

Not all tooth cracks are the same — a craze line needs only monitoring; a cracked tooth needs prompt care; a split tooth may need extraction. Walk through the same bite tests and symptom questions a dentist uses to identify fracture type and urgency.

  • 8questions
  • ~2minutes
  • 5crack types
  • Same-dayemergency slots

Created by Dr. Richard Dawson, DMD · Reviewed by Dr. John Turke, DMD · Same-day emergency slots · No login

Not a diagnosis. Fracture type and urgency are confirmed by clinical exam, transillumination, and bite tests. If you have severe pain, facial swelling, or a visible piece of tooth has broken off, call (480) 530-3663 or seek emergency care now.

Reference

A field guide to tooth fractures

Tooth cracks follow five distinct patterns from surface-only craze lines to root fractures. The signature symptoms on the left are what your dentist tests for; the description and treatment are on the right. Only an in-person exam with bite tests and transillumination can confirm a fracture type.

Signature symptoms

  • No pain or very mild sensitivity to cold
  • Visible fine lines in the enamel surface
  • No pain on biting

Craze Lines

Hairline cracks limited to the outer enamel layer. No structural threat to the tooth and no treatment required — but a dentist should confirm there is no deeper involvement.

Signature symptoms

  • A piece of the tooth broke off or feels sharp
  • Sharp pain when biting in one spot
  • Brief cold sensitivity at the site

Fractured Cusp

A cusp — one of the pointed corners of a back tooth — has broken away, usually around an existing filling. The nerve is rarely involved. A crown restores the tooth.

Treated with Crown or onlay →

Signature symptoms

  • Sharp pain when biting down
  • Sharp pain when releasing the bite
  • Intermittent pain over weeks or months
  • Cold or sweet sensitivity that lingers

Cracked Tooth (Cracked Tooth Syndrome)

An incomplete crack running from the crown downward — it has not yet split the tooth into two pieces. The hallmark is pain on releasing the bite as the crack flexes open. Without treatment, it progresses to a split tooth or root fracture.

Treated with Crown; root canal if the nerve is involved →

Signature symptoms

  • A crack that visibly separates two parts of the tooth
  • Severe pain or complete relief once the tooth splits
  • Tooth feels loose or pieces feel separate

Split Tooth

A cracked tooth that has propagated all the way through, splitting the tooth into distinct segments. The tooth is usually not restorable as a whole. Extraction is nearly always required, and replacement planning begins immediately.

Treated with Extraction and tooth replacement planning →

Signature symptoms

  • Dull or absent pain despite signs of infection
  • Pimple-like bump on the gum next to the tooth
  • Previous root canal on the tooth
  • Recurring abscess or swelling around one tooth

Vertical Root Fracture

A crack that begins in the root and extends upward toward the crown, often after root canal treatment. It is frequently silent until an abscess forms around the root. Extraction is almost always required.

Treated with Extraction in most cases →

Frequently Asked Questions

Sometimes the pain subsides -- but that is not the same as the problem resolving. When the nerve in a tooth dies from infection, pain can stop temporarily while the infection continues to spread into the surrounding bone. Absent pain does not mean the tooth is healed. Always have persistent toothaches evaluated, even if they seem to get better on their own.

We hold same-day emergency slots. Call us in the morning and we will make every effort to see you the same day. If you are in severe pain, let the person who answers know and we prioritize accordingly. New patients do not need an existing relationship with our practice to be seen for an emergency.

No. Modern root canals with adequate anesthesia are no more uncomfortable than getting a filling. Most patients are genuinely surprised. The pain you feel before the root canal -- from the infection and inflammation -- is far worse than the procedure itself. The root canal removes the infected tissue and relieves the pressure that was causing your pain.

We diagnose this at the appointment. If examination and X-rays reveal healthy teeth and no dental cause, we will tell you -- and explain that it is likely sinus-related. We do not treat what isn't broken. If the problem genuinely appears to be sinus-related, we will recommend you follow up with your physician.

Do not take leftover antibiotics before being seen. Antibiotics can mask symptoms and make diagnosis more difficult. If you are prescribed antibiotics, it should be by the treating dentist who has examined you. Antibiotics alone cannot cure a dental abscess -- the source of infection (infected pulp, abscess pocket) must be addressed physically.

Yes. We see patients of all ages. Pediatric dental emergencies -- whether a toothache from decay, a knocked-out baby tooth, or trauma -- are treated here. Please call ahead so we can prepare appropriately for the age of the patient.

An emergency exam and X-rays typically run $75 -- $175 depending on how many images are needed. Treatment fees vary by what is found: a simple filling starts around $175, root canals range from $900 -- $1,500, and extractions start at $175. We give you a clear cost estimate before starting any treatment. Financing through CareCredit, Cherry, and Sunbit is available with same-day approval.

No insurance, no problem. We treat a large number of uninsured patients. Our membership plan offers discounted fees for a flat annual rate. Financing is available with no hard credit check for most plans. A toothache is not something that should wait because of insurance status -- call us and we will work out a solution.

4.9 (437 reviews)

Tooth Pain Doesn't Have to Wait. We Can Help Today.

Same-day toothache appointments at SmileScience Dental Spa, 20118 N 67th Ave, Ste 308, Glendale, AZ 85308. New patients always welcome.