Emergency Dentist · Keene & Joshua, TX
In pain today? We hold same-day slots.
Toothache that won't quit, a tooth that broke at breakfast, a crown that came off in a piece of caramel — we get it, and we hold time on the schedule every day for exactly this. Call the closest office first thing in the morning and we'll do everything we can to get you in today.
Closer to Joshua? Call (817) 295-4500.
My wife had pain — we called at 8:45, she was seen by 10 and home by 12. We can't say enough about these guys!
What counts & what to do right now
First-aid for common dental emergencies.
If something feels wrong, trust that — call us. While you're on your way (or while you're waiting for the office to open), here's what helps most for the situations we see every week.
Knocked-out tooth
Pick it up by the crown (white part), never the root. Rinse gently with water — don't scrub. If you can, slip it back into the socket and bite a clean cloth. If not, tuck it in your cheek or a cup of milk. Call us immediately — the first hour matters most.
Cracked or broken tooth
Save any pieces in a small container of milk or water. Rinse your mouth with warm water and use a cold compress on the cheek to ease swelling. Avoid chewing on that side and call to be seen the same day — even a small crack can worsen quickly.
Severe toothache or abscess
Rinse with warm salt water and floss gently to dislodge anything trapped. Use over-the-counter pain relief as directed; a cold compress can help too. If you see a pimple-like bump on the gum, facial swelling, or fever — call right away. That's an infection, not just pain, and a root canal is often what ends it.
Lost crown or filling
Keep the crown if you have it — bring it with you. Don't try to glue it back with household adhesive. Cover any sharp or exposed surface with a small piece of sugar-free gum or pharmacy temporary cement, avoid chewing on that side, and call to be seen.
Cut lip, cheek, or tongue
Rinse with cool water. Apply firm, steady pressure with clean gauze or a damp tea bag for 15 minutes. A cold compress eases swelling. If bleeding doesn't slow after 15–20 minutes of pressure, or the cut is deep, head to the ER — then call us for follow-up.
Anxious about coming in?
You're not alone, and being scared in the middle of an emergency is the worst combination. We offer sedation options for anxious patients — nitrous (laughing gas) most often, with deeper options available. Tell us when you call and we'll plan around it.
How same-day works at Old Betsy
Call first thing. We'll fit you in.
Both general offices hold open slots every day for emergencies. The earlier you call, the more flexibility we have to route you to the closest office. Here's the honest picture:
- Office hours (Mon–Fri 8am–4pm): call and we'll triage by phone — usually a same-day visit.
- Implants & Sleep offices: open Mon–Thu, scheduled cases. For an unscheduled emergency, start with our Keene or Joshua general office.
- After hours / weekends: we are not a 24/7 clinic. Leave a voicemail at the closest office; we return calls as soon as the next business morning. Use the first-aid steps above in the meantime.
- True medical emergencies: severe facial swelling, trouble breathing or swallowing, uncontrolled bleeding, or jaw trauma belong in the ER first — we'll handle dental follow-up after.
Unexpected dental bills are stressful too. If treatment is needed today, we'll give you a clear written estimate first, and our financing & payment options can usually spread the cost into a payment that works.
Reach the closest office
Two offices, both ready to help today.
Old Betsy Dental of Joshua
3513 SW Wilshire Blvd, Joshua, TX
Mon–Fri 8am–4pm
FAQ · Dental emergencies
Quick answers when every minute counts.
What counts as a dental emergency?
Severe or worsening tooth pain, a knocked-out tooth, a cracked or broken tooth, a lost crown or filling that's exposing nerve, swelling in the gum or face (a possible abscess), and cuts to the lip, cheek, or tongue that won't stop bleeding all count. If you're not sure — call. We'd rather take five minutes on the phone than have you wait it out.
Can I be seen the same day?
Yes. Both of our general offices hold same-day slots for dental emergencies during regular hours (Mon–Fri 8am–4pm). Call first thing in the morning — Keene at (817) 641-2272 or Joshua at (817) 295-4500 — and we'll get you into the closest office that day whenever we possibly can.
What should I do if my tooth got knocked out?
Pick the tooth up by the crown (the white part) — never the root. Gently rinse it with water if it's dirty, but don't scrub it or use soap. If you can, slip it back into the socket and bite gently on a clean cloth. If that's not possible, tuck it in your cheek or drop it in a cup of milk to keep it moist. Then call us immediately — the first hour matters most for saving a knocked-out tooth.
How much does an emergency dental visit cost?
The visit fee for a limited emergency exam is straightforward, and we'll give you a clear written estimate before any treatment beyond that. Costs vary by what's needed — a simple smoothing of a chip is very different from a root canal and crown. We accept most major PPO plans, file as a courtesy for many others, and offer third-party financing if an unexpected bill needs to be spread out.
Do you see emergency patients without insurance?
Yes — every day. You don't need to be an existing patient and you don't need dental insurance. We'll talk through your options up front, give you a written estimate before treatment, and walk through financing if it helps.
What if it's after hours or the weekend?
Leave us a voicemail at the closest office — we check messages and reach out as soon as the next business morning. In the meantime: rinse with warm salt water for pain, use a cold compress for swelling, and take over-the-counter pain medication as directed on the label. For severe facial swelling, trouble breathing or swallowing, uncontrolled bleeding, or trauma to the jaw, go to the nearest emergency room — that's beyond what a dental office can handle.
Don't wait it out. Call us.
The sooner we hear from you, the more we can do.