When you should go straight to A&E (or call 999)​

Some dental situations need a hospital, not a dental clinic — usually because the airway, the bone, or the wider body is involved. Go to the nearest A&E (Hospital Serdang, Hospital Putrajaya, Hospital Selayang, or your nearest Klang Valley hospital), or call 999 if it's serious.
  • Facial swelling that has spread to the eye, neck, or floor of the mouth
  • Difficulty swallowing, opening the mouth, or breathing
  • Heavy bleeding that is brisk and continuous and has not slowed after biting firmly on a fresh, damp gauze for 30 minutes, replaced with another fresh gauze for a second 30 minutes (about an hour total) — especially if you are on blood-thinning medication
  • A tooth knocked out with a head injury, loss of consciousness, or possible jaw fracture
  • High fever (above 38°C) with facial swelling
  • Severe facial injury from a fall, accident, or assault

When you should reach us today (during clinic hours)

WhatsApp or call us as soon as you can. We'll triage and fit you in where possible.
  • An adult tooth knocked out (the next 30–60 minutes matter — see the section below)
  • Severe throbbing pain that's keeping you awake or is not controlled by paracetamol or ibuprofen
  • Swelling in the face or gum that is not spreading to the eye/neck and not affecting your breathing
  • A broken tooth with a sharp edge, exposed pink/red tissue, or pain
  • A dislodged crown or filling with sharp edges or pain
  • Bleeding from the gums or extraction site that's slow but not stopping
  • Dental trauma in a child below 18 years old

What can usually wait 24–48 hours

Reach us when you can — same week is usually fine. Reasons to book sooner rather than later are below each item.
  • Mild sensitivity to cold or sweet that goes away within seconds
  • A dull ache that comes and goes
  • A lost filling or crown with no pain (avoid chewing on that side meanwhile)
  • Food caught between teeth that you can't dislodge with floss
  • Gums that bleed when you brush, with no swelling, pain, or loose teeth
​If you're not sure which category you're in, message or call us. It's better to ask than to wait.

​How to reach us in an emergency

​For anything urgent, please message or call. The online booking system is designed for planned appointments and does not see same-day requests fast enough for emergencies.

​Three contact channels (multi-channel parity, equal weight):

WhatsApp: +60 16-602 0822 — during clinic hours
Phone: +60 16-602 0822 — same number, same line
​In person: SO-1-03 (1st Floor), Soho Trio Permai, Jalan Equine, Bandar Putra Permai, 43300 Seri Kembangan, Selangor. (Close to Taman Equine MRT station PY36; opposite Alice Smith School)

​Hours and what to expect when you message:

Open
Mon–Fri, 9:00 AM – 6:00 PM (lunch break 1:00 PM – 2:00 PM may delay our reply by up to an hour).
We're closed on certain public holidays — see our Public Holiday Closures page for upcoming dates.

When you message, please include:
  • What happened, in one or two sentences
  • When it happened
  • Your pain level (0 = none, 10 = severe)
  • A photo if it's visible (broken tooth, swelling, knocked-out tooth) — this helps us triage faster

​We'll reply with whether you need to come in today, and when. If we're full but your situation needs same-day care, we'll tell you honestly and help you decide what to do next.

​Common dental emergencies — what to do meantime

​A tooth has been knocked out — the next 30 to 60 minutes matter most

If an adult permanent tooth has been knocked completely out, the chance of saving it depends mostly on how it's handled in the first 30–60 minutes. Here is what to do, in order.

1. Pick the tooth up by the crown (the white chewing part). Do not touch the root. The cells on the root surface are what allow the tooth to reattach. Touching, scrubbing, or wiping the root damages those cells.

2. If the tooth is dirty, rinse it gently for about 10 seconds in cold milk or saline (a teaspoon of salt in a cup of cool boiled water). Do not scrub. Do not use tap water — it damages the cells on the root.

3. If you can, place the tooth back into the socket the right way round and bite gently on a clean cloth to hold it there. This gives the best chance of survival. It will feel strange but should not be painful once the area numbs.

4. If you cannot reimplant it, transport the tooth in cold milk. If milk is not available, in saline, or in the patient's own saliva (held inside the cheek — only for adults or older children who will not swallow it). Do not transport in water.

5. Come to the clinic as soon as possible. Message us on the way so we're ready. Even if more than an hour has passed, bring the tooth — there may still be options.

​Baby teeth are different. A knocked-out baby tooth should not be reimplanted — doing so can damage the adult tooth developing underneath. Bring the child in so we can check the gum, take an X-ray if needed, and rule out injury to the underlying adult tooth.

Severe tooth pain

Severe, throbbing tooth pain — especially pain that wakes you at night or is not controlled by over-the-counter painkillers — usually means the nerve of the tooth is inflamed or infected. This is the kind of pain that needs a dentist, not just more painkillers.

Meantime, while you wait to be seen:
  • Take paracetamol or ibuprofen at the standard adult dose if you can take them safely. If you're not sure (pregnancy, stomach ulcers, kidney issues, blood thinners), check with your doctor or pharmacist before taking ibuprofen.
  • Avoid biting on the painful tooth.
  • Cold compress on the cheek outside the painful area can help — 10 minutes on, 10 minutes off.
  • Sit up rather than lie flat if the pain is worse at night. Lying down increases blood flow to the head, which makes throbbing dental pain worse.
  • Do not put aspirin or any tablet directly on the gum — it burns the tissue without helping the tooth.

​Tooth pain rarely goes away on its own once it has reached this level. Painkillers buy time; they do not treat the cause. Reach us so we can find out what's happening and discuss your options.

​A broken or chipped tooth

What to do depends on how much broke off and whether the inside of the tooth is exposed.

A small chip with a smooth edge, no pain: This can usually wait a few days. If the edge is rough on your tongue, you can smooth it temporarily by covering with a small piece of sugar-free chewing gum.

A larger break with a sharp edge, or a pink/red dot visible in the middle of the broken surface: This is more urgent. The pink/red is either dentine (the layer below enamel) or pulp (the nerve). It needs to be seen the same day or the next day to prevent the nerve becoming infected.

A break with severe pain, especially to cold air or breathing in: The nerve is likely exposed. Reach us the same day.

​If you can, find the broken piece. Keep it in milk or saline. We may not be able to reattach it, but it helps us understand exactly what's happened.

A filling or crown has come out

If there is no pain and the surface is smooth, this can usually wait 1–3 days. Avoid chewing on that side. Keep the area clean by brushing gently.

If there is pain, especially with cold, sweet, or pressure, the layer underneath the filling or crown is exposed. Reach us the same day or the next.

​If a crown has come out intact: Keep it. Do not try to glue it back with household adhesive (super glue, fixative). We need to clean the inside and recement it properly. In the very short term (24 hours), you can use over-the-counter temporary cement from a pharmacy if you need to eat — but this is a stopgap, not a fix.

Facial or gum swelling

Dental swelling is the body responding to infection. Some swellings can be managed safely at the clinic. Some need a hospital. The difference matters.

Go to A&E if your swelling is:
  • Spreading toward your eye or down your neck
  • Affecting your ability to swallow, open your mouth fully, or breathe
  • Causing you to feel generally unwell, feverish, or shivery

These can become airway emergencies. Don't wait.

Reach us if your swelling is:
  • Localised to the gum near one tooth, or to one cheek
  • Not affecting your breathing or swallowing
  • Painful but stable in size

​Antibiotics alone do not cure a dental abscess. The source — the tooth or gum infection — needs to be treated. Antibiotics may temporarily reduce the swelling, but the infection comes back unless the cause is dealt with. This is why we don't prescribe antibiotics without seeing you in person.

After a recent dental procedure

If you've had treatment with us — or with another clinic — and something doesn't feel right, here are the signs that need attention.

After an extraction, reach us if:
  • Bleeding is heavy and continuous, and has not slowed after biting firmly on a fresh, damp gauze for 30 minutes — then replacing with a second fresh gauze for another 30 minutes. (Some oozing or pink-tinged saliva for several hours is normal. What we're watching for is bright red bleeding that fills the mouth and is not slowing down with continuous, firm pressure on a properly placed gauze.)
  • Pain is getting worse from day 3 onwards, instead of better (this may be dry socket)
  • You develop a fever above 38°C, or feel generally unwell
  • The taste or smell from the socket has become bad and is not going away with rinsing
  • Swelling is increasing after 72 hours

How to use the gauze properly while you wait:
  • Bite firmly, do not talk, do not spit, do not rinse
  • Position the gauze directly over the socket, not on top of the surrounding gum
  • Resist the temptation to peek — every check disturbs the forming clot
  • Sit upright; lying flat increases blood flow to the head
  • If you have a clean black tea bag, dampen it and place under the gauze — the tannins help clotting

If the bleeding is brisk, continuous, and not slowing even after two rounds of fresh gauze (about an hour total), or if you are on blood-thinning medication and the bleeding is significant, go to A&E — don't wait.

After a filling or crown, reach us if:
  • Severe pain to biting that does not settle within 1–2 weeks
  • The bite feels noticeably "high" or uneven and is not improving
  • A new crown or filling becomes loose

​After root canal treatment, reach us if:
  • Pain is severe rather than mildly tender for the first few days
  • Swelling appears
  • The temporary filling has come out before the next appointment

​Bleeding gums

Bleeding when you brush or floss is common, but not normal. Healthy gums do not bleed. Most causes are reversible if addressed early.

Usually not urgent — book a routine appointment within a few weeks:
  • Bleeding only when brushing or flossing
  • No swelling, no pain, no loose teeth
  • You haven't had a dental check in over a year

This is most often early gum disease (gingivitis). It improves with a thorough clean and corrected home care.

Reach us within the week:
  • Gums that bleed without you touching them
  • Bad breath that doesn't improve with brushing
  • Gum recession, teeth that feel longer than they used to, or visibly loose teeth
  • Pus from the gum

These can indicate more advanced gum disease (periodontitis) and benefit from earlier intervention.

​Same-day or A&E:
  • Spontaneous gum bleeding that is heavy and continues even after biting firmly on a fresh, damp gauze for 30 minutes and a second fresh gauze for another 30 minutes — especially if you're on blood-thinning medication
  • Bleeding with high fever and facial swelling

What we can handle — and what belongs at the hospital


We're a general dental clinic, not a 24-hour emergency dental service. Here's the honest scope.

We handle, during clinic hours:
  • Tooth pain and dental infections
  • Adult teeth knocked out (when reached within the time window)
  • Broken, chipped, or cracked teeth
  • Lost fillings and crowns
  • Post-extraction complications (dry socket, persistent bleeding within manageable limits)
  • Soft-tissue injuries inside or around the mouth that may need stitches — for example, deep cuts to the lip (especially if the cut crosses the lip border), tongue lacerations that won't stop bleeding, cheek cuts with embedded debris after a fall, or wounds where we need to rule out a hidden tooth injury at the same time. (Minor cheek-biting or small superficial nicks usually heal on their own with warm salt-water rinses and don't need a dental visit.)
  • Dental trauma in children below 18 years old
  • First visits, restorative dentistry, root canal treatment, children's dentistry, orthodontics, and cosmetic dentistry where clinically appropriate

We don't handle — these belong at hospital A&E or with a maxillofacial specialist:
  • Suspected fracture of the jaw, cheekbone, or other facial bone
  • Severe facial infection that is spreading, affecting swallowing, or causing breathing difficulty
  • Dental injury combined with a head injury or loss of consciousness
  • Uncontrolled bleeding from a major mouth or facial injury
  • General anaesthesia or IV sedation — we don't provide these on-site

​For specialist work we refer out: complex full-bony impacted wisdom teeth, teeth lying close to the inferior alveolar nerve, cases needing IV sedation or general anaesthesia, periodontal surgery, and complex implant cases. Routine wisdom tooth removal we handle ourselves — referral is reserved for cases where the safest hands are an oral surgeon's. Our Booking Policy explains how referrals work.

If we're closed when you need us

We're a small, single-clinic practice. We're not open 24 hours. If something happens after 6 PM, or on a public holiday when we're closed, here's how to decide what to do.

Go to A&E now if:
  • The situation matches any of the A&E triage signs at the top of this page
  • An adult tooth has been knocked out and you cannot wait until we open
  • Swelling is spreading or your breathing or swallowing is affected

Nearby A&E options for the Seri Kembangan and southern Klang Valley area include Hospital Serdang, Hospital Putrajaya, and Hospital Kuala Lumpur. Travel time depends on traffic; do not delay if the situation is serious.

For pain manageable with painkillers, and no swelling or trauma:
  • Take paracetamol or ibuprofen at the standard adult dose, if safe for you
  • Avoid the painful tooth
  • Cold compress outside the cheek
  • WhatsApp us — we'll reply when we open and offer you the earliest realistic slot

​Closures schedule: See our Public Holiday Closures page for all known upcoming closures.

​Common Questions:

Q: Is my tooth pain a dental emergency?

A: Tooth pain is a dental emergency if it is severe enough to keep you awake at night, is not controlled by over-the-counter painkillers, is associated with facial swelling or fever, or is from a tooth that has been broken or knocked out. Mild sensitivity to cold or sweet, or a dull ache that comes and goes, is usually not an emergency and can wait until the next available appointment. If you are unsure, WhatsApp or call us at +60 16-602 0822 and we will help you triage.


Q: What should I do if a tooth gets knocked out?

A: For an adult permanent tooth, the next 30 to 60 minutes matter most. Pick the tooth up by the crown (the white chewing part), not by the root. If the tooth is dirty, rinse it gently for about 10 seconds in cold milk or saline — do not scrub and do not use tap water. If you can, place the tooth back into the socket the right way round and bite gently on a clean cloth. If you cannot reimplant it, transport the tooth in cold milk and come to the clinic as soon as possible. For a baby tooth, do not reimplant — bring the child in so we can check the gum and the developing adult tooth underneath.


Q: Can I get a same-day dental appointment in Seri Kembangan?

A: For genuine emergencies — severe pain, dental trauma, facial swelling — we make space in the schedule where we can. WhatsApp or call +60 16-602 0822 with a brief description and a photo if possible. The online booking system is designed for planned appointments and is not the right channel for urgent same-day requests. We're open Mon–Sun, 9:00 AM to 6:00 PM, with a lunch break 1:00 PM to 2:00 PM. We're closed on certain public holidays — see our Public Holiday Closures page.


Q: What should I do about severe tooth pain at night?

A: Take paracetamol or ibuprofen at the standard adult dose if safe for you to take. Avoid biting on the painful tooth. Use a cold compress on the cheek outside the painful area. Sit up rather than lie flat — lying down increases blood flow to the head and makes throbbing dental pain worse. Do not put aspirin or any tablet directly on the gum. If the pain is severe enough that you cannot manage it, or if there is facial swelling, fever, or difficulty swallowing or breathing, go to the nearest hospital A&E. Otherwise, WhatsApp us as soon as the clinic opens.


Q: Should I take antibiotics for a dental abscess?

A: Antibiotics alone do not cure a dental abscess — the source, which is usually a tooth or gum infection, needs to be treated. Antibiotics may temporarily reduce swelling, but the infection returns if the cause is not addressed. This is why we don't prescribe antibiotics without seeing you in person. Current clinical guidance (SDCEP) recommends antibiotics only as an adjunct to definitive dental treatment, not as a replacement for it. If you have swelling, please come in or — if the swelling is spreading toward your eye, neck, or affecting your breathing — go to A&E.


Q: Are bleeding gums a dental emergency?

A: Bleeding gums are usually not an emergency, but they are a signal worth addressing. Bleeding only when brushing or flossing, without swelling or pain, is most often early gum disease (gingivitis) and improves with a thorough clean and corrected home care. Bleeding without provocation, bad breath that doesn't clear, gum recession, or loose teeth point to more advanced gum disease and benefit from earlier intervention — reach us within the week. Heavy, spontaneous bleeding that does not slow even after biting firmly on a fresh, damp gauze for 30 minutes and a second fresh gauze for another 30 minutes — especially if you are on blood-thinning medication — needs same-day or A&E care.


Q: How do I reach Toothie Dental in an emergency?

A: WhatsApp or call us at +60 16-602 0822. The same number works for both. WhatsApp is usually fastest during clinic hours. Please include what happened, when, your pain level from 0 to 10, and a photo if relevant. The clinic is at No. 3G, Jalan Equine 1A, Taman Equine Boulevard, 43300 Seri Kembangan, Selangor — about 15-20 minutes walk from Taman Equine MRT station (PY36), opposite Alice Smith School. The online booking system is not the right channel for urgent same-day requests.


Q: Do you handle dental emergencies in children?

A: Yes. We see dental trauma, severe toothache, and dental infections in patients below 18 years old. Knocked-out adult teeth in children should be handled the same way as in adults (pick up by the crown, transport in milk if you cannot reimplant). Knocked-out baby teeth should not be reimplanted but the child should still be seen so we can check the gum and the adult tooth developing underneath. A parent or legal guardian should accompany any patient below 18 years old.

​One last thing

When something is wrong with your mouth, it's easy to either panic or talk yourself out of getting help. Neither serves you. If you're not sure whether what's happening counts as an emergency, message us. We'd rather hear about a situation that turns out to be nothing than miss one that needed attention.

WhatsApp or call: +60 16-602 0822 Open Mon–Fri, 9:00 AM – 6:00 PM (closed for lunch 1:00 PM – 2:00 PM)

​Toothie Dental is a registered general dental clinic in Seri Kembangan, Selangor, operating under a Malaysian Dental Council-registered principal dentist.

TOOTHIE DENTAL

Klinik Pergigian Toothie Dental

SO-1-03, Soho Trio Permai, Tingkat 1, Jalan Equine,
Taman Equine, Bandar Putra Permai,
43300 Seri Kembangan, Selangor Darul Ehsan

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⏰ Mon–Fri: 9:00 AM – 1:00 PM  |  2:00 PM – 6:00 PM
(Closed for lunch 1:00 PM – 2:00 PM)
Closed Saturday, Sunday, and certain public holidays

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