A cracked crown at 9 p.m. or a swollen jaw on a Sunday doesn't wait for office hours — neither do we. Smile Center Dentistry reserves same-day capacity specifically for dental emergencies.

Emergencies don't follow a schedule, so our capacity planning doesn't assume they will. We've built our whole daily schedule around the fact that some patients weren't planning to see a dentist today.

We assess severity over the phone first — not every situation needs an immediate trip, and we'll tell you honestly. This saves patients an unnecessary trip when a situation can safely wait until morning.
We hold open slots every single day specifically for urgent walk-ins and emergency calls, not as a rare exception. We plan for emergencies every single day, not just when it's convenient for us.
Digital X-rays, re-implantation kits, and temporary restoration materials are stocked and ready, not ordered after you arrive. Nothing gets delayed waiting on a supply order when minutes actually matter.
No emergency-rate surprise billing — we quote before treatment, the same as any scheduled visit. Emergencies are stressful enough without a surprise bill on top of it.
Here's what typically brings East Missoula patients through our doors on an urgent basis.
Time matters — a tooth re-implanted within 30-60 minutes has a real chance of surviving. We'll walk you through what to do with the tooth while you're still on the way.
A broken tooth left untreated can expose the nerve — we prioritize these cases for rapid assessment. Temporary restoration is often possible the same visit, with a permanent fix scheduled after.
An abscess can spread quickly if untreated — we treat these as priority cases, not routine appointments. We'll tell you clearly if this needs emergency-room-level care instead of a dental visit.
Pain that's sharp, throbbing, or keeps you up at night usually points to something that needs same-day attention, not a wait-and-see approach. Pain management starts the moment you're in the chair.
If the underlying tooth is fine, a lost restoration is usually a quick same-day fix, not a multi-visit ordeal. We schedule the permanent replacement once the emergency is stabilized.
Cuts to the lip, tongue, or cheek alongside dental trauma need assessment to rule out deeper injury. We're honest when a case needs an ER or oral surgeon instead of a dental chair.
Our staff asks a few quick questions to gauge severity before telling you what to do next.
We hold emergency capacity open every day, so most East Missoula calls get a same-day appointment.
We diagnose fast because pain doesn't wait, and neither should the answer.
We treat the immediate emergency first, then schedule any follow-up work needed for a permanent fix.
"Called in a panic after my son's tooth got knocked out. They stayed calm and walked us through everything on the phone."
"Sunday night toothache turned into an abscess. They saw me first thing Monday and it wasn't even a fight to get an appointment."
"They stabilized my broken tooth the same afternoon I called, no multi-day wait."
"Called about a lost filling and they had a temporary in place within two hours."
"Called at 7am panicking and they had someone at the desk immediately, not a machine."
We prioritize same-day slots for anything urgent, and phone triage tells you exactly what to expect. We'll always tell you honestly if today isn't possible and what the next best option is.
Handle it by the crown, not the root, rinse gently if dirty, and try to keep it moist — in milk or your own saliva if possible. Every minute counts, so call while you're already on the way if possible.
Yes — especially with facial swelling or fever, it needs same-day treatment and sometimes antibiotics before it spreads. Don't wait to see if it goes away on its own — infection rarely resolves without treatment.
No — pricing is quoted upfront during phone triage, the same transparent approach as any scheduled visit. We think charging more for urgency is exactly the wrong time to surprise a patient with cost.
We triage after-hours calls the same way, just with a slightly different response window depending on severity. After-hours doesn't mean unavailable; it just means a different response path depending on urgency.
For facial trauma, uncontrolled bleeding, or difficulty breathing/swallowing, go to the ER first — otherwise, call us and we'll advise. When in doubt, call us first — we can help you decide quickly which direction to go.
Whether you're in the heart of East Missoula or just outside it, our team is close enough to see you fast. If you're unsure whether your address falls in our response area, call +1-866-227-2801 and we'll confirm quickly.
Licensed, equipped, and ready — call now and talk to a real person, not a menu.
Call +1-866-227-2801