Please help. I need step by step instructions to pull a tooth in an emergency. In September I started feeling a toothache on and off. Now the tooth is starting to hurt really bad but it’s not an emergency yet. I take Advil and I can get along without the pain being horrible. I don’t want to see a dentist for this because I am down to part-time work on 2 different jobs. My wife cannot work and I cannot afford a dentist at this time. Before it gets too bad I just need step by step instructions on how to safely pull my tooth at home without doing any damage to other teeth or cutting myself or doing something else that is going to cause me to need to go to the dentist anyway. I Googled it and I see instructions online, but nothing looks like it’s really from a dentist. This is a top left molar tooth that has a filling in it that I think either fell out or is no good. Thank you for helping me without making me feel bad about this. Kurt

Kurt – Unfortunately, you really need to see an emergency dentist. We are not able to provide you with step-by-step instructions to safely pull your tooth at home. Please understand that we do want to help, so we will advise you in the best way for your long-term oral health. We would feel horrible about you receiving instructions on pulling your tooth and finding out later that something went wrong. In addition to the factors you mentioned, it will be difficult for you to tell if you have removed all parts of the tooth, or if some of them are left behind.

Why You Need an Emergency Dentist

  • When you have a toothache, there is an infection in the tooth. An emergency dentist needs to examine your tooth to determine if the infection is spreading into the jawbone or other teeth.
  • Even if you successfully remove the tooth, the infection may still be there. Antibiotics are needed.
  • How will you ensure that the instruments you use are sterile for use in your mouth? If they are not, the risk for infection increases. What will you do if, during or after the extraction, there is excessive bleeding, pain, or swelling?

The good news is that the tooth may not need to be extracted at all. But only a dentist can determine that. We recommend that you call a few emergency dentists in the area, explain your urgent need for dental care (it is an emergency), as well as your financial situation. You will be able to find a dentist who will work with your budget and give you the correct treatment for your tooth.

We wish you the best, and we urge you not to try to treat the tooth yourself.

This post is sponsored by Colorado Springs dentist Dr. Joseph Rota.