Emergency tooth extraction in Houston
A tooth that has to come out today should not require three phone calls and a referral. We keep same-day emergency slots open on weekdays at our Midtown Houston office, the extraction is done by oral and maxillofacial surgeons, and a simple extraction is $420, quoted before anything starts. Call (713) 322-7474.
Book a consultationWhat a same-day extraction costs
The fee depends on the tooth, not the urgency. A simple extraction is $420. A tooth that has broken at the gum line or crumbled from decay usually needs a surgical extraction instead, because there is not enough solid tooth left to grip; that is quoted from your X-ray before we begin, so the number you approve is the number you pay.
Local anesthetic is included. IV sedation is a choice, charged per appointment rather than per tooth, which matters if more than one tooth is involved.
Cherry, Affirm and Sunbit split the balance into monthly payments if today was not the day you budgeted for this.
| Treatment | Typical cost |
|---|---|
| Simple extraction, per tooth | $420 |
| Wisdom tooth removal, per tooth | $450 |
| Socket preservation graft, if the socket is damaged | $650 |
| IV sedation, per appointment | $2,000 |
Financing, membership and payment options
When a tooth cannot wait
Some situations belong in a dental chair today: a tooth broken below the gum line, an abscess with swelling in the gum, pain that kept you up last night, or a loose adult tooth after an injury.
One honest boundary first. If your face is visibly swelling toward the eye or down the neck, you have a fever with the swelling, or you have trouble swallowing or breathing, go to the emergency room before you call any dentist. That infection needs medical care first, and the tooth can be handled once you are safe.
Everything short of that, call us. We will tell you on the phone whether your case fits a same-day slot, and what to do for the pain until you arrive.
All dental emergencies, and what to do first
Can the tooth be saved instead?
This is the question a walk-in extraction clinic is not built to ask. We are, because the specialists who save teeth work in the same building as the surgeons who remove them.
A cracked or infected tooth can often be kept with a root canal instead of pulled, and keeping a savable tooth is nearly always the better long-term deal. The cracked-tooth diagnosis happens at your visit, and if treatment is needed, the fee is given to you in writing before we start.
When the tooth genuinely is not worth saving, we say that plainly too, and the extraction happens the same day. Either way the decision is made by a specialist looking at your X-ray, not by the only procedure on the menu.
If you have time to decide, compare a root canal first: our guide sets both paths side by side.
Emergency root canal, same-day · Endodontics at Omega
The socket graft decision
When a tooth comes out, the bone that held it starts to shrink, and most of that loss happens in the first months. A socket preservation graft at $650 is added only when the socket is damaged; we check that on the X-ray at the extraction, and when it is needed it goes in during the same visit.
Even then, if the plan is a bridge, a denture, or nothing at all, the graft may not earn its fee, and we will say so. It is a decision, not a default, and we'll explain it with your X-ray on the screen.
Bone grafting, explained · Extraction costs in detail
Who does the extraction
Extractions here are done by oral and maxillofacial surgeons, not squeezed between cleanings. Dr. Jonathan Rosenstein is board certified and a Diplomate of the American Board of Oral and Maxillofacial Surgery. Dr. Edmund Watkins also practices oral and maxillofacial surgery here, with hospital-based training.
That matters most in exactly the cases that arrive as emergencies: broken-down teeth, difficult roots, infections. And because Omega is a multi-specialty practice, whatever comes next for the gap, an implant, a bridge, or nothing, is planned in the same building rather than referred out.
All oral surgery at Omega · Dr. Jonathan Rosenstein, oral & maxillofacial surgeon · Dr. Edmund Watkins, oral & maxillofacial surgeon
Dry socket, and staying out of its way
Dry socket is the complication patients ask about most, and it is worth understanding before you are worrying about it. After an extraction, a blood clot has to hold in the socket while it heals; when that clot breaks down early, the bone and nerve underneath are exposed, and the ache that follows is sharper than ordinary healing soreness. Cleveland Clinic puts the rate at 2% to 5% of all extractions, higher after wisdom teeth, and it usually develops within the first three days; if you have no symptoms by day five, you are likely in the clear.
Straws, smoking, vigorous rinsing and spitting all pull at the clot. Skip those in the first few days and most patients never meet this problem. If the ache is climbing instead of fading, call us that same week; a medicated dressing settles a dry socket quickly.
Cleveland Clinic on dry socket · Dry socket: causes and treatment
Getting seen today in Midtown Houston
We are at 106 W Gray Street in Midtown, between Downtown and the Texas Medical Center, with parking on site. Patients reach us quickly from Montrose, River Oaks, the Heights, EaDo and the Museum District.
Open Monday to Friday 9 to 5 with same-day emergency slots kept open on weekdays, and Saturday 9 to 3. Call (713) 322-7474 first rather than driving over: it lets us hold the slot, tell you what helps the pain in the meantime, and have the room ready when you arrive.
Frequently asked questions
How much does an emergency tooth extraction cost in Houston?
The fee is the tooth's, not the calendar's: a simple extraction is $420 and a wisdom tooth is $450 at Omega Dental Specialists, the same figures as a scheduled visit. A tooth broken at the gum line usually needs a surgical extraction, quoted from your X-ray before we start. Local anesthetic is included, IV sedation is $2,000 per appointment if you want it, and Cherry, Affirm and Sunbit can split the balance monthly.
Can you pull a tooth the same day I call?
Usually, on weekdays. We keep same-day emergency slots open Monday to Friday at our Midtown Houston office, and Saturday 9 to 3 covers many weekend situations. Call (713) 322-7474 first so we can hold the slot and tell you what to do for the pain until you arrive. The X-ray, the quote in writing and the extraction can all happen in one visit.
My tooth broke off at the gum line. Can it still be removed?
Yes. A tooth broken at or below the gum line usually needs a surgical extraction rather than a simple one, because there is not enough tooth left to grip. That is routine work for an oral surgeon. It is also worth an honest look at whether the root can be kept and rebuilt instead, which is a conversation our endodontists can have the same day.
Should I go to the ER for a tooth that needs pulling?
Only if the infection has moved beyond the tooth: swelling spreading toward the eye or down the neck, fever with the swelling, or any trouble swallowing or breathing means the emergency room first. For tooth pain, a broken tooth or a contained abscess, a dental office is the right place, because the ER can prescribe for pain and infection but generally cannot remove the tooth.
Does an emergency extraction hurt?
The extraction itself should not. The area is fully numbed first, and for most people the worst pain of the whole episode is the hours before the visit, not the visit. If you would rather not be aware of the procedure, IV sedation is available at $2,000 per appointment. Afterward, expect soreness for a few days, managed with over-the-counter pain relief.
What happens to the gap after the tooth is out?
Nothing has to be decided in the emergency visit itself. If the socket is damaged, a socket preservation graft at $650 placed at the extraction keeps the bone for a future implant; a single implant with its crown is $3,900 when you are ready. Bridges and partial dentures are the other routes. We will lay out the options with your X-ray, without pressure, once the urgent part is handled.
What if I get dry socket after my extraction?
Dry socket usually shows up one to three days after the tooth comes out, as pain that climbs instead of fades, sometimes reaching toward the ear. It affects roughly 2% to 5% of extractions, more after wisdom teeth. Skip straws, smoking and vigorous rinsing in the first few days, and call us that same week if it happens; a medicated dressing settles it quickly.
Ready to talk it through?
The fastest way to a clear answer is a consultation. Call (713) 322-7474 or book online. Oral Surgery in Houston