Dental emergency in Rome?

Pain may be caused by deep decay, inflammation of the pulp, infection, an abscess, gum problems or other conditions. The purpose of the visit is to identify the cause: simply switching off the pain without a diagnosis can postpone a problem that keeps developing.

A fracture may involve the enamel only, or extend to dentine, pulp or root. Even when there is no pain it is worth having the tooth assessed quickly, to establish whether it can be rebuilt and protected.

If a crown, veneer or bridge comes away, keep it and bring it with you. Where the clinical conditions allow, it may be possible to re-cement it; in other cases the tooth or the restoration will need work.

A partially erupted wisdom tooth can cause pain, inflammation of the surrounding tissue, difficulty opening the mouth and swelling. A clinical assessment, with X-rays where indicated, allows the most appropriate management to be defined.

Swelling of the face or gum, throbbing pain, discharge or fever call for particular attention. It is important to assess the origin of the infection promptly and establish the dental treatment required.

A removable or temporary denture that breaks can affect chewing, speech and comfort. We assess whether it can be repaired, temporarily adjusted, or replaced with an alternative solution.

Movement of a crown, a screw or a prosthetic component on an implant should not be ignored. An early assessment can prevent a mechanical problem from getting worse.

After orthodontic treatment the retainer helps hold the teeth in the position they have reached. If it is lost, breaks or no longer fits properly, it is best not to wait too long, to limit any movement.

An archwire can shift, come away from a bracket, or irritate the cheek and soft tissue. We can reposition it, shorten it or stabilise it depending on the situation.

A detached bracket can interfere with treatment and cause discomfort. Whether it needs repositioning immediately depends on the stage of treatment and on the symptoms.

If an aligner is lost or breaks, it is better to get advice before moving to the next tray on your own: the right choice depends on the stage of the treatment.

After a fall or a blow, a tooth can fracture, be displaced or be knocked out entirely. In dental trauma time can be decisive: contact the practice as soon as possible and describe what happened.

Losing a filling can leave the tooth sensitive and more vulnerable. An assessment shows how much tooth structure remains and which restoration is indicated.

During prosthetic, implant or restorative treatment a temporary can come loose or fracture. Restoring it protects the tissue and helps maintain function and appearance during the course of treatment.

We try to respond quickly, subject to clinical availability. Call us and describe what has happened: the team will take the first details and indicate the most appropriate course of action for your situation. The practice is open Monday to Friday, 9:00 to 19:00; Saturdays by appointment.

No. We also see people who have never been to the practice before. In that case it helps to explain on the phone the recent history of the tooth or treatment involved, and to bring any previous X-rays or records with you.

Yes. Dr. Marano and the team speak English, and the visit is carried out in English. If you are travelling, tell us when you call: it helps to plan what can be done within the time you have in Rome, and what is better managed once you are home.

For an over-the-counter painkiller, follow the instructions on the packet and, if you have any doubts or are taking other medication, ask a doctor or pharmacist. What matters is not to take antibiotics left over from a previous course: they need to be prescribed for the episode you have now.

It is not an emergency, but it should not be left for long either. The tooth underneath is exposed and can be more vulnerable, and neighbouring teeth can drift, which makes re-cementing the same crown harder. Keep the crown and bring it with you.

Tell us when you call: it changes how we organise the visit. Where clinically appropriate, dedicated comfort measures are available, along with conscious sedation using nitrous oxide and oxygen, which lets you stay awake and cooperative while reducing anxiety and tension.

Outside opening hours we cannot guarantee an immediate answer. If the symptoms are those of a medical emergency — difficulty breathing or swallowing, swelling that is getting worse quickly, uncontrolled bleeding, severe injury — call 112, the single European emergency number, without waiting.