First Step
Consultation
The dentist checks your concern and confirms whether this treatment is suitable before care begins.
Surgical & Emergency Dentistry
Book Toothache Treatment with Smile On Dental. Start with an assessment, understand your options, and get clear next steps before treatment begins.

Quick Summary
First Step
The dentist checks your concern and confirms whether this treatment is suitable before care begins.
Best For
Suitability depends on oral health, symptoms, goals, and clinical findings.
Planning
Timing, visits, cost factors, and aftercare are explained after the assessment.
Branch Access
Use the location section to choose the branch that is easiest for you to attend consistently.
Overview
Treatment Introduction
Toothache treatment begins with finding the cause of the pain. A sore tooth may need a filling, root canal treatment, gum care, extraction planning, emergency dental care, or another clinical next step after assessment.
Decision Support
Smile On Dental uses the visit to understand your symptoms, goals, oral health, and expectations before recommending a suitable treatment plan.

Visual Guide






Treatment Guide

Toothache is a symptom, not a diagnosis, so the first step is finding the cause before choosing treatment.
A sore tooth may be linked to decay, a cracked tooth, gum infection, wisdom tooth inflammation, a high filling, bite trauma, exposed dentine, grinding, or infection inside the tooth. The pain pattern matters: cold sensitivity, heat pain, biting pain, throbbing, swelling, or pain that wakes you can each point the dentist in a different direction.
Smile On Dental can assess the tooth and surrounding area before recommending care. This is especially important when pain is severe, swelling is present, the tooth is broken, or symptoms are getting worse despite home care.
Book promptly for

Diagnosis connects your symptoms with what the dentist can see, test, and confirm clinically.
The dentist may ask when the pain started, whether it is sharp or dull, whether it lingers after hot or cold, whether biting triggers it, and whether swelling or bad taste is present. The tooth, gums, bite, jaw, and nearby teeth are then checked because pain can sometimes feel like it comes from more than one place.
X-rays may be recommended when the cause is not visible. They can help identify deep decay, infection around a root, impacted wisdom teeth, bone changes, or problems under existing fillings and crowns. Without diagnosis, toothache treatment becomes guesswork.
Assessment may include

The right treatment depends on whether the tooth can be restored, whether infection is present, and how urgent the symptoms are.
If toothache is caused by a cavity, a filling may be suitable when enough healthy tooth remains. If the nerve is inflamed or infected, root canal treatment or extraction may be discussed. If pain is caused by gum inflammation, wisdom tooth infection, a cracked tooth, or bite pressure, the plan may be different.
Sometimes the first visit is focused on stabilising pain or infection risk, with definitive treatment planned separately. The dentist should explain what can be done immediately, what needs a follow-up appointment, and what warning signs should not be ignored.
Possible next steps

Before the appointment, focus on protecting the tooth and giving the dentist useful symptom information.
Avoid chewing hard foods on the painful side, do not place aspirin directly on the gum, and do not ignore swelling or spreading symptoms. If a tooth has broken, keep the area as clean as you can and avoid using the sharp edge. Follow medication instructions from a pharmacist or healthcare professional where relevant.
Make a note of what triggers the pain, how long it lasts, and whether there is swelling, fever, bad taste, or difficulty opening the mouth. These details help the dentist understand urgency and choose the right assessment path.
Tell the dentist

Aftercare depends on the diagnosis and treatment provided, but worsening symptoms should always be taken seriously.
If a filling, temporary repair, extraction, root canal-related visit, or gum treatment is provided, the dentist will explain eating, cleaning, medication, and follow-up instructions. Follow those specific instructions rather than relying on generic advice because the cause of toothache changes the aftercare.
Seek urgent help if swelling spreads, breathing or swallowing becomes difficult, bleeding is uncontrolled, fever develops, or pain rapidly worsens. Dental assessment should not delay urgent medical care when symptoms suggest a wider health risk.
Watch for

Toothache treatment costs depend on diagnosis, X-rays, urgency, and the treatment needed to address the cause.
A toothache consultation is different from a filling, root canal treatment, extraction, gum treatment, or crown. The fee may be influenced by whether X-rays are needed, whether emergency support is provided, whether a temporary treatment is placed, and whether follow-up care is required.
Smile On Dental can help patients move from pain and uncertainty to a clearer plan. The takeaway is simple: book an assessment rather than guessing, because treating the wrong cause can delay the care the tooth actually needs.
Takeaway
Who It Helps
Treatment Journey
May be same-day urgent assessment or a planned follow-up once the cause is diagnosed.
You may come in because a tooth aches, throbs, hurts when biting, reacts strongly to hot or cold, has swelling nearby, or feels painful after breaking.
The dentist will ask when it started, what makes it better or worse, whether there is pain or sensitivity, and what you want the visit to help you solve.
What this first step covers
Before treatment starts, the dentist confirms what is actually going on.
The dentist asks about the pain pattern, checks the tooth and surrounding gums, tests the bite or sensitivity where suitable, and may use X-rays to identify decay, infection, cracks, or wisdom tooth problems.
The dentist may then explain options such as A filling, bite adjustment, or gum treatment for suitable causes, Root canal treatment if the nerve is inflamed or infected, Extraction or emergency care if the tooth cannot be restored or swelling needs urgent attention, depending on what the examination shows.
What may be checked
Some treatments are completed in one appointment, while others need a separate visit.
The first goal is to diagnose the source of pain. Care may start the same day, or the dentist may stabilise the problem and book a longer appointment for definitive treatment.
A second visit may be needed when the cause requires root canal treatment, extraction planning, a crown, a review of healing, or a more complex restoration.
What you should know before leaving
The journey should end with you knowing how to protect the result.
Follow-up depends on the diagnosis. Temporary repairs, root canal-related care, extractions, and infection concerns often need planned review or completion visits.
You receive instructions for protecting the tooth, eating, cleaning, medication use where relevant, and warning signs such as spreading swelling or worsening pain.
Your home-care plan
Benefits
Suitability
Surgical & Emergency Dentistry
Pain, swelling, infection, trauma, or removal planning should start with diagnosis so the dentist can explain the safest next step and aftercare.
Suitability
The dentist considers symptoms, oral health, bite, medical history, expectations, and maintenance before recommending toothache treatment.
Costs
Cost discussions are most useful after diagnosis because materials, complexity, visit count, and follow-up needs vary from patient to patient.
Appointment
Your dentist reviews your concern, oral health, and treatment goals before recommending next steps.
The team explains the likely process, timing, and care options in straightforward language.
Your treatment plan is shaped around comfort, function, appearance, and long-term oral health.
Costs & Aftercare
Before You Book
Mention whether you are booking for toothache, pain, appearance, function, prevention, or a second opinion.
At the Visit
Ask about diagnosis, options, number of visits, comfort, maintenance, and what could happen if treatment is delayed.
Aftercare
Your dentist will explain home care, review visits, and any symptoms that should be reported after treatment.
FAQs
The best starting point is a consultation. Your dentist will assess your teeth, gums, bite, symptoms, concerns, and smile goals before recommending a personalised treatment plan.
Yes. Use the Book an Appointment button to open the booking site and choose a convenient appointment time. You can also request a callback if you would prefer the practice team to contact you first.
Yes. You can request a callback if you prefer the practice team to contact you before booking. This can be helpful when you are unsure whether you need a routine visit, cosmetic consultation, orthodontic assessment, or urgent support.
Yes. Costs depend on the diagnosis, treatment complexity, materials, and number of visits required. Your dentist can explain the recommended next step before treatment begins.
Bring your identification, medical history, current medication details, previous dental information if available, and any questions you want to discuss with the dentist.
Book an assessment so the dentist can diagnose the cause before you choose a treatment. Pain or swelling may need urgent attention, X-rays, restorative care, or another clinical next step.
Locations
City Treatment Pages
Clinical Leadership

Dr. Kholofelo Machaba-Selatole leads Smile On Dental & Aesthetic Studio with a warm, patient-focused approach to family, restorative, cosmetic, and orthodontic care.
60+ five-star patient reviews across Pretoria and Polokwane.
"Customer care is superb, very friendly front desk staff. I'm happy to have gained my confidence back."
Polokwane
"From reception right into the doctor's consultation room it was all smiley faces that welcomed us."
Polokwane
"The best dental service I have seen in Pretoria, cannot wait for my next appointment."
Pretoria
"Customer care is superb, very friendly front desk staff. I'm happy to have gained my confidence back."
Polokwane
"From reception right into the doctor's consultation room it was all smiley faces that welcomed us."
Polokwane
"The best dental service I have seen in Pretoria, cannot wait for my next appointment."
Pretoria
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