Emergency dental office at Signature Smiles Dental Group, 440 E Calaveras Blvd, Milpitas, CA

Emergency dentist · Milpitas, CA

Emergency dentist in Milpitas, CA — same-day appointments for dental pain

A real Milpitas practice at 440 E Calaveras Blvd, not a referral line. Same-day appointments are held open for toothache, a knocked-out or broken tooth, a lost crown and abscesses — Monday, Wednesday, Thursday, Friday and Saturday, 9:00 AM–6:00 PM. If you are in pain, call rather than book online.

Who you are calling

A real emergency dentist in Milpitas — not a call center

5.0

From 215+ Google reviews — one of the highest-rated dental practices in Milpitas. Read them.

  • You reach an emergency dentist directly — no referral service, no dispatcher
  • Treated by Dr. Gaganjot Khera, DDS, America’s Best Dentist 2024, 2025 and 2026
  • Saturday appointments, when most South Bay offices are shut
  • Six languages spoken, so you can describe the pain accurately
  • Most PPO dental plans accepted; every claim filed for you
  • Free parking directly outside, ground-floor entrance

Work out how urgent this is

What counts as a dental emergency in Milpitas?

Not everything that hurts needs an emergency dentist today. A dental emergency is anything that needs immediate care to stop severe pain, control bleeding, save a tooth, or halt a spreading infection. If you are not sure which column you are in, call (408) 946-0777 and describe it — we will tell you honestly whether it can wait.

  • Go to an emergency room

    Do not wait for a dentist
    • Swelling that affects your breathing or swallowing
    • Facial swelling together with a fever
    • Bleeding you cannot stop with 15 minutes of firm pressure
    • A suspected broken or dislocated jaw
    • Serious injury to the head or face
  • Call us today

    Same-day appointment
    • A permanent tooth knocked out — call on your way
    • Severe or throbbing toothache
    • A cracked, broken or chipped tooth
    • A lost filling or crown
    • A loose permanent tooth
    • An abscess without fever or facial swelling
  • Book within a day or two

    Urgent, not an emergency
    • A mild ache that keeps returning
    • A lost temporary crown
    • A broken denture or bridge
    • A broken orthodontic wire
    • New sensitivity to hot or cold
    • Food that stays stuck between two teeth

Before you reach us

Dental emergency first aid — what to do on your way to our Milpitas office

Find your situation and follow the steps. Call (408) 946-0777 while you do — we will talk you through it and have a chair ready.

  • Knocked-out permanent tooth

    The most time-critical dental emergency there is. A knocked-out tooth has the best chance of being saved if it is back in the socket within 30 minutes, and the odds fall sharply after an hour.

    1. Pick the tooth up by the crown — the white chewing part. Never touch the root.
    2. If it is dirty, rinse it briefly in cool water or milk. Do not scrub it, and do not remove any tissue attached to the root.
    3. Try to place it back in the socket the right way round, then hold it there by biting gently on a clean piece of gauze.
    4. If you cannot reinsert it, keep it wet in cold milk, or tuck it between your cheek and gum. Do not let it dry out and do not store it in tap water.
    5. Call (408) 946-0777 and come straight in.

    Likely treatmentRepositioning and splinting the tooth, then root canal therapy once it has stabilized.

  • Severe toothache

    Sudden intense pain usually means decay has reached the nerve, a tooth has cracked, or an infection is building.

    1. Rinse with warm salt water — roughly a teaspoon of salt in a glass of water.
    2. Floss carefully either side of the tooth in case food is trapped against the gum.
    3. Hold a cold compress against your cheek, 15 minutes on and 15 minutes off.
    4. Take an over-the-counter painkiller, following the directions on the packet. Never hold aspirin against the gum — it burns the tissue.
    5. Avoid heat on the area, and avoid chewing on that side.

    Likely treatmentExamination and digital X-ray, then a filling, root canal or crown depending on what we find.

  • Chipped, cracked or broken tooth

    Even a small chip can expose the inner tooth to bacteria, so it is worth being seen quickly rather than waiting to see whether it hurts.

    1. Rinse your mouth gently with warm water.
    2. Keep any pieces that broke off — store them in milk and bring them with you.
    3. If it is bleeding, press clean gauze on the area until it stops.
    4. Use a cold compress on the outside of the cheek to limit swelling.
    5. Do not chew on that side, and avoid very hot or cold food and drink.

    Likely treatmentBonding for a minor chip; a crown, or a root canal and crown, for a deeper fracture.

  • Lost filling or crown

    The exposed tooth underneath is soft and unprotected, and it can shift within days — which is why a crown that is left off often no longer fits.

    1. Keep the crown if you still have it, and rinse it clean.
    2. Rinse your mouth with warm salt water.
    3. Cover an exposed filling cavity with temporary dental cement from a pharmacy.
    4. A crown can be seated back temporarily with a dab of denture adhesive inside it.
    5. Never use superglue or household adhesive — it can make the tooth unrestorable.

    Likely treatmentRe-cementing the existing crown, a new filling, or a replacement crown.

  • Dental abscess

    An abscess is a pocket of infection, and unlike a toothache it will not settle on its own. Warning signs are severe throbbing pain, facial or neck swelling, fever, swollen glands, pus, or a foul taste.

    1. Go to an emergency room now if you have facial or neck swelling with a fever, or any difficulty breathing or swallowing.
    2. Otherwise, call (408) 946-0777 for a same-day appointment.
    3. Rinse with warm salt water several times a day.
    4. Do not apply heat, and do not try to burst it.
    5. Take an over-the-counter painkiller per the packet directions while you wait.

    Likely treatmentDraining the infection, antibiotics where appropriate, then root canal therapy to save the tooth — or extraction if it cannot be saved.

  • Bleeding and soft-tissue injury

    Cuts to the lip, tongue, cheek or gum bleed heavily because the mouth has a rich blood supply. That looks alarming and is usually less serious than it appears.

    1. Rinse with warm salt water to see the injury clearly.
    2. Press firmly with clean gauze or a clean cloth for a full 15 minutes without lifting it to check.
    3. Use a cold compress on the outside to slow the bleeding and limit swelling.
    4. If bleeding has not stopped after 15 minutes of pressure, go to an emergency room.
    5. For a deep cut, a puncture, or anything embedded in the tissue, call us the same day.

    Likely treatmentCleaning and assessment, sutures where needed, and a check for hidden damage to the teeth beneath.

If it is a child

A knocked-out baby tooth should not be put back in — reinserting it can damage the permanent tooth forming above. Keep the tooth, and call so we can check nothing has been left in the socket. A knocked-out permanent tooth in an older child follows exactly the same protocol as an adult, and the same 30-minute window applies. See pediatric dentistry for what a child’s emergency visit involves.

Nights, Sundays and Tuesdays

In pain when our Milpitas emergency dentist is closed?

We are not a 24-hour clinic, and we would rather tell you that than have you drive here at midnight. The office is open Monday, Wednesday, Thursday, Friday and Saturday, 9:00 AM–6:00 PM, and closed Tuesday and Sunday.

Go to an emergency room tonight if you have swelling that is affecting your breathing or swallowing, facial swelling with a fever, bleeding that will not stop, or a serious facial injury. Those need a hospital, not a dentist.

If it is pain you are trying to get through until morning: take an over-the-counter painkiller following the packet directions, hold a cold compress against your cheek in 15-minute stretches, rinse with warm salt water, sleep with your head propped up so blood pressure in the jaw drops, and avoid very hot, very cold, sweet or hard food. Heat on the jaw makes most dental pain worse, not better.

Then call (408) 946-0777 at 9:00 AM. Same-day slots are held back specifically for the calls that come in overnight.

What happens when you arrive

Your emergency dental visit in Milpitas, step by step

Most appointments with our emergency dentist run 45 to 90 minutes. Pain relief comes first — diagnosis and planning happen once you are comfortable.

  1. Pain firstOn arrival

    You are assessed as soon as you walk in, and getting the pain under control takes priority over everything else, including paperwork.

  2. Digital X-ray and exam10 minutes

    Low-radiation digital imaging shows what is happening below the gum line, read alongside Overjet, the FDA-cleared AI system Dr. Khera uses as a second opinion on every X-ray.

  3. The plan, and what it costs5 minutes

    What is wrong, what needs doing today, what can safely wait, and a written estimate with your benefits already checked — before anything starts.

  4. TreatmentSame day

    Most emergencies are resolved in the same visit. Complex cases get stabilized and made comfortable, with a short follow-up booked before you leave.

What it costs

Emergency dental costs in Milpitas — and how insurance works

Most people calling in pain want to know the number before they commit. These are typical self-pay ranges for emergency dentist visits at our Milpitas office. You get a written estimate for your specific situation before treatment begins, never after.

Emergency treatmentTypical self-pay range
Emergency exam and X-rays$100 – $250
Re-cementing a lost crown$100 – $300
Simple extraction$150 – $300
Abscess treatment$150 – $500
Tooth-colored filling$150 – $400
Surgical extraction$200 – $600
Root canal therapy$800 – $1,500
Dental crown$1,100 – $1,800

How payment works

We accept PPO dental plans from most major carriers and file the claim for you. Your benefits are verified before treatment starts, so the estimate you are given reflects what you will actually pay rather than a list price. The practice does not accept DHMO or managed-care plans.

Without insurance, CareCredit and Cherry both offer installments subject to approval, and the in-house membership plan reduces the cost of treatment for patients who join.

When we can see you

Emergency dental hours at 440 E Calaveras Blvd, Milpitas

DayEmergency appointments
MondayToday9:00 AM – 6:00 PM
TuesdayTodayClosed
WednesdayToday9:00 AM – 6:00 PM
ThursdayToday9:00 AM – 6:00 PM
FridayToday9:00 AM – 6:00 PM
SaturdayToday9:00 AM – 6:00 PM
SundayTodayClosed

Getting here fast

Signature Smiles Dental Group 440 E Calaveras Blvd
Milpitas, CA 95035

The office sits on East Calaveras Boulevard just off I-880, with I-680 and Highway 237 both minutes away, and a free parking lot directly outside. Saturday cover matters here: most South Bay practices are closed, which is when toothache tends to peak.

Driving in from out of town? Every route uses the same Calaveras Blvd exit, and there is a free lot at the door.

Common questions

Emergency dentist Milpitas — frequently asked questions

Does Signature Smiles offer same-day emergency dental care in Milpitas?

Yes. Same-day appointments are held open every day the office is open for toothache, a knocked-out or broken tooth, a lost crown or filling, and abscesses. The office is at 440 E Calaveras Blvd, Milpitas, CA 95035 and opens Monday, Wednesday, Thursday, Friday and Saturday from 9:00 AM to 6:00 PM. Call (408) 946-0777 rather than booking online, so the front desk can judge how quickly you need to be seen.

What is considered a dental emergency?

A dental emergency is any situation needing immediate care to stop severe pain, control bleeding, save a tooth, or halt a spreading infection. Knocked-out permanent teeth, severe toothache, fractured teeth, lost crowns and abscesses are all same-day emergencies. Swelling that affects breathing or swallowing, facial swelling with a fever, uncontrolled bleeding and a suspected broken jaw are hospital emergencies, not dental ones.

What should I do if my tooth gets knocked out?

Pick the tooth up by the crown and never touch the root. Rinse it briefly in cool water or milk if it is dirty, without scrubbing it. Put it back in the socket the right way round if you can and bite gently on clean gauze to hold it; if you cannot, keep it wet in cold milk or between your cheek and gum, never in tap water and never allowed to dry out. A knocked-out tooth has the best chance of being saved if it is back in the socket within 30 minutes, and the odds fall sharply after an hour, so call (408) 946-0777 on your way.

What can I do for severe tooth pain at night when the office is closed?

Take an over-the-counter painkiller following the directions on the packet, hold a cold compress against your cheek in 15-minute stretches, rinse with warm salt water, and sleep with your head propped up so the blood pressure in your jaw drops. Avoid heat on the jaw, which makes most dental pain worse, and avoid very hot, cold, sweet or hard food. Then call (408) 946-0777 at 9:00 AM, because same-day slots are held back for exactly these calls. Go to an emergency room overnight instead if you have facial swelling with a fever, or any trouble breathing or swallowing.

Should I go to the emergency room or an emergency dentist?

A hospital emergency room can manage the things that are dangerous rather than dental: airway swelling, uncontrolled bleeding, facial fractures and serious infection. What it generally cannot do is treat the tooth itself, so most people leave with painkillers or antibiotics and still need a dentist afterwards. For a toothache, a broken or knocked-out tooth, a lost crown or an abscess without fever or facial swelling, an emergency dentist is both faster and cheaper.

Will an emergency dentist just pull the tooth?

Not if it can be saved. Extraction is the last option, not the first. Most emergencies are resolved by treating the cause, which usually means a filling, a root canal, or a crown to rebuild a fractured tooth. A tooth is normally removed only when the fracture reaches too far below the gum, the decay has destroyed too much structure, or the surrounding bone has been lost. You are told which situation you are in, with the estimate, before anything begins.

Is a dental abscess a dental emergency?

Yes. An abscess is a pocket of infection and it will not resolve on its own. Warning signs are severe throbbing pain, facial or neck swelling, fever, swollen glands, pus, or a foul taste. If there is facial or neck swelling with a fever, or any difficulty breathing or swallowing, go to an emergency room immediately and follow up with us afterwards. Without those symptoms, call (408) 946-0777 for a same-day appointment.

Do I need to be an existing patient to be seen for a dental emergency?

No. Emergency appointments are open to anyone, whether or not you have been treated here before. You do not need a referral and you do not need to register first. Call (408) 946-0777, describe what has happened, and the front desk will find you the earliest slot that day.

Are you open Friday and Saturday for dental emergencies in Milpitas?

Yes to both. The office is open for emergencies Monday, Wednesday, Thursday, Friday and Saturday, 9:00 AM to 6:00 PM. Saturday matters most, because a great many South Bay practices close for the weekend and dental pain does not. The office is closed Tuesday and Sunday, and is not a 24-hour clinic.

How much does emergency dental care cost, and do you take insurance?

An emergency exam with X-rays typically runs 100 to 250 dollars self-pay, with treatment on top depending on what is needed. Signature Smiles accepts PPO dental plans from most major carriers and files the claim for you; benefits are verified before treatment so your estimate reflects what you will actually pay. The practice does not accept DHMO or managed-care plans. Without insurance, CareCredit and Cherry offer installments subject to approval by those providers.

Dental emergency in Milpitas?

We’re always here when you need us.

Same-day emergency appointments at 440 E Calaveras Blvd, Milpitas, Monday, Wednesday, Thursday, Friday and Saturday, 9:00 AM–6:00 PM. Calling reaches an emergency dentist directly — there is no referral service in between.

America's Best Dentist awards 2024, 2025 and 2026 for Dr. Gaganjot Khera, DDS, of Milpitas, CA

In a life-threatening emergency, call 911 or go to your nearest emergency room. The first-aid guidance on this page is general patient information and is not a diagnosis or a substitute for being examined. Self-pay ranges are typical figures for this practice and vary with the individual case; you receive a written estimate before treatment begins. Insurance benefits vary by plan, group number and policy terms — we verify yours before treatment rather than estimating them. Financing through CareCredit and Cherry is subject to approval by those third-party providers. See our Good Faith Estimate policy and healthcare disclaimer.