Describe the changes you have noticed
Tell the office when the problem began, whether pain is spontaneous or triggered by biting, and whether there is swelling, injury or a broken restoration. Mention any fever or worsening symptoms when you call.
A dentist may use examination findings, tests and imaging to distinguish decay, cracks, pulp problems and loss of supporting bone. Do not try to loosen a tooth or test it by repeatedly biting on something hard.
Ask whether the tooth can be retained
Depending on the findings, a filling, crown, root canal treatment or periodontal care may be considered. Some teeth cannot be restored predictably, and removal may then be recommended.
Ask what the options are, the likely prognosis of retaining the tooth, the treatment stages and the consequences of waiting. It is reasonable to ask for an explanation you understand before deciding on an irreversible procedure.
Discuss replacement and urgent needs
If extraction is recommended, ask whether the space should be replaced and how that affects the bite, appearance, timing and cost. The plan may involve an implant, bridge or removable replacement, depending on the situation.
For trouble breathing or swallowing, severe facial swelling, uncontrolled bleeding or a serious facial injury, seek emergency medical care. Do not wait for an email response. For other urgent dental concerns, call the practice to discuss appointment availability.
Further reading
American Dental Association: Extractions ↗
General education, not a diagnosis or an individual treatment recommendation. Ask your dental professional about your own care.