A dental emergency on holiday is stressful, even more so abroad. The good news : in tourist-heavy areas like the Costa Blanca, English-speaking dental care is widely available, often same-day. Here is the calm, practical guide.
First : how to tell if it is a real emergency
These are the situations that should not wait :
- Severe toothache that does not respond to paracetamol or ibuprofen.
- Significant facial swelling, fever, or difficulty swallowing.
- Broken or knocked-out tooth after a fall or impact.
- Lost crown, filling or bridge exposing a vulnerable tooth.
- Persistent bleeding that does not stop with 15-20 minutes of pressure.
- Trauma from sports, swimming pool accidents, etc.
Anything else (mild sensitivity, gum bleeding while flossing, etc.) can wait until a regular visit.
Immediate actions according to the problem
Severe toothache
- Take ibuprofeno 400 (available over the counter at any Spanish farmacia, look for the green cross sign). 1 every 6-8 hours.
- Apply cold to the cheek from outside, in 10-15 minute intervals.
- Rinse gently with warm salt water.
- DO NOT take antibiotics without prescription. They do not relieve acute pain.
- Call an English-speaking dentist for same-day appointment.
Broken or knocked-out tooth
- Pick up the tooth holding it by the crown, never by the root.
- Keep it in cold milk or saline (if available). If neither : in your saliva. Never in tap water.
- Go to the dentist immediately. For a fully knocked-out tooth, the first 1-2 hours are critical to re-implant.
- If the dentist is closed, go to the nearest hospital A&E (Urgencias).
Significant facial swelling / abscess
- Cold on the cheek, never heat (heat makes infection worse).
- Standard painkillers as above.
- If fever, difficulty swallowing or breathing : go to hospital A&E (Urgencias) directly.
- Otherwise : call your dentist for same-day appointment.
Lost crown or filling
- Keep the crown if it fell out whole.
- Avoid chewing on that side.
- Soft food for the next 24 h.
- Call the dentist within 24-48 h.
What pharmacies in Spain can give you
Spanish farmacias have a wide range of OTC products :
- Ibuprofeno 400 mg (the standard for dental pain).
- Paracetamol 1 g (if you cannot take ibuprofen).
- Mouth gel with eugenol (clove oil) : temporary topical relief.
- Hydrogen peroxide rinses for gum care.
Pharmacies are usually open Monday to Friday 9-14h and 17-21h, and at least one is always on call (“farmacia de guardia”). Look for the green cross sign with hours posted on the door.
What pharmacies cannot give you without prescription :
- Antibiotics (require prescription).
- Strong painkillers.
Who to call : the practical routing
For English-speaking emergency dentistry in Torrevieja / Costa Blanca
Look for clinics that explicitly mention :
- “English-speaking team”
- “Dental emergencies”
- “Same-day appointments”
Avoid the generic “find a dentist” apps that may send you to clinics with limited English.
For severe medical emergency (breathing, severe trauma)
Call 112 (European emergency number, English-speaking operators).
For minor issues that can wait
A regular dental appointment within a few days is fine.
What if it is the weekend or out of hours
- Saturday-Sunday : most Spanish clinics are closed. Some have on-call emergency services - check before. Hospital A&E (Urgencias) can manage acute infection and basic pain control but rarely definitive dental treatment.
- Late evening / night : same as above. Pain control + monitoring until clinic opens Monday.
Insurance : what to keep
Whatever you do, keep all paperwork :
- Receipt of the consultation.
- Written diagnosis (the dentist can provide one).
- Receipt of pharmacy products.
- Photos of the issue if relevant.
Submit to your insurance on return. Most travel insurance reimburses emergency dental up to a cap (typically £200-£500).
Avoiding the next one
If you spend long periods in Spain :
- Have a “Spain dentist” identified before any problem arises. Save the contact in your phone.
- Annual check-up while you are there can prevent issues.
- Carry basic painkillers in your travel kit (paracetamol + ibuprofen).
- Avoid biting hard objects (ice, pen caps, etc.).
If you are in or near Torrevieja right now
We treat dental emergencies same-day whenever possible, with an English-speaking team. Leave us your number and we call you back in 15 minutes. Initial assessment, written diagnosis for your insurance, no obligation.