Not every emergency dental visit ends in an extraction, even when the pain is severe. Your dentist's first goal is almost always to save the natural tooth if there is a reasonable way to do it, since a real tooth still functions better than any replacement.
That said, there are situations where pulling the tooth on the same visit is genuinely the right call. A tooth that is fractured below the gum line, one with a root so badly infected that a root canal will not resolve it, or one that is loose beyond saving due to advanced gum disease will often need to come out right away to stop pain and prevent the infection from spreading.
In many other cases, your dentist can manage the emergency without extraction. A course of antibiotics, a root canal, a temporary filling, or draining an abscess can relieve pain and buy time to plan a more permanent fix later. Digital X rays taken at your visit usually make it clear within minutes which category your tooth falls into.
Either way, the priority in an emergency is stopping your pain quickly and safely. At Oasis Dental in Aurora, we hold time each day for emergency patients and will walk you through your options before any treatment begins. Call (720) 680-2688 for same day emergency care.