At a Glance
- Service: Emergency dental care including toothache relief, knocked-out tooth replantation, cracked and broken tooth repair, abscess treatment, lost filling and crown replacement
- Serving: Lawrenceville, the Courthouse Square area, Sugarloaf, and Georgia Gwinnett College
- Office hours: Mon-Tue 8:00 AM - 5:00 PM | Wed 7:00 AM - 3:00 PM | Thu 8:00 AM - 4:00 PM | Fri 8:00 AM - 1:00 PM (one Friday per month)
- New patients: Yes, including emergency-only patients from other practices
- Why patients choose us: Judgment-free emergency care with sedation options, even if it has been years since your last visit
You know something is wrong. The pain woke you at 3 AM, or the tooth broke on lunch yesterday and you have been hiding the sharp edge with your tongue for 30 hours. And still you have not called anyone, because part of you is afraid of what a dentist will say. Fear of dental work is normal. Fear of what a dentist thinks of you after years of avoidance is more common than the dental profession usually admits. Heritage Family Dentistry runs emergency visits the same way it runs every other visit: no judgment, no pressure, no shortcuts. Call (678) 336-1983 and describe your symptoms in whatever fragmented sentences arrive.
When Fear Makes a Toothache Worse
Dental pain almost always gets worse with time. A cracked tooth that hurts today becomes a cracked tooth with a nerve infection within a week. A minor abscess that could be drained today becomes a spreading infection tomorrow. A knocked-out tooth that could have been replanted in the first hour becomes an implant conversation three months later. Every one of those escalations costs more money, causes more pain, and takes more visits than the emergency version would have.
The fear that keeps you from calling makes the outcome worse. That reality is not shared to scold you. It is shared because a lot of Lawrenceville adults have been convinced by years of avoidance that a dental emergency will spiral into judgment and enormous bills. What actually happens is more mundane: you call, you are seen, you are treated, you go home. The fear turns out to have been most of the problem.
Adults who avoided dental care for years and then finally showed up for an emergency almost never regret coming in. The regret is aimed backward, at the years they spent avoiding the appointment they finally made. The pattern is common enough that our front desk hears a version of it every week.
Call Us First, No Judgment
When you call, expect the front desk to ask a few short questions: when the pain started, how bad it is on a 1-to-10 scale, if swelling is involved, if the tooth has changed color, and if you have insurance. That is it. Nobody asks how long it has been since your last cleaning. Nobody comments on why you waited to call. If you have not been to a dentist in years, mention it once and we adjust the appointment length to give Dr. Pickwick more time with you. That is the entire adjustment: no lecture, no side conversation among staff.
Once you arrive, the same principle applies. Dr. Pickwick handles the immediate emergency first. Anything else she finds in your mouth gets documented but not treated during the emergency visit unless you specifically ask. Your call. Everything else is a conversation for another appointment, if and when you are ready to have it.
Common Dental Emergencies We Treat
Pain-driven emergencies: severe toothache, sensitivity so intense you cannot eat, abscess or gum swelling with or without fever. Trauma-driven emergencies: knocked-out teeth (avulsions), chipped or fractured teeth, lost fillings or crowns, injuries to the tongue or lips, tooth pushed out of position by trauma without being fully dislodged.
Emergencies that go to a hospital ER rather than to our office: any dental issue with difficulty breathing or swallowing, facial swelling affecting your vision, uncontrollable bleeding, high fever combined with dental symptoms, head trauma from an accident. The front desk will tell you honestly if what you describe belongs at Northside Hospital Gwinnett or Piedmont Eastside rather than at our chair. That call is a safety judgment, not a scheduling one.
Dr. Pickwick treats emergency cases across every category above, plus the follow-up work that emergency treatment requires: root canals, crowns for cracked teeth, extractions when a tooth cannot be saved, and sedation for patients too anxious to sit through even brief procedures.
Immediate Steps While You Are on the Phone With Us
Toothache: warm salt water rinse, ibuprofen if your medical history allows it, cold compress on the outside of your cheek. Never place aspirin against the tooth or gums; it burns tissue.
Knocked-out permanent tooth: hold the tooth by the white crown, not the root. Rinse briefly with milk or saliva if dirty. Skip tap water. Store in milk or saliva, get to us within an hour if possible.
Broken tooth: rinse, save fragments in a container of milk, cover sharp edges with orthodontic wax or sugar-free gum until you arrive.
Lost filling or crown: cover the cavity with sugar-free gum or temporary dental cement from a pharmacy. Save the crown if you have it.
Swelling in the face or jaw: cold compress outside, warm salt water rinses inside, come in same-day. Untreated abscesses can spread to serious infection.
If you are panicking, or the pain is severe enough to make thinking hard, ask a family member or neighbor to drive you. Call (678) 336-1983 from the car so we can prepare for your arrival.
Meet Your Emergency Dentist

The dentist you will meet is Dr. Erin Pickwick. Before dental school, she graduated magna cum laude in psychology from Loyola University New Orleans, and that background comes through most in appointments with patients who arrive scared. She treats the fear as part of the clinical picture rather than an inconvenience to work around. Her hospital-based residency at the University of Alabama and Birmingham VA Medical Center involved emergency and trauma cases with patients who often had years of avoidance history, the same population she treats today at her practice in her own hometown.
She lives in Lawrenceville with her husband Ralph and two sons, and she is not a stranger to the community. Patients who work at the Gwinnett Justice and Administration Center or attend Georgia Gwinnett College may have seen her at a coffee shop before ever sitting in her chair. Local dentist, local neighbor, same person.
Driving from Lawrenceville
Head southeast out of downtown Lawrenceville on Grayson Highway (Highway 20). The office sits at 2023 Grayson Hwy, Suite 203, on your way toward Grayson, before you reach downtown Grayson. Patients near Sugarloaf Parkway or Georgia Gwinnett College connect through town and continue southeast the same way. If pain or trauma makes driving unsafe, ask a family member to drive you. Call (678) 336-1983 from the car and describe what happened so we are ready when you arrive.
Learn More About Our Grayson General & Family Dental Services
What Sedation Options Exist During Emergency Care
For patients too anxious to sit through even brief emergency treatment, sedation options are available. The exact type available depends on the specific emergency, your medical history, and your preferences. [Sedation types offered, if nitrous oxide, oral sedation, or IV: client to confirm before publishing.] Sedation adds cost to the visit but reduces the anxiety component significantly. Not every emergency treatment requires or allows sedation; some pain relief happens fastest without it. Dr. Pickwick discusses options during the initial phone triage so nothing surprises you when you walk in.
A practical note for anxious patients: bring a driver. Any sedation beyond nitrous requires someone else behind the wheel after the appointment, and asking a spouse or friend to plan for a two-hour block relieves one more thing to manage. Wear comfortable clothes, bring headphones if music helps you focus away from the sound of the drill, and eat a light meal beforehand unless the sedation type calls for fasting. The team confirms specifics before the appointment.
Lawrenceville Patient Questions
My tooth hurts but I am not sure if it is a real emergency. Can I just call to describe symptoms?
A: Yes, and that is the right first step. The front desk asks a few questions and either schedules you same-day, next-day, or tells you honestly if what you describe can wait for a regular appointment. Nobody pressures you into an emergency slot you do not need.
It has been years since I have seen a dentist. Will you judge me if I come in for an emergency?
A: No. The front desk hears that story every week and nobody comments on it. Dr. Pickwick treats the emergency without discussing what else is going on in your mouth, unless you specifically ask her to. The visit stays focused on the reason you called.
I am terrified of dental work. Will you offer sedation during an emergency treatment?
A: Sedation options are available for emergency treatment, though the exact type depends on the specific procedure and your medical history. Mention your fear during the initial call and Dr. Pickwick will discuss options with you before you arrive so nothing surprises you in the chair.
What if I come in and you tell me I need a lot of expensive work?
A: The emergency visit resolves the emergency. Anything else Dr. Pickwick sees goes into your chart, and she will mention it if you ask. She will not try to sell you additional treatment during a pain-management appointment. If future work is recommended, that conversation happens on a different day, on your timing.
My teenager knocked out a tooth playing sports near Sugarloaf. What do we do right now?
A: Find the tooth. Handle it by the white crown, not the root. Rinse with milk or saliva if dirty; skip tap water. Put it in a container of milk and drive here immediately. Call (678) 336-1983 from the car. Replantation odds drop steeply after 60 minutes, so time matters more than perfect technique.
Heritage Family Dentistry
2023 Grayson Hwy, Suite 203, Grayson, GA 30017
(678) 336-1983
Have a question? We have answers.
New Patient Specials
New Patient Comprehensive Dental Exam
$159
No insurance? We offer a $159 Comprehensive New Patient Exam and X-Rays.
New patients only. Cannot be combined with insurance.
No Insurance?
The Heritage Family Dentistry Membership Plan
With our membership plan, you can receive the quality care you need at a discounted price. Both monthly and annual payment plans are available.
Cannot be combined with insurance.
Our Grayson Dental Practice Location
Office Hours:
Monday - Tuesday: 8:00 AM - 5:00 PM
Wednesday: 7:00 AM - 3:00 PM
Thursday: 8:00 AM - 4:00 PM
Friday: 8:00 AM - 1:00 PM
(one Friday per month)
Saturday: Closed
Sunday: Closed