Same-Day Emergency Dentist For Lewiston & Clarkston
We welcome emergency calls from Lewiston, Clarkston, and nearby communities. If you’re not sure whether it “counts” as an emergency, call anyway and we’ll help you decide what to do next.

One Doctor, Start To Finish
You’re not bounced between multiple providers. Dr. Lybbert plans your care, does the work, and checks on you afterward.
Advanced Training For Complex Cases
His AEGD residency included extra training in surgery, implants, and sedation, so many issues can be treated in-house rather than referred out.


Comfort-Focused, Family-Style Office
We offer blankets, pillows, TVs, Netflix, and a calm, home-like atmosphere to help take the edge off a stressful day.
“Talk First, Then Treat” Approach
We explain what we see and why it matters before we start. You’re part of the decision, not just along for the ride.

Insurance We Accept
Common Dental Emergencies We Treat
We handle most urgent dental problems right here in our Lewiston office, including:
- Intense toothaches and infections
- Broken, chipped, or fractured teeth
- Knocked-out or loosened teeth
- Lost fillings, crowns, or bridges
- Dental abscesses and gum swellings
- Pain after recent dental work
- Broken dentures or partials
If your situation is life-threatening or involves trouble breathing or major facial trauma, go straight to the ER. For everything else, call us and we’ll help you get seen quickly.

What to Do Right Now
While you’re getting ready to come in, these steps can help protect your tooth and ease your pain:
Toothache or swelling
Rinse gently with warm salt water and use over-the-counter pain relief as directed. Avoid placing aspirin directly on the tooth or gums.
Knocked-out tooth
Pick it up by the crown, not the root. Rinse gently if dirty. Keep it moist in milk or in your cheek and call us right away.
Broken tooth or lost filling
Keep the area clean, avoid chewing on that side, and save any pieces you can find.
Bleeding
Gently bite on clean gauze or a soft cloth. If bleeding doesn’t slow after 15–20 minutes, seek emergency medical care.
Staying as calm as you can and calling promptly gives us the best chance to save your tooth and ease your pain.

Meet Dr. Casetin Lybbert
What Your Emergency Visit Looks Like
We Listen And Triage
When you arrive, we don’t treat you like a number on a schedule. We ask what happened, what hurts most, and what you’re worried about. Our team shares this information so you only tell your story once.
Quick Exam And Imaging
Next, we examine the area and take any needed X-rays or 3D scans. This lets us see what’s happening under the surface and find the true source of the problem, not just the symptom.
Relief First
Our first goal is to get you more comfortable. That may include:
- Local anesthetic to numb the tooth
- Laughing gas when appropriate for very anxious patients
Once you’re numb and more relaxed, we address the urgent issue—draining an infection, smoothing a sharp edge, placing a temporary or permanent restoration, or removing a tooth that cannot be saved.
A Simple Plan For What’s Next
After the immediate problem is under control, we talk through the next steps in plain language. You’ll know:
- What we did today
- What still needs to be done and why
- Your options going forward and ballpark costs
You leave with clear instructions and a plan that fits your situation, not pressure to decide on a big treatment before you’re ready.
Cost & Financing for Emergency Dental Care
Money worries can make a painful situation feel even worse. We try to keep this part as straightforward as possible.
- We work with many major dental insurance plans, including BlueCross BlueShield and Delta Dental.
- We can often give you a same-day estimate once we know what treatment you need.
- We explain what your plan may cover and what your out-of-pocket cost might look like.
- For patients without insurance or with larger treatment needs, we can discuss financing options to spread payments out over time.
We focus first on getting you comfortable and stable, then talk through long-term options and budgets once you’re no longer in crisis.

One Dentist, One Team, Care That Fits Your Life

Implant Care From a Hometown Expert
AEGD-trained implant care with 3D CBCT planning for single teeth, multiple teeth, and full-arch cases. We focus on chewing, confidence, and long-term comfort, not just “getting an implant.”
Same-Day Help When You Are in Pain
Toothache, broken tooth, swelling, or infection. Call us and we do everything we can to see you the same day, get you comfortable, and lay out a clear plan.


Comfort-First Visits for Anxious Patients
Nervous about the dentist? We talk first, then treat. Laughing gas is available, along with neck pillows, headphones, and TVs, so you can relax while we work.
Easy To Get Started and Stay on Track
Most PPOs are accepted with a quick benefits check before treatment. Flexible payment options to help fit care into your budget without surprise bills.

Frequently Asked Questions
What if my child has a dental emergency?
We see children for emergencies and know these situations can be scary for both kids and parents. When you arrive, we take time to explain things in age-appropriate language and let you stay with your child during the visit. We move gently, avoid rushing, and focus on helping them feel safe while we fix the problem.
Can you save a knocked-out tooth?
Sometimes, yes—especially if you act quickly. If a permanent tooth is knocked out, gently rinse it if it’s dirty, avoid touching the root, and keep it moist in milk or saliva. Call us right away and try to come in as soon as possible. At your visit, we’ll examine the tooth and the area and let you know if replanting it is possible or if we should talk about replacement options like an implant.
How much will my emergency visit cost?
The cost depends on what we need to do to treat the problem—an exam and X-ray cost less than an extraction, root canal. After we examine your tooth and talk about your options, we’ll give you a clear estimate before moving forward. We can also discuss payment plans or financing if you need help managing the cost.
Will I have to be sedated for an emergency procedure?
Not always. Many emergency treatments can be done comfortably with local anesthetic alone. If you feel very nervous or if the procedure is more involved, we can talk about adding gentle sedation. Dr. Lybbert has advanced training in sedation and will help you choose the option that fits your comfort level and your health history.
Do you take insurance for emergency visits?
Yes. We work with many major dental insurance plans, including Blue Cross Blue Shield and Delta Dental. At your visit, we’ll gather your insurance information, verify benefits, and help you understand what your plan may cover. We’ll also review your estimated out-of-pocket cost before treatment whenever possible.
How quickly can I be seen for a dental emergency?
We do our best to see emergency patients the same day you call. When you contact our office, we’ll ask what you’re feeling, how long it has been going on, and then work to fit you into the schedule as soon as we can. If you call later in the day and we can’t see you immediately, we’ll walk you through what to do at home until your visit.
What should I do if I have an emergency after hours?
If your emergency involves heavy bleeding, trouble breathing, or a serious injury to your face or jaw, go straight to the nearest ER. For urgent but non-life-threatening problems, you can call our office and follow the message instructions, then contact us again when we open. We’ll make it a priority to bring you in as early as possible.
Do you offer appointments for dental emergencies?
Yes. When you call with an urgent concern, we do our best to offer a same-day emergency appointment, even if you are a new patient. During that visit, we focus first on easing your discomfort and then on explaining what is going on and how we can fix it.
Visit Us in Lewiston, ID
You can find us on Nez Perce Drive, right next to PetCo. We’re proud to serve patients from Lewiston, Clarkston, and nearby communities. New patients and families welcome.
Plenty of on‑site parking; accessible spaces available. Enter off Nez Perce Dr.

