Orthodontic Emergencies and Issues

it's important not to panic!

True orthodontic emergencies are very rare, but when they do occur, we are available to you. As a general rule, you should call the office when you experience severe pain or when you have a painful appliance problem that you can’t take care of yourself. We’ll be able to schedule an appointment to resolve the problem.

WHAT TO DO

You might be surprised to learn that you may be able to temporarily solve many orthodontic emergencies yourself until you schedule an appointment with our office. When working with your appliances, you need to know the names of the parts of your appliances so you are able to identify what part is broken or out of place. After alleviating your discomfort, it is very important that you still call our office to schedule a time to repair the problem. Allowing your appliance to remain damaged for an extended period of time may result in disruptions in your treatment plan.

General soreness

When you get your braces on, you may feel general soreness in your mouth and teeth may be tender to biting pressures for three to five days. This can be relieved by rinsing your mouth with a warm saltwater mouthwash. Dissolve one teaspoonful of salt in eight ounces of warm water, and rinse your mouth vigorously. Placing Orabase on the affected area may help; this can be found in a pharmacy. If the tenderness is severe, take aspirin or whatever you normally take for headache or similar pain. The lips, cheeks and tongue may also become irritated for one to two weeks as they toughen and become accustomed to the surface of the braces. You can put wax on the braces to lessen this.

Loose appliance

If any part of your braces are loose it might need to be adjusted or repaired. Place wax on the offending part of your appliance and call us for an appointment.

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Loose bracket

If you notice that one of your brackets or bands have become loose and is still attached to the wire, you should leave it in place and put wax on it to provide stability.

Loose wire

Using a tweezers, try to put your wire back into place and add wax for stability. If doing this and using wax doesn’t help, as a last resort use a small fingernail clipper to clip the wire behind the last tooth to which it is securely fastened. If your discomfort continues, place wax on it to alleviate the discomfort.

Poking wire

Using a pencil eraser, push the poking wire down or into its original position until it is no longer irritating the surrounding tissue. Place wax on it to alleviate the discomfort.

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