Orthodontic Emergencies

What we refer to as orthodontic emergencies are more often minor problems which can be remedied at home with some simple tips. However, if you are in pain because of a poking wire or loose appliance and you cannot resolve it yourself, please do not hesitate to call.

We are available to our patients to treat emergencies. During office hours we will try to fit you in as soon as possible. If you need to be seen after hours, please listen to the entire message on the answering machine for instructions.

Most common problems can be remedied at home without a special trip to the office. Here are tips for some of the more common problems encountered with braces:

1. Loose band or bracket--This is not usually an emergency. The loose bracket usually will remain attached to the archwire and can be left in place. Call the office and inform us. We may need to reschedule your next visit to allow additional time to correct the problem. Save any pieces of your braces that break off and bring them with you to your repair appointment. Remember, brackets often become loose due to chewing on hard, sticky or chewy foods or objects. So be careful about what you eat or chew on because it will add months onto your treatment.
2. Archwire has slipped out of the molar tube--The first wires we use are very flexible and can sometimes slip out of the tube, especially if something hard is eaten. First, try to reinsert the wire with a pair of needle nose pliers or tweezers. If that does not work, you may clip the wire with small wire cutters or even a fingernail clipper. Use orthodontic wax to cover any sharp areas. As treatment progresses, the wires become more rigid and this problem becomes less frequent.
3. Archwire is poking--If the end of the wire is poking anywhere, try pushing it in with the soft eraser end of a pencil. If that does not help, you may attempt to cut the wire with small wire cutters or a fingernail clipper. If you are unable to resolve it using these methods, place orthodontic wax over the sharp area and call our office.
4. Lost separator/spacer--Call the office during regular hours. We may ask you to come in a day or two before your next appointment to replace the separator.
5. Discomfort--It is normal to have some soreness for 3-5 days after having braces or retainers adjusted. Usually over the counter pain relievers such as Naproxen (Aleve), Ibuprofen (Advil), or Acetaminophen (Tylenol) will help. Soft foods during this time are also a good idea.
6. Mouth Sores--Some people get mouth sores (Aphthous ulcers or "kanker sores") even without braces. These often last for about 7 days. Topical anesthetics such as Orabase or Ora-Gel applied directly to the area with a cotton swab will provide some relief. If the sore is in an area where the braces contact, place orthodontic wax over the braces as needed.
7. Food Caught Between Teeth--This can be resolved with a piece of dental floss. Try tying a small knot in the middle of the floss to help remove the food. Or use an interproximal brush to dislodge food caught between teeth and braces.