Emergencies

There are only a few cases that would qualify as true orthodontic emergencies, and they typically involve significant trauma or severe pain. These include: 

Trauma or injury to the teeth, face, or mouth. 

Infection or swelling of the gums, mouth, or face. 

Severe, unmanageable pain in the teeth, mouth, or face. 

In these cases, it’s important to seek immediate medical help. If you’re unsure where to go, the emergency room or your regular dentist may be your best options. Dentists are equipped to handle a range of dental problems and may provide treatment or refer you as needed. For example, if you experience a fractured tooth, your dentist will stabilize the tooth before your orthodontic treatment can continue. 

Minor Issues 

Most orthodontic issues are minor and manageable at home, but they may still cause discomfort. Here’s how to handle some common problems until you can come in for an appointment: 

• Loose or Broken Brackets, Bands, or Wires 
  This usually occurs from eating sticky or hard foods or playing with braces. If the bracket or band is still attached, leave it in place but avoid connecting elastics to it. Orthodontic wax can help if the appliance is irritating your mouth. If it has come off entirely, save the piece and bring it with you to your next appointment. Be sure to call us so we can plan for repairs. 
• Poking Archwire, Bracket, or Tie
  As your teeth move, the wire (archwire) may start to poke near the back of your mouth or irritate your cheeks. You can try repositioning it using a pencil eraser or a Q-Tip. If that doesn’t work, you might be able to clip the wire with a sterilized nail clipper, but please call our office first for instructions. Tweezers can also help you move a misplaced wire or tie. Covering sharp metal parts with orthodontic wax will ease discomfort. 
• General Tooth Pain or Loosening
  Slight tooth movement is normal during treatment and may be accompanied by tenderness, especially after adjustments. Over-the-counter pain relievers can help manage the discomfort. A warm saltwater rinse (1 teaspoon of salt in 8 oz of warm water) can also offer relief, as can applying a warm compress to the outside of the jaw. 

When in Doubt, Call Us 

Even though true orthodontic emergencies are rare, our goal is to make your treatment as comfortable as possible. If you’re unsure how to handle a situation or need further guidance, don’t hesitate to give us a call. We’re here to help!