Orthodontic emergencies are rare, but we’re here to help when they occur. Whether it’s a problem with your braces or an injury to your mouth, knowing what to do can minimize discomfort and prevent further complications. Below, we’ve provided guidance for managing common emergencies and when to seek professional care.
Types of Orthodontic Emergencies
Emergencies Related to Orthodontic Appliances
Appliances can sometimes become broken, bent, or cause discomfort. If you notice issues such as loose bands, loose brackets, or poking wires, please call our office during patient hours to schedule an appointment. For your convenience and the efficiency of scheduled visits, emergencies cannot be addressed on a walk-in basis.
In the meantime, here are some helpful tips for temporary relief:
Loose Brackets or Bands:
Leave them in place if possible. Call our office to schedule a repair appointment.Poking or Broken Wires:
Use a pencil eraser to gently bend the wire out of the way or cover it with orthodontic wax. If needed, carefully trim the wire with sterilized nail clippers.Irritating Tie Wires:
Cover the tie wire with beeswax or orthodontic wax, or gently tuck it under the archwire using a Q-tip or pencil eraser.Sliding Wires:
Use tweezers or needle-nosed pliers to reposition the wire and secure it in place.
Direct Injuries to the Mouth or Teeth
Injuries to the mouth can occur during orthodontic treatment, especially from sports or accidents. If you experience a direct injury:
Initial Steps:
Apply ice to the injured area immediately to reduce swelling.Contact Your Dentist:
If a tooth is knocked out, fractured, or displaced, contact your general dentist first, as they are equipped to handle dental trauma and provide necessary anesthesia or materials.Follow-Up Orthodontic Care:
If your orthodontic appliances are dislodged or damaged, schedule a visit with our office after seeing your dentist. We will adjust or replace the appliances to ensure your treatment stays on track.
General Soreness and Minor Discomfort
When Braces Are First Placed:
You may experience soreness and tenderness for three to five days. Stick to soft foods and rinse your mouth with warm salt water (1 teaspoon of salt in 8 ounces of water) to relieve discomfort. Over-the-counter pain relievers like Acetaminophen (Tylenol®) can help; however, avoid ibuprofen and aspirin, as they may slow tooth movement when used frequently.Irritation from Braces:
The lips, cheeks, and tongue may take one to two weeks to adjust to braces. Apply orthodontic wax to areas causing irritation to protect soft tissues.
After-Hours Emergencies
If you experience pain or significant discomfort outside of office hours, please contact us. Our after-hours information will guide you on how to reach a team member for assistance.
