Emergency Care

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

You might be surprised to learn that you may be able to solve many problems yourself temporarily until you can get to our office. If there is a loose piece that you can remove, put it in a plastic bag or envelope and bring it with you to your next appointment. If your braces are poking you, put soft wax on the piece that’s sticking out. If the wire has slid to one side, you can pull it back to the other side with needle-nosed pliers, replacing it in the tube on the back tooth.

After alleviating your discomfort, it is very important that you still call our office as soon as possible to schedule a time to repair the problem. Allowing your appliance to remain damaged for an extended period of time may result in disruptions to 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 five to seven days. Stick to a soft diet until your teeth do not hurt to chew. Irritated gums and other sore spots can be relieved by rinsing your mouth with a warm salt-water mouthwash. Dissolve one teaspoonful of salt in eight ounces of warm water, and rinse your mouth vigorously. If the tenderness is severe, take Acetaminophen (Tylenol) or whatever you normally take for headache or similar pain. On occasion you may take Aspirin, Ibuprofen (Motrin, Advil) or Naproxen Sodium (Naprosyn, Anaprox) but realize these medications actually slow the tooth movement, so it is not advisable to use them frequently while wearing braces.

The lips, cheeks, and tongue may become irritated for one to two weeks as they learn a new posture and become accustomed to the surface of the braces. You can put wax on the braces to lessen this. We’ll show you how!

Headgear

Sometimes discomfort is caused by not wearing the headgear as instructed by your orthodontist. Please refer to the instructions provided by your orthodontist. If the facebow (metal piece) is bent, please call our office for assistance. The headgear should hurt less the more it’s worn, so be sure you get in the prescribed number of hours.

 

 

Loose appliance

If your appliance is poking you, place wax on the offending part.

 

 

 

Loose bracket

If your bracket or band is still attached to the wire, you should leave it in place and put wax on it if needed for comfort. If the bracket or band can be removed easily, place it in an envelope and save it to bring to your next appointment.

 

 

Loose wire

Using a pair of tweezers or needle-nosed pliers, try to put your wire back into place. It is okay to use a piece of floss to tie the wire into place: tie the floss around the bracket in place of the missing colored o-ring. If you cannot put the wire into a comfortable position, and covering the end with 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 the end of the wire is still sharp place wax on it.

 

Poking wire

Using a pencil eraser, push the poking wire down or place wax on it so that it is no longer poking.

The cost of your orthodontic treatment will vary, depending on your individual needs and treatment plan. Our staff will discuss the cost of your treatment and each available payment plan option with you, so you can make the best choice for yourself and your smile. We will work with you to create a payment plan that fits your budget, and you will know what to expect before beginning treatment.

Soreness Caused from Braces and Appliances

When you first get your braces, you may notice that your teeth and mouth feel a little tender or sore. This is perfectly normal and we promise your mouth will not be sore forever! To relieve the pain, we recommend dissolving one teaspoon of salt in eight ounces of lukewarm water. Swish and gargle this solution in your mouth for just a couple of minutes (do not swallow the saltwater).

If the pain is more severe and does not go away after rinsing, you can also try taking a pain reliever. It is also not uncommon for your lips, cheeks, and tongue to become irritated for one to two weeks as they toughen and become used to the braces. We would be happy to give you some wax that you can put over the braces to lessen the tenderness. If you need some wax, please let us know.

Loose Teeth

If your teeth begin feeling a little loose, don’t worry; this is normal! Your braces must first loosen your teeth to move them into the right position. Once your teeth have been repositioned, they will no longer be loose.

Loose Wires and Bands

The wires and bands on your braces may come loose. If this happens, please contact us so that we can check and repair your appliance. If any piece of your appliance comes off, be sure to save it and bring it to the office with you.

You can temporarily fix the loose wire by using the back of a spoon or the eraser end of a pencil to carefully and gently push the wire back into place. If the loose wire is causing irritation to your lips or cheeks, put wax or a wet cotton ball over the broken wire to relieve the pain.

Take Care of Your Appliances

Damaged appliances can increase the length of your treatment process, so be sure to take care of all your appliances. Your teeth and jaw can only move into their correct positions if you consistently wear the rubber bands, headgear, retainer, or other appliances prescribed by your doctor. A good rule of thumb is to add one more week of treatment for every loose bracket, so be careful.

Playing Sports with Braces

Game, Set, Match — we have great news for athletes! You can still play sports even while undergoing orthodontic treatment! If you do play sports, it’s recommended that you wear a mouthguard to protect your teeth and your appliance. Let us know if you need a mouthguard and we will be happy to supply you with one.

In case of a sports emergency, be sure to immediately check your mouth and appliance for damage. If you notice any loose teeth or appliance damage, please contact our office. If a tooth is broken or traumatized it is important to contact your dentist first. You can temporarily relieve the discomfort by applying wax or rinsing your mouth with warm saltwater.