Orthodontic Emergencies

Although there are very few true orthodontic emergencies, during the course of treatment you may discover that you have loose or broken braces/appliances. You may also discover that the orthodontic wires may shift and begin irritating your lips or cheeks. Below is a list of common orthodontic problems and how they may be remedied at home. If you have a problem that you cannot resolve on your own, call our office. We will be able to give you advice on how to solve the problem yourself or schedule you the appropriate appointment so that your problem can be fixed. If you are out of town, go to www.braces.org to locate an orthodontist in your area.

Loose or Broken Braces
You may discover that you have loose or broken braces. This is usually caused by playing with your braces or eating hard or sticky foods. This is generally not an emergency unless it is associated with pain or discomfort. If the bracket is attached to the wire, leave it in place and cover it with wax as needed for comfort. If the bracket comes out completely, bring it with you to your next appointment. Avoid connecting elastics or a headgear appliance to any loose brackets. Call the office to schedule an appointment to repair the bracket. Be careful not to break too many brackets during your orthodontic treatment. You may be charged an extra fee to repair broken braces which may increase your overall treatment cost.

 

Loose Band
Eating hard of sticky foods or playing with your orthodontic braces can loosen a band. This is generally not an emergency unless it is associated with pain or discomfort. Avoid connecting elastics or a headgear appliance to any loose bands. If the band is still attached to the wire, it will usually wobble slightly. You can call the office to see if you need a special appointment to have the band recemented or if it can be done at your regularly scheduled appointment time. If the band comes off your tooth, the spaced needed to recement the band may close in a few days so call our office to schedule an appointment to have the band recemented. If no recementation appointment is available within a few days of the band coming off, the office can usually have you in for a quick appointment to place separators so the band space does not close. Remember to bring the band with you to your appointment.

 

Long Poking Archwire
As your teeth move, occasionally the ends of the wire will start poking out the back of the molar tubes and begin irritating the cheeks. This problem may be resolved by moving the wire away from the irritated area using a cotton swab or pencil eraser. If the wire does not move, cover it will a small pea-sized amount of wax or cotton. You may also try cutting the wire with nail clippers that have been washed and sterilized in alcohol. Call the office for an appointment if you cannot resolve the problem.

Tooth Discomfort or Soreness
Teeth may become sore following an orthodontic activation appointment. Usually the teeth are most sore during the first 24 – 72 hours. After 72 hours, the teeth usually start feeling better. Maintain a soft food diet and take ibuprofen (ex. Advil or Motrin) as needed.

 

Sores or Ulcerations Inside the Mouth
During the first week of treatment, you may notice sores or ulcerations inside your mouth. This can happen because your lips and cheeks are not yet used to rubbing against your orthodontic braces. Over time, the skin on the inside of the mouth gets tougher and you will not have sores anymore. To provide some relief for your lips and cheeks rubbing against your rough braces, you can place a small pea-sized amount of wax or cotton on the area of the braces that is causing the sore or ulceration. The sore should improve within a couple of days and completely heal within a week. If the sore or ulceration does not improve or gets worse, call our office to have it examined.

 

Wires Our of Tube or Slot
During treatment, flexible wires may slip out of the bracket slots of the back teeth. This may be avoided by complying with the No Eats list provided to you at the beginning of treatment. If the wire comes out of the tube, try placing the wire back in the tube using tweezers. If necessary, cover the loose wire with wax and call the office for an appointment.

 

Poking Metal Tie
Occasionally, metal wires are used to tie the archwire to the brackets or bands. Sometimes during eating or brushing, this metal wire tie can accidentally be redirected and start to cause irritation to your lips or cheeks. You can try to push the poky wire back into place by using the end of a pencil eraser. If that is not possible, you can place wax on the area causing the irritation until you can be seen by our office to have it fixed.
 

 

Lost Elastic Tie
If an elastic tie falls off, call our office. Sometimes, you can wait until your next appointment to have it replaced. Other times, the doctor will want to see you for a quick visit to put the elastic tie back on.

 

Headgear or Other Orthodontic Appliance Does Not Fit
Call the office for an appointment to have the orthodontic appliance or headgear adjusted.

Accidents Involving the Teeth
If an accident occurs during treatment involving the teeth, call our office immediately.

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Please do not submit any Protected Health Information (PHI).

Gary D. Sabbadini, D.D.S.

1500 Tara Hills Drive, Suite 100 Pinole, CA 94564