Please also refer to our Emergencies Video for more information on how to handle emergency orthodontic situations.
Here are some typical emergencies and how to deal with them
Loose or Poking Archwires
If a wire causes irritation, push the wire away from the area using the eraser end of a pencil or a Q-tip. If the wire cannot be tucked away, cover the end of the wire with a small piece of wax or a cotton ball until you can see us for an adjustment.
If the main wire has come out of the tube on the back tooth, attempt to reinsert the wire with a pair of needle-nose pliers or tweezers. If the wire is not sticking you, place a piece of wax over the area. As a last resort, if you cannot come into our office, the wire can be cut with a small wire cutter or fingernail clipper close to the back of the last brace.
Loose Brackets or Bands
If a bracket becomes loose, it usually remains connected to the main wire by a little colored rubber ring or a small steel ligature tie. Tweezers can be used to reposition the brace if it flips around the wire and becomes a source of irritation. Call our office and inform us of the problem. If a piece of your braces breaks, save the piece and call our office to schedule a repair visit.
If a rubber spacer or separator falls out, call our office so we can arrange to replace it. If it happens a day before your appointment to put on braces or bands, you do not need to do anything.
If You Swallow Something
Remain calm if you swallow a piece of your appliance. It will usually go into the stomach and pass out of the body in a bowel movement. However, if you experience difficulty breathing, you should seek immediate medical attention. X-rays will be taken to determine the location of the swallowed piece.
If a retainer cracks or breaks, remove it from your mouth and bring all the pieces to our office for professional repair.
Sore Teeth or Sore Gums
Take ibuprofen (Motrin/Advil) or acetaminophen (Tylenol) if your teeth are sore after your appointment. PLEASE CONSULT YOUR PHYSICIAN BEFORE TAKING ANY MEDICATIONS, PARTICULARLY IF YOU HAVE ANY HISTORY OF ALLERGIC REACTIONS.
Rinsing your mouth with a cup of warm water and half a teaspoon of salt can also be soothing. If your teeth get sore suddenly in the middle of the month, give us a call. It is unusual for teeth to get sore several weeks after your last office visit.
If food becomes stuck between your teeth, use dental floss or a proxy brush to dislodge the food. If you cut your gums, tongue or the inside of your cheek, apply finger pressure to the bleeding site for several minutes. If the bleeding doesn’t stop, call your family dentist or our office.
Minor irritations and canker sores will heal much more quickly if you apply Zylactin or Orabase according to the manufacturer’s directions. You can purchase these products over the counter at most pharmacies and convenience stores.
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