Check out our Youtube page for videos on how to handle common orthodontic repairs at home.
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 you can remove, put it in a plastic bag or envelope. If this happens, please call our office to schedule a repair 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, and replace 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 repair appointment. Allowing your appliance to remain damaged for an extended period of time may result in disruptions to your treatment plan.
If you wait until your next appointment, we may only have time to complete the repair and not your regularly scheduled appointment’s procedure.
When you get your braces on, you may feel general soreness in your mouth, and teeth may be tender to biting pressures for three to five 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. An alternative (better tasting) mouthwash is the Healthy Gums Rinse by The Natural Dentist.
Placing Orabase on the affected area may also help relieve discomfort; Orabase can be found in a pharmacy. If the tenderness is severe, take Acetaminophen (Tylenol) or whatever you normally take for headache or similar pain. Aspirin, Ibuprofen (Motrin, Advil), and Naproxen Sodium (Naprosyn, Anaprox) 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!
It is not uncommon to lose a separator during treatment. Do not worry about losing a separator, but call our office to see if it needs to be replaced.
If your appliance is poking you, place wax on the offending part. If your appliance is not fitting properly, please contact the office at your earliest convenience so the doctor can make the necessary adjustments during normal business hours.
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, then call our office to schedule a repair appointment.
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.
Using a pencil eraser, push the poking wire down or place wax on it so it is no longer poking.
If you are in severe discomfort, please contact us at (302) 678-3000 and our on-call assistant will work to get you comfortable.