Emergency Care

Orthodontic emergencies happen rarely. In case it occurs, we are always ready to help you.


There is a proper protocol when you contact us. Call us when you are experiencing severe pain or the appliance is very painful. This way, we can schedule you for an appointment to immediately address the problem.


There are some minor problems that you can handle yourself while waiting for your appointment. If your appliance has a loose piece, remove then put it in a plastic bag so you can bring it to your appointment. You can apply soft wax when a piece of your braces is poking your mouth. Also, you can just pull back the wire that slid to one side using a needle-nosed pliers, putting it in the tube on the back tooth.


After doing those primary measures, you should still call our office so we can appropriately resolve the problem.

General soreness

It is only normal to experience soreness in your mouth and your teeth is tender when biting for three to five days. Thus, you should only eat soft foods.


Rinse with warm salt water to relieve irritation in your gums and other soreness in your mouth. Just dissolve a teaspoonful of salt into an eight-ounce of warm water. You can also use an alternative mouthwash, the Healthy Gums Rinse by The Natural Dentist, which has a better taste. Another way is placing Orabase which helps relieve discomfort. Orabase is available in a pharmacy.


For severe tenderness, you can take Acetaminophen (Tylenol) or any medicine you usually take for headache and other pain. However, it is not advisable to take Aspirin, Ibuprofen (Motrin, Advil) and Naproxen Sodium (Naprosyn, Anaprox) when you’re wearing braces because those slow the tooth movement.


It is normal as well to experience irritation in your lips, cheeks and tongue for one to two weeks. This is because those parts of your face are adjusting for a new posture your braces is making. You can reduce the irritation by putting wax on the braces. We can tell you how!


Wear your headgear as instructed by your orthodontist to prevent discomfort. You can call our office if the facebow (metal piece) is bent. The more you wear the headgear, the lesser it hurts.

Loose appliance

When a piece of your appliance is loose, call us immediately.

Loose bracket

If there is a loose bracket or band, leave it in place and just put wax on it to reduce discomfort. If you think it can be removed easily, just take it off and place it in a plastic bag so you can bring it on your next appointment.

Loose wire

If your braces has a loose wire, try to put it back into place using a pair of tweezers or needle-nosed pliers. Or you can tie the bracket into place using the floss. If you are still not comfortable after doing such methods and after putting wax on the end, your last resort is a small fingernail clipper. This will securely fastened the last tooth by clipping.

Poking wire

If there is a poking wire, you can push it down using a pencil eraser or you can put a wax on it.