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 your child is experiencing severe pain or the appliance is very painful. This way, we can schedule them for an appointment to immediately address the problem.
There are some minor problems that you can help them with while waiting for their appointment. If the appliance has a loose piece, remove it, then put it in a plastic bag so that it can be brought to the appointment. You can apply soft wax when a piece of their braces is poking the mouth. Also, you can just pull back the wire that slid to one side using 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.
It is only normal to experience soreness in the mouth and the teeth are tender when biting for three to five days. Thus, they should only eat soft foods.
Let them gargle warm salt water to relieve irritation in the gums and other soreness in their mouth. Just dissolve a teaspoonful of salt into eight-ounce of warm water. You can also let them 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 pharmacies.
For severe tenderness, you can let them take Acetaminophen (Tylenol) or other pain killers. 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 the lips, cheeks, and tongue for one to two weeks. This is because those parts of the face are adjusting for a new posture that the braces are making. The irritation can be reduced by putting wax on the braces. We can tell you how!
Let them wear the headgear as instructed by the orthodontist to prevent discomfort. You can call our office if the facebow (metal piece) is bent. The more the headgear is worn, the lesser it hurts.
When a piece of your appliance is loose, call us immediately.
If there is a loose bracket or band, leave it in place and just put wax on it to reduce discomfort. If it think it can be removed easily, just take it off and place it in a plastic bag so that it can be brought to the next appointment.
If the braces have 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 your child still finds it uncomfortable, even after putting wax on the end, your last resort is a small fingernail clipper. This will securely fasten the last tooth by clipping.
If there is a poking wire, you can push it down using a pencil eraser or you can put wax on it.
Do your child’s braces needed to be adjusted? Feel free to schedule an appointment with so that we can tend to it as soon as we can.