Emergencies

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Orthodontic treatment may take a little getting used to. It isn't uncommon to experience a bit of soreness when appliances are placed or some soreness as teeth begin moving into new positions. Yet it's comforting to know that genuine orthodontic emergencies are rare. Please call our office to discuss your concerns. That's what we’re here for.

Potential Issues

Fortunately, the vast majority of orthodontic problems are minor but they may still cause discomfort or irritation. In general, it's best to try and soothe the immediate cause of the discomfort, and then call our office to schedule an appointment; that way, we can allot sufficient time to take care of you. Here are a few of the more common orthodontic problems, along with some tips on what you can do to relieve them at home:
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Loose or broken brackets, bands or wires

This problem is often caused by eating hard or sticky candy or food or playing with braces. If the bracket is still attached to the wire, leave it as is — but don't connect any elastics to it! You can cover it with orthodontic wax if it's irritating the inside of your mouth. Call our office to let us know what happened, and we will schedule a visit.
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Misplaced or poking archwire, bracket or tie

As the teeth start to move, the wire that connects them (archwire) may begin poking near the back of the mouth or irritating the cheeks. You can try moving the wire into a better position with a pencil eraser or a Q-Tip. If the wire won't move, you may be able to cut the end off with a nail clipper sterilized in alcohol — but before doing so, please call our office for guidance or instructions. Often, you can also use tweezers to gently move a misplaced wire.

When wires or brackets cause irritation, covering the metal parts with wax will often help ease the discomfort. As with any of these types of problems, call our office and we'll schedule a time to see you.

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General tooth pain or loosening

It's normal for teeth to become slightly loosened during orthodontic treatment — that shows they're moving! Sometimes, this movement may be accompanied by tenderness, especially after braces or aligners are placed or adjusted. For minor soreness, you can use your regular over-the-counter pain reliever. A twice-a-day salt-water rinse may also help: Mix one teaspoon of salt in an 8-ounce glass of warm water and rinse for 30 seconds. A warm washcloth or heating pad placed on the outside of the jaw can also offer some relief.

While actual emergencies are rare, our goal is to make orthodontic treatment as comfortable as possible. If you need additional advice, don't hesitate to call us!