How to Handle Common Orthodontic Emergencies: A Guide for Existing Patients
Although infrequent, orthodontic emergencies can arise unexpectedly, causing discomfort or concern for those undergoing orthodontic treatment. While it's important to remember that every situation may warrant different actions, we have compiled a list of general guidelines to help you navigate common orthodontic issues. Remember, in any uncertain situation, do not hesitate to contact our office for assistance. Additionally, we offer the convenience of texting our office for prompt feedback and reassurance.
Pokey Wire:
If you experience a poking wire at home, you may:
Gently push the wire inwards using a cotton swab or the eraser end of a pencil to provide temporary relief.
If the wire cannot be comfortably adjusted, cover the area with wax (provided by your orthodontist or it can also be purchased at most pharmacies) to alleviate irritation.
In certain cases, the wire can be carefully cut with a nail clipper. If you cut the wire, be sure to hold one end of the wire or place a tissue or piece of gauze around the wire so it can be removed from the mouth.
Contact our office promptly to schedule a visit for further evaluation and resolution.
Broken Bracket:
Brackets can be broken by sticky, chewy or hard foods.
If a bracket becomes loose but doesn't detach from the wire, leave it in place to avoid further discomfort.
Place wax (provided by your orthodontist or it can also be purchased at most pharmacies) over the bracket to minimize potential irritation.
Contact our office for an appointment to reattach or repair the bracket, ensuring treatment progression.
Dislodged Elastic or Ligature:
Tiny rubber bands, or fine wires, known as ligatures, hold the wire to the bracket.
If a colored elastic or ligature becomes dislodged or breaks, it is not considered an emergency and can usually wait until your next scheduled visit.
However, if the dislodged elastic is causing discomfort or impeding your treatment, contact our office to discuss whether an immediate appointment is necessary.
Loose Appliance (such as an expander):
If any part of your orthodontic appliance feels loose or detached, contact our office immediately to discuss the situation.
We will advise you if immediate attention is required, ensuring the continuity of your orthodontic treatment.
Broken or Lost Retainer:
If your retainer is lost, breaks or becomes damaged, contact our office immediately so that a replacement can be made as soon as possible to prevent teeth from shifting.
Reminder: your retainer must be worn every night to prevent aligned teeth from shifting. Teeth want to move back to their original position (before orthodontic treatment) and must be held in place with retainers. Retainers must be worn nightly for life!
Although infrequent, knowing how to handle common orthodontic emergencies is essential for minimizing discomfort and avoiding potential setbacks. While the information provided in this article serves as a general guide, we encourage you to always contact our office if you are uncertain about the appropriate steps to take. Remember, our team is here to support you throughout your smile journey!