How to handle Orthodontic emergencies

Orthodontic emergencies are unusual and most orthodontic repairs can wait to be handled at your next regularly scheduled appointment. A broken bracket or ligature may be annoying but rarely painful; these types of repairs can be made at a routine visit. On the other hand, a displaced wire or other traumatic incidents may require immediate attention.

You can contact the office to receive instructions on how to care for your emergency and how to contact a responsible assistant. Here at RTO, we always have a doctor or assistant “on-call” to help you with these problems, most of which can be alleviated at home. While this is certainly your first line of action, never hesitate to reach out to one of your locations!

We want you to feel comfortable and assured that all is under control.

How to Handle Common Appliance Repairs & Issues

Damaged appliances can increase the length of your treatment process, so taking care of your braces, clear aligners, and/or retainer is important. Some common issues with your orthodontic appliances can be taken care of at home until you can come in and have the appliance repaired.

For example, a few common issues with braces that can be fixed at home are loose bands or brackets, broken or poking archwires, and dislodged wires.

Watch the videos below of Dr. Steve Jr. explaining the common minor problems that may occur with your braces during orthodontic treatment and the simple steps to alleviate them.

Wire Dislodged From Molar Brace

Retainer & Aligner Repair

Poking Wire & Wax

Poking Ligature Wire

Loose or Broken Bracket

Long Wire Poking in the Cheek

Do-It-Yourself Braces Repair

During the first week after your braces are in place and routine adjustments are complete, you likely will feel some pain, soreness, or discomfort.

You may take acetaminophen or other non-aspirin pain relievers while you adjust to your new braces.

You may find it useful to look at the pictures below of common minor problems that may occur with your braces and simple steps to alleviate them.

Loose Brackets or Bands

Cutting a loose wire with a nail clipper or scissors (that have been sterilized in alcohol) may make you more comfortable. Be careful of the free end of the wire after it has been snipped.

Wire Irritation

Sometimes discomfort caused by a wire on your braces can be resolved by moving the wire away from the irritated area with a cotton swab, Q-tip, or pencil eraser.

If the wire will not move, try covering the end of it with a small piece of cotton or a small amount of wax.

If the wire is painful, you can cut it with nail clippers or scissors that have been washed and sterilized in alcohol. If you cannot resolve the wire irritation, call our office for an appointment.

Lost Separators

Most patients lose a separator during their treatments. Do not worry about losing a separator; it will not need to be replaced.

When to Schedule Braces Repairs

Our office has time for emergency adjustments during normal clinic hours each day.
We will schedule your appointment as soon as possible.

Emergencies generally fall into two categories:

Direct Injuries to the Mouth & Teeth

Following a direct injury to your mouth or teeth, you should see your general dentist as soon as possible.

An X-ray of the involved tooth may be needed to determine the extent of the injury.

Contact your dentist first if a tooth has been lost, severely displaced, or fractured.

Our RTO office may not have the necessary materials to treat your injuries.

Emergencies Related to Orthodontic Appliances

Broken or disturbed appliances may occur during your orthodontic care.

Loose bands, broken or poking wires, and dislodged or displaced orthodontic appliances should be reported to our office during regular office hours.

We will evaluate the urgency of the problem and schedule an appointment for you.

In the interim, follow these temporary measures:

  • An irritating tie wire can be covered with wax or tucked under the archwire using a blunt object such as a pencil eraser or a Q-tip.
  • A loose band or bracket can usually be left in place until your office appointment.
  • A broken archwire or one that is irritating the gum or cheek tissue requires replacement or adjustment.
  • A bent headgear facebow or ill-fitting removable appliance should not be worn until it is properly adjusted during your office visit.

Common Orthodontic Issues

Orthodontic treatment can address a variety of issues, including:

  • Crowded Teeth: When there is not enough space in the mouth for teeth to fit normally.
  • Gaps Between Teeth: Spaces between teeth can be closed with orthodontic treatment.
  • Overbite: When the upper front teeth overlap excessively over the lower front teeth.
  • Underbite: When the lower teeth protrude past the upper front teeth.
  • Crossbite: When upper teeth fit inside the lower teeth when biting down.
  • Open Bite: When there is a gap between the upper and lower front teeth when biting down.

Solutions We Offer

We provide a range of orthodontic solutions to address these issues, including:

  • Meta Braces: Durable and effective for various orthodontic problems.
  • Clear Braces: Less noticeable and blend with your natural teeth.
  • Invisalign: Clear aligners that are virtually invisible and removable for ease of use.

Orthodontic Emergencies

Sometimes, unexpected issues may arise during your treatment. Here are some common orthodontic emergencies and how to handle them:

  • Loose Brackets or Bands: If a bracket or band comes loose, contact us immediately. Apply orthodontic wax to the affected area to prevent discomfort.
  • Poking Wires: Use a pencil eraser to push the wire into a more comfortable position or cover it with orthodontic wax until you can visit us.
  • Lost Spacers: If a spacer falls out, please call our office to determine if it needs to be replaced.

For detailed instructions on handling these and other issues, visit our braces care page.

Retainer Care

After your braces are removed, retainers are essential to maintain your new smile. Follow these tips for proper retainer care:

  • Cleaning: Clean your retainer daily with a toothbrush and mild soap or a retainer cleaner. Avoid hot water to prevent warping.
  • Storage: Always store your retainer in its case when not in use to avoid damage or loss.
  • Regular Checks: Bring your retainer to your orthodontic appointments for checks to ensure it fits correctly.

Frequently Asked Questions

  • How long will my treatment take?: Treatment duration varies depending on individual needs. Most treatments last between 12-24 months.
  • Do braces hurt?: You may experience some discomfort after adjustments, but this usually subsides within a few days.
  • Can I eat normally with braces?: Yes, but avoid sticky, hard, and chewy foods that can damage your braces.

For more FAQs, visit our patient information page.

Contact Us for Orthodontic Help

If you have any questions or need assistance, don't hesitate to reach out to our friendly team. We're here to ensure your orthodontic experience is as smooth and comfortable as possible.

Locations: Acton Office, Billerica Office, Lowell Office, or Westford Office. Visit our website to learn more about our services and to schedule your free consultation today.

Start With a Free Consultation

Gain more confidence and start your smile story with a free consultation at Reichheld Ting Orthodontics in Acton, Billerica, Lowell, or Westford.