Nearly all orthodontic issues can be satisfactorily addressed at home using the advice we have provided below. If your problem requires a visit to the office, please call ahead to schedule an appointment. This will ensure that we have sufficient time to address the issue, and we will also try to complete your next routine adjustment at that time, saving you an extra trip. If a part of your orthodontic appliance(s) is broken, it is important that you make an appointment to have it fixed. Allowing your appliance(s) to remain damaged for an extended time may result in disruption to your treatment plan, and can extend the treatment time, causing you to have your braces on longer.
It is rare to have a true orthodontic emergency, such as significant pain or an appliance problem that you cannot take care of yourself, but if they do occur, please call the office at (613) 384 – 5320.
General Tenderness - When you first get your braces, you may feel general tenderness in your mouth for the first three to five days, especially when chewing or biting. To relieve this, you can try rinsing your mouth with a warm saltwater mouthwash, and if needed, you can use acetaminophen or ibuprofen. The lips, cheeks, and tongue may also become irritated for one to two weeks as they toughen and become accustomed to the surface of the braces. You can put wax on the braces to lessen your discomfort by creating a smoother surface.
Poking Wire - First, place wax on the end that is bothering you. If it is still causing discomfort, try snipping the wire with a wire cutter or fingernail clippers*. It may also be possible to bend the wire away from the irritated area and into a more comfortable position using a cotton swab or pencil eraser.
Loose Appliance - If the appliance is poking you, place wax on the appliance as needed.
Broken Power Chain - Do not worry, the power chain is still working. Simply leave it in place, and we will replace it at your next appointment.
Loose Wire - Using tweezers, try to place your wire back into place and apply wax as needed. If you are still uncomfortable, you may try the following: locate the last tooth where the wire is attached and using small fingernail clippers* snip the wire behind that tooth.
Loose Bracket or Band - If your bracket or band is still attached to the wire, please leave it in place and apply wax if needed. If the bracket comes off the wire, keep the bracket, place it in a bag or container and bring it with you to your appointment. We will try to reuse the same bracket if it is undamaged.
Lost Separators/Spacers - Do not worry. This means that the spacers have done their job and created the space necessary.
Headgear Does Not Fit - Please refer to the instructions we have provided for wearing headgear since the discomfort may be caused by not wearing it properly or enough, so be sure you are getting in the prescribed hours. If the face-bow is bent, please call our office for assistance.
*Note: If using fingernail clippers or another wire cutting tool, we recommend cleaning it with rubbing alcohol, or, if unavailable, soapy water.
To download further information, go to: http://yoursmileourspecialty.ca/why/already-having-treatment/orthodontic-emergencies#A-4