Occasionally, some patients will experience an injury to the mouth during treatment. Dental emergencies while wearing braces or other orthodontic appliances generally fall into two categories.
Emergencies Related to Orthodontic Appliances
Sometimes, appliances might be broken or bent during your orthodontic care. If there are any disturbances, such as loose bands, loose brackets, broken or poking wires, please call our office for an appointment during patient hours. For your convenience and the convenience of scheduled patients, it is not possible to handle emergencies on a walk-in basis. In the meantime, here are some helpful hints to remedy some of the problems you may encounter until our office can see you.
- If a tie wire is irritating your mouth, cover it with beeswax or tuck it under the archwire with a blunt object like a pencil eraser or Q-tip.
- A loose band or bracket can generally be left in place until seen in our office. Call The Orthodontic Spot, during patient hours, when you notice a loose band or bracket. We will schedule you to reattach the loose appliance, if indicated.
- A broken or poking archwire can often be bent in with a pencil eraser or cut with nail clippers. Call our office, during patient hours, if you do not feel the problem has been resolved properly.
- Watch the video below that explains how to handle an orthodontic emergency.
Direct Injuries to the Mouth and Teeth
Following a direct injury to your mouth or teeth, whether undergoing orthodontic care or not, immediately ice the injured area and you should contact your regular dentist as soon as possible. Usually, an x-ray of the involved tooth or teeth is needed to determine the extent of the injury. If a tooth has been displaced, knocked out, or fractured, it is best to contact your family dentist first, since we may not have the necessary materials or anesthesia required to treat these injuries. If the appliances are dislodged or displaced, we will need to replace or adjust the appliances as soon as possible, after you have seen your general dentist, depending upon the comfort level of the patient.
After Office Hours
After hours orthodontic severe emergencies are very rare, as most orthodontic emergencies do not cause severe pain, and can be managed with wax or a wad of sugarless gum covering whatever is causing the problem. If an orthodontic emergency arises where the patient is in severe pain after hours, and typical remedies (wax, sugarless gum) are not effective, please contact our office. Please call and also text our main number 440-352-8195. While we are typically good at returning these calls in a timely manner, there may be situations where it is not possible. If you don’t hear back from us in a timely manner and you need urgent care, we recommend contacting your dentist, and should that not work out we recommend contacting your local emergency room.