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emergency care

Emergency Care

**If you are experiencing an extreme emergency, please call 911**

If you are experiencing pain due to your appliance or braces, you can always call our office. If someone is not present, there is always someone on call that can assist you with orthodontic emergencies. 

You may be able to solve any problems temporarily until you can get to our office. If there is a loose piece, or a piece has fallen off, you can put it in a plastic bag or envelope and bring it with you to your next appointment. If your wires are poking you, put soft wax on the piece that’s sticking out. If a bracket is loose and slides across the wire, slide it over to the next bracket and use a piece of wax to hold it there.

Even if you are not in pain, is very important that you still call our office as soon as possible. This way, we may schedule a time to repair your braces or appliance. If you keep your damaged appliance or braces for a long period of time, it may interrupt your treatment and extend it.

If a bracket is loose and you have an upcoming appointment within a few days, call ahead to let us know, so that we may add on additional time to resolve any discomforts.


General soreness

When you get your braces on, you may feel general soreness in your mouth, and teeth may be tender. Don't be alarmed: This means the braces are starting to work their magic! Stick to a soft diet until you are more comfortable eating normal foods. Irritated gums and sore spots can be alleviated by rinsing your mouth with a warm salt-water mouthwash. Dissolve one teaspoonful of salt in eight ounces of warm water, and swish it around your mouth. ** Do NOT swallow this mixture! **

Placing Orabase on the affected area may also help relieve discomfort; Orabase can be found in a pharmacy. If the tenderness is severe, take Acetaminophen (Tylenol) or whatever you normally take for headache or similar pain. Aspirin, Ibuprofen (Motrin, Advil), and Naproxen Sodium (Naprosyn, Anaprox) slow the movement of your teeth, so we don't recommend them for extended use.



Sometimes discomfort is caused by not wearing the headgear as instructed by your orthodontist. If the metal piece is bent, please call our office. The headgear should hurt less the more it’s worn as you get used to it!


Loose appliance

If your appliance is poking you, place wax where the discomfort is.


Loose bracket

If your bracket or band is still attached to the wire, you should leave it in place and put wax if needed for comfort. If the bracket can slide on the wire easily, push it over to the next bracket and stick them together with wax. If the bracket or band has fallen off completely, place it in a bag or envelope and bring it to your next appointment.


Poking wire

Using a pencil eraser, push the poking wire down or place wax on it so that it is not uncomfortable.