Summer brings lots of fun, new adventures that can lead to unplanned orthodontic mishaps.
Orthodontic appliances are pretty tough, but sometimes unexpected issues can pop up between visits. Knowing how to handle minor orthodontic emergencies can help you stay comfortable and on track with your treatment!
Natalie Miller DDS, MS
Great Smiles Pediatric & Orthodontics
Great Smiles Pediatric & Orthodontics
Anatomy of Braces
A. Ligature tie: Holds the archwire in place
B. Archwire: Tied to the brackets & creates force to move teeth into alignment
E. Elastic hook & Rubber band: Hooks are used to attach rubberbands, which help move teeth to the final position
C. Brackets: Directly bonded to the teeth & hold archwire in place
D. Band: Cemented metal ring wrapped around the teeth and holds wire in place
Missing Ligature Tie or Chain
- Use a pair of tweezers to carefully tuck the tie back in place
- If missing completely, use orthodontic wax to hold the wire in place until you can have it replaced
- Call the office to schedule a quick visit to replace the tie or chain
Poking Wire
- Try using orthodontic wax to cover the end
- If it’s still uncomfortable, carefully tuck the wire in with a pencil eraser, slide the wire back to the center or cut it with clean nail clippers
- Call your orthodontist if it is uncomfortable or persists
Loose Bracket or Band
- Leave it in place if it’s not causing discomfort
- Cover it with wax if it’s moving or irritating
- Remove it carefully if it is not attached to a wire & bring to your next appt
- Let your orthodontist know prior to your next visit so a repair can be scheduled
Lost or Broken Retainer or Aligner
- Keep wearing your last aligner if it’s still in good shape
- Call your orthodontist ASAP so it can be replaced or adjusted
Soreness After Adjustment
- Stick to soft foods (yogurt, mashed potatoes, smoothies)
- Use over-the-counter pain relievers if needed and tolerated (per package instructions)
- Warm saltwater rinses help too!
Mouth Sores or Irritation
- Rinse with warm salt water
- Apply wax over brackets causing friction
- Apply a dab of topical oral gel to ease discomfort
When to Call Us Immediately
- Injury to the face and or mouth
- Swelling, bleeding, or signs of infection
- Severe pain or inability to eat, drink and or sleep
We’re Here to Help!
Most orthodontic issues can be managed at home until we see you, but don’t hesitate to reach out with questions or concerns.
Stay smiling!
Dr Natalie Miller
