Emergency Care
True orthodontic emergencies are very rare, but when they do occur, we are available to help you. As a general rule, you should call the office when you experience severe pain or when you have a painful appliance problem that you can't take care of yourself. We’ll be able to schedule an appointment to resolve the problem.
You might be surprised to learn that you may be able to temporarily solve many problems yourself until you schedule an appointment with our office.
The following solutions may help you relieve your discomfort:
Poking Wire
Using a pencil eraser, push the poking wire down or place wax on it to alleviate the discomfort.
Loose Bracket or Band
If your bracket or band is still attached to the wire, you should leave it in place and put wax on it. If the bracket comes off entirely, place bracket in a plastic ziplock bag or in a sealed envelope and bring it with you to your repair appointment.
Loose Wire
Using tweezers, try to place your wire back into place. If doing this and using wax does not help, as a last resort use a small fingernail clipper to clip the wire behind the last tooth to which it is securely fastened. If your discomfort continues, place wax on it.
Loose Appliance
If your appliance is poking you, place wax on the offending part of your appliance.
General Soreness
When you get your braces on, you may feel general soreness in your mouth and your teeth may be tender to biting pressures for three to five days. This can be relieved by rinsing your mouth with a warm saltwater mouthwash. Dissolve one teaspoonful of salt in 8 ounces of warm water, and rinse your mouth vigorously. Placing Orabase on the affected area may help; this can be found in your local pharmacy. If the tenderness is severe, take whatever you normally take for headache or similar pain (preferably Tylenol, as Advil and other non-steroidal anti-inflammatory products tend to slow down tooth movement).
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 this.

