Orthodontic Emergencies: What to Do When Braces Break or Wires Poke

Orthodontic emergencies can be uncomfortable and, if not addressed promptly, may prolong your treatment time. Here’s a guide on how to handle common orthodontic issues such as broken braces or poking wires, and when to seek professional help.

Common Orthodontic Emergencies and How to Handle Them

1. Broken Brackets

  • What to Do: If a bracket comes loose but is still attached to the wire, use orthodontic wax to hold it in place temporarily and prevent it from moving around.
  • Professional Help: Schedule an appointment with your orthodontist as soon as possible to reattach or replace the bracket.

2. Loose Bands

  • What to Do: If a band around a molar becomes loose, try to save it and contact your orthodontist. Do not attempt to fix it yourself.
  • Professional Help: Your orthodontist will need to re-cement the band or replace it.

3. Protruding or Poking Wires

  • What to Do: If a wire is poking into your cheek or gums, you can use a pencil eraser to gently push it down or place orthodontic wax over the end to reduce irritation. If you don’t have wax, a small piece of gauze or cotton can also be used.
  • Professional Help: If the wire continues to cause discomfort, make an appointment to have it trimmed or adjusted.

4. Loose or Dislodged Wires

  • What to Do: If a wire comes out of the bracket, you can attempt to reinsert it using tweezers or clean needle-nose pliers. Be gentle to avoid further damage.
  • Professional Help: If you can’t fix the wire yourself, call your orthodontist to arrange an emergency visit.

5. Soreness and Irritation

  • What to Do: Mild soreness and irritation are common after braces are first applied or adjusted. Rinsing your mouth with warm salt water can help soothe the discomfort. Over-the-counter pain relievers like ibuprofen or acetaminophen can also be used.
  • Professional Help: If the soreness is severe or persists for more than a week, consult your orthodontist.

6. Lost or Broken Rubber Bands or Ligatures

  • What to Do: If a rubber band or ligature (the small rubber or wire pieces that hold the wire to the bracket) is lost or broken, try to replace it with a spare if you have one.
  • Professional Help: Inform your orthodontist about the missing or broken piece so they can replace it during your next visit.

Preventing Orthodontic Emergencies

1. Avoid Hard and Sticky Foods: Foods like popcorn, hard candies, nuts, and chewing gum can damage braces and wires. Stick to softer foods to prevent breakage.

2. Wear a Mouthguard During Sports: Protect your braces and teeth during contact sports by wearing an orthodontic mouthguard.

3. Follow Your Orthodontist’s Instructions: Adhere to guidelines on how to clean and care for your braces, as well as any advice on diet and activities to avoid.

4. Regular Checkups: Attend all scheduled appointments so your orthodontist can monitor your progress and make necessary adjustments.

When to Seek Professional Help

  • Severe Pain or Discomfort: If you’re experiencing significant pain that can’t be managed with over-the-counter pain relief, contact your orthodontist immediately.
  • Infection Signs: Swelling, redness, or pus around your braces or gums could indicate an infection that needs prompt attention.
  • Major Breakage: If a significant part of your braces breaks or a wire becomes dangerously displaced, seek immediate professional help.

Emergency Kit Essentials

  • Orthodontic Wax: For covering protruding wires or brackets.
  • Tweezers and Nail Clippers: To help reposition loose wires.
  • Pencil Eraser: To push down wires that are poking.
  • Salt for Rinses: To soothe sore gums and cheeks.
  • Pain Relievers: To manage discomfort.

Conclusion

While orthodontic emergencies can be inconvenient, most issues can be managed temporarily until you can see your orthodontist. Knowing how to handle common problems and having an emergency kit on hand will help you address any issues quickly and effectively, ensuring your treatment stays on track. Always consult your orthodontist if you’re unsure about the severity of an issue or if you’re experiencing significant discomfort