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Orthodontic Emergencies

True orthodontic emergencies are rare. Most problems can be handled at home until your next visit.

Injury to the face or mouth? If you have severe pain, swelling, bleeding that won't stop, or trauma to the face, go to the nearest emergency room or call 911 first. Then let us know so we can follow up.

Common issues and what to do

Loose bracket or band
If a bracket is still attached to the wire, leave it in place and cover it with orthodontic wax if it rubs. Call us so we can plan a repair. If it has come off completely, save it in a bag and bring it to your appointment.
Poking wire
Use a pencil eraser or cotton swab to gently push the wire flat. If that doesn't work, cover the end with wax. As a last resort, clean nail clippers can trim the end of the wire. Call us to schedule a quick fix.
Sore teeth after placement or adjustment
Some tenderness for a few days is normal. Eat soft foods, rinse with warm salt water (1 teaspoon of salt in 8 ounces of water), and take an over-the-counter pain reliever as directed.
Irritated cheeks or lips
Place a small piece of orthodontic wax over the bracket that's rubbing. Warm salt-water rinses help sore spots heal.
Lost or broken retainer or aligner
Call us right away. For Invisalign®, wear your previous set of aligners until we advise you. The sooner we replace a retainer, the less your teeth can shift.
Lost elastic tie or power chain
This usually isn't urgent. Let us know at your next visit, or call if several are missing.

Helpful items to keep at home

  • Orthodontic wax
  • Cotton swabs
  • Over-the-counter pain reliever
  • Salt for warm-water rinses
  • Small zip-top bag
  • Your retainer or aligner case

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