Emergencies
We understand that orthodontic problems can sometimes happen unexpectedly and may cause discomfort or concern. This page has been created to help you quickly access advice and support for common orthodontic emergencies.
Before contacting us, please take a moment to review the common issues and advice below, as many issues can be managed safely at home with simple guidance. If you still require assistance after reviewing the information, please complete the contact form and a member of our team will respond as soon as possible.
If a loose bracket is causing you a lot of irritation, flip it the correct way and place some orthodontic wax around the area to prevent irritation and minimize movement. A loose bracket is usually not a severe emergency and can wait until your next routine appointment, however the clinical team can take a look at your photo to decide if you need to come in.
When the teeth start to move sometimes the ends of the wire will become long at the back. Pop some orthodontic wax on the end of the wire to prevent irritation until you can get an appointment to have it trimmed. If it is so bad that you cannot possibly wait then as a last resort carefully trim the wire yourself using a pair of clean nail scissors or clippers. To avoid swallowing the wire, apply some folded tissue at the back of the area to catch the removed piece.
The archwire can be flexible and you may be able to place the wire back in using a clean pair of tweezers. If this is not possible then cover with orthodontic wax and email the practice with photos and we will be in contact. If the wire is bent, especially in the extraction site then try using a spoon to push it back in straight.
These are small metal ties that attach the wire to some of the brackets. If they stick out and are causing you discomfort you can use a pencil eraser or a Q tip to push the ligature flat against the tooth. If you are unable to do this then cover with some orthodontic wax to make it comfortable and contact the practice for an appointment.
Braces can rub against the cheeks and lips and cause irritation, even ulcers, until your soft tissues toughen up and eventually get used to the brace. Get your orthodontic wax and roll a small amount into a ball and then flatten it against the troublesome area completely. To help the wax stick you can dry the area with some folded tissues before applying the wax. Try salt water rinses too to help heal the mouth quicker.
Don’t worry if your teeth feel tender and painful for up to 7 days after braces have been fitted, adjusted or retainers have been fitted. This is completely normal and will usually settle down. We always encourage a soft diet during this stage and pain relief if needed (please check for allergies and ensure suitable for patients age).
Contact your dentist immediately and inform them what has happened.