Orthodontic Emergency


 

True orthodontic emergencies are rare, but when they occur we are available to you. As a general rule, you should call our office when you experience severe pain or have a painful appliance problem you can't take care of yourself. We'll be able to schedule an appointment to resolve the problem. Dr. Lee is available after hours to tend to any orthodontic emergencies or questions. You can text or call us 510-570-6244 or email us at info@davidleesmile.com.

You might be surprised to learn that you may be able to solve many problems yourself temporarily until you can get to our office. If there is a loose piece that you can remove, put it in a plastic bag or envelope and bring it with you to your next appointment. If your braces are poking you, put soft wax on the piece that's sticking out. If the wire has slid to one side, you can pull it back to the other side with needle-nosed pliers, replacing it in the tube on the back tooth.

After alleviating your discomfort, it is very important that you still call our office as soon as possible to schedule a time to repair the problem. Allowing your appliance to remain damaged for an extended period of time may result in disruptions to your treatment plan.

 

 

General soreness

When you get your braces on, you may feel general soreness in your mouth, and teeth may be tender to biting pressures for three to five days. Stick to a soft diet until your teeth do not hurt to chewing. Irritated gums and other sore spots can be relieved by rinsing your mouth with a warm salt-water mouthwash. Dissolve one teaspoonful of salt in eight ounces of warm water, and rinse your mouth vigorously. An alternative (better tasting) mouthwash is the Healthy Gums Rinse by The Natural Dentist. Placing Orabase on the affected area may also help relieve discomfort; Orabase can be found in a pharmacy. If the tenderness is severe, take Acetaminophen (Tylenol) or whatever you normally take for headache or similar pain. Aspirin, Ibuprofen (Motrin, Advil) and Naproxen Sodium (Naprosyn, Anaprox) actually slow the tooth movement, so it is not advisable to use them frequently while wearing braces.

The lips, cheeks, and tongue may become irritated for one to two weeks as they learn a new posture and become accustomed to the surface of the braces. You can put wax on the braces to lessen this. We'll show you how!

 

 

Loose bracket

If your bracket or band is still attached to the wire, you should leave it in place and put wax on it if needed for comfort. If the bracket or band can be removed easily, place it in an envelope and save it to bring to your next appointment.

 

 

Loose wire

Using a pair of tweezers or needle-nosed pliers, try to put your wire back into place. It is okay to use a piece of floss to tie the wire into place: tie the floss around the bracket in place of the missing colored o-ring. If you cannot put the wire into a comfortable position, and covering the end with wax doesn't 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 the end of the wire is still sharp place wax on it.

 

 

 

 

Poking wire

Using a pencil eraser or cotton swab, push the poking wire down or place wax on it so that it is no longer poking.

 

Ligature color tie comes off

Tiny rubber bands or small, fine wires, known as ligatures, hold the wire to the bracket. If a rubber ligature should come off, you may be able to put it back in place using sterile tweezers. If a wire ligature comes loose, simply remove it with sterile tweezers. If the wire ligature is sticking out into the lip but is not loose, it may be bent back down with a Q-tip or pencil eraser to eliminate the irritation.

 

Lost Separato

If you lose a separator, please call our office to schedule an appointment to replace it. If the separator comes out one day before your appointment, you do not need to worry about it. We will be able to proceed to the next step without it.

 

Loose Expander

If your child’s expander no longer turns and spins where you normally turn this means that you’ve reached capacity of expansion. Direct your child to not spin it or play with it with his or her tongue. If your expander is broken or loose, please call our office so that we can add more glue to it and avoid all sticky food that tend to lift it up and move it around.

If you have an orthodontic emergency and would like to make an appointment, contact Lee Orthodontics- Orthodontist in Concord, CA, best orthodontist for Invisalign and metal and clear braces, by calling the office or using the online booking feature. We are serving patients in the San Francisco Area, East Bay area, including Concord, Pleasant Hill, Bay Point, Clayton, Martinez, Walnut Creek, Pittsburg, Lafayette, Alamo, Benicia, Orinda, Moraga, Danville, San Ramon, Hercules, Berkeley, and Oakland.