True orthodontic emergencies are very rare, but when they do occur we are available to 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. When working with your appliances, you need to know the names of the parts of your appliances so you are able to identify what part is broken or out of place. 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 in your treatment plan.
The following solutions may help you relieve your discomfort:
Protruding or Poking Wire
If a wire is poking you, first try to bend it with a spoon or a pencil eraser. If you are unsuccessful, place a small piece of wax or wet cotton over it to buffer it. You may also try to snip the wire with nail clippers or wire cutters.
If a bracket, or brace, is loose and still attached to the archwire, leave it in place. If it flips around the wire and is uncomfortable, simply flip it back around so it is facing the normal direction. If it remains uncomfortable, cover with wax and call for an appointment.
If a band (metal circle around the back teeth) is loose and is still attached to the archwire, leave it in place. Do not attempt to connect elastics to a loose band. Discontinue wearing elastics until the band is recemented.
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.
When you get your braces on, you may feel general soreness in your mouth and teeth may be tender to biting pressures. Take acetaminophen (Tylenol) or ibuprofen (Advil) as you normally would for a headache. Plan soft foods for meals until the discomfort goes away — which is usually 2-4 days. If the discomfort gets progressively worse or remains the same after 4 days, call us!
The lips, cheeks and tongue may also become irritated for about one week as they adjust and become accustomed to the surface of the braces. There are a few things you can do to help cope with this. You can put wax on the offending braces to provide a smoother surface. We’ll show you how to do this! Also, you can be relieved by rinsing your mouth with a warm salt water mouthwash. Dissolve one teaspoonful of salt in 8 ounces of warm water, and rinse your mouth vigorously. Lastly, placing Orabase on the affected area may numb the area; this can be found in your local pharmacy.
Bleeding While Brushing
If you experience any bleeding when brushing or flossing, that usually means there is a local area of infection. Continue to keep the area clean by brushing, flossing and rinsing with Listerine. If a particular area is painful or you notice a bump of any sort, you should address this to Dr. Irving Eckstein and Dr. Azariy Yusupov as soon as possible.
In Case Of An Emergency
Should you need to get in touch with Dr. Irving Eckstein and Dr. Azariy Yusupov for an emergency, call the special emergency hotline 1(800) 449-1810.