Got a Problem?

Orthodontic emergencies.At first, having orthodontic treatment may take a little getting used to. It isn't uncommon to experience a bit of soreness when appliances are first put on, or some minor aches as teeth begin moving into new positions. Yet it's comforting to know that genuine orthodontic emergencies are rare.

If you think you may have an emergency, however, the first step is to determine the severity of the problem: Is it an urgent situation that requires immediate attention, or a minor problem that you can take care of yourself, temporarily, until you can come in to our office?

A Major Emergency

There are only a few true orthodontic (or dental) emergencies. They include:

  • Trauma or injury to the teeth, face or mouth
  • Infection or swelling of the gums, mouth or face
  • Severe, unmanageable discomfort or pain in these areas

In any of these situations, please call our office at (303) 978-1104, and listen carefully as you will be given instructions on how to reach our on-call orthodontic assistant. Remember that he or she is trained to handle a range of orthodontic problems, and can most likely offer the necessary advice to handle the emergency.

Some Minor Troubles

Fortunately, the vast majority of orthodontic problems are minor compared to these situations — but they may still cause discomfort or irritation. In general, it's best to try and soothe the immediate cause of the discomfort, and then call our office to schedule an appointment; that way, we can allot sufficient time to take care of you. A great American Association of Orthodontists' resource for handling minor problems at home, which Dr. Urbaniak highly recommends, is available at https://www.aaoinfo.org/system/files/media/documents/OrthoEmergency-FLYER-13-hl.pdf.  Additionally, here are a few of the more common orthodontic problems, along with some tips on what you can do to relieve them at home:

Loose or broken brackets, bands or wires
This problem is often caused by eating hard or sticky candy or food, or playing with the braces. If the band or bracket is still attached to the wire, leave it as is — but don't connect any elastics to it! You can cover it with orthodontic wax if it's irritating the inside of your mouth. If it has come off, save it. In either case, call our office to let us know what happened, and we will schedule a visit. Be sure to bring any loose parts with you to the appointment!

Misplaced or poking archwire, bracket or tie
As the teeth start to move, the wire that connects them (archwire) may begin poking near the back of the mouth or irritating the cheeks. You can try moving the wire into a better position with a pencil eraser or a Q-Tip. If the wire won't move, you may be able to cut the end off with a nail clipper or wire cutter sterilized in alcohol.  If necessary, cut the wire into small pieces and remove the entire wire. The goal is to make the patient comfortable. Often, you can also use tweezers to gently move a misplaced wire or a tie that's causing problems.

When wires or brackets cause irritation, covering the metal parts with wax will often help ease the discomfort. As with any of these types of problems, call our office and we'll schedule a time to see you.

General tooth pain or loosening
It's normal for teeth to become slightly loosened during orthodontic treatment — that shows they're moving! Sometimes, this movement may be accompanied by tenderness, especially after braces are placed or adjusted. For minor soreness, you can use your regular over-the-counter pain reliever, such as Advil or any generic equivalent NSAID.  A three to five times-a-day salt-water rinse may also help: Mix half of a teaspoon of salt in an 8-ounce glass of warm water, and rinse for 30 seconds. 

While actual emergencies are rare, our goal is to make orthodontic treatment as comfortable as possible. If you need additional advice, don't hesitate to call us!