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.
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.
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!
Sometimes discomfort is caused by not wearing the headgear as instructed by your orthodontist. Please refer to the instructions provided by your orthodontist. If the facebow (metal piece) is bent, please call our office for assistance. The headgear should hurt less the more it’s worn, so be sure you get in the prescribed number of hours.
If your appliance is poking you, place wax on the offending part.
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.
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.
Using a pencil eraser, push the poking wire down or place wax on it so that it is no longer poking.
Your First Visit: What To Expect
Every smile starts with an initial consultation!
Braces or aligners just for you.
Your new smile.
Answers To Your FAQs From Dr. Andrew Rosen
If you want to improve the look and feel of your smile, then any age can be a great time to see an orthodontist. The American Association of Orthodontists recommends that children first visit an orthodontist around the age of seven; however, orthodontic treatment is not exclusive to children and teens.
About one in every five orthodontic patients is over the age of 21. Whether you’re considering treatment for yourself or for a child, any age is a good time to visit our office.
We will thoroughly explain your options to you after he completes the exam, and will recommend the best course of treatment. You’ll learn the answers to five important questions during your consultation appointment, including:
- Is there an orthodontic issue, and if so, what is it?
- What treatment is needed to correct the problem? Can braces and/or Invisalign correct the problem?
- Will any teeth need to be removed?
- How long will treatment take?
- How much will treatment cost?
We can only determine treatment costs after your initial consultation is completed, as each patient’s case is unique. You can learn more about our Financing & Insurance policies on our website, or speak to one of our staff members at the office. We’ll review your financing options with you, and will work with you to maximize your insurance benefits.
If you think you or your child needs braces, you may be surprised to learn you do not need a referral from your dentist. You can make an appointment with Braces520 any time to discuss your orthodontic needs and set up a treatment plan.
It is also important to note that if your dentist does make a referral, you do not need to choose that orthodontist. You’re free to see anyone you feel can do the best job for you.
This doesn’t mean your dentist is not an important part of your care. He or she definitely is. It is important to continue to see your dentist throughout your orthodontic care.
With or without a referral, you should bring your child for an orthodontic consultation by age 7, as the American Association of Orthodontists recommends. Examining young children before all the permanent teeth have erupted may enable an orthodontist to correct problems that would be more difficult and costly to address later.