Orthodontic Emergency

Orthodontic Emergency Tips

December 13th, 2013

We are in the midst of the holiday season and that means crazy times for all of us.  Our calendars are full with holiday shopping, celebrations and gift giving.  Our time seems to be limited on the normal daily activities.  Throw in an orthodontic emergency and you scramble to try and fit that appointment into your schedule.

Bellard Orthodontics feels your pain during this time and we would like to help alleviate some of your discomfort.  Although true orthodontic emergencies are rare, below are some tips on handling these situations with holiday cheer.  Of course, you may call our office to assist you if these tips do not help.  If you need to reach us after hours or while our office is closed December 19 - January 1 for the holidays, call 409-782-6760 and we will call you back to help you as soon as possible.

General Soreness

It is common for you to feel sore a couple of days after your braces or retainers have been adjusted.  Remember, this is temporary and very normal.  To help with the soreness, rinse your mouth with warm salt water.  If you are allowed to take over-the-counter pain medicine, take what is normally given for pain.  Eating may be uncomfortable, as well, eating soft foods will be much easier on your mouth.

Mouth Sores

Mouth sores do happen and for some patients, it is more common than with other patients.  These sores can appear inside the cheeks, on the lips and even on the tongue.  Unfortunately, they can be uncomfortable.  Braces do not cause the sores but they can trigger or aggravate the area.  Using a topical anesthetic such as Orabase or Ora-Gel will give immediate relief.  Apply the ointment as often as needed.  Make sure to use a cotton swab to keep from other areas getting infected.

Tenderness of the Mouth

When you get your braces, your mouth is not use to having this new appliance.  It may take a while for your mouth, cheeks, lips and tongue to get use to the new feeling.  Eating with your new braces can be irritating.  A small amount of relief wax will help by giving a cushion between your cheek and braces.  You can pinch off a small piece and roll it into a tiny ball.  Flatten the wax and place it completely over the area of braces that is causing the discomfort.  This trick will help make eating and talking so much easier and you will feel better in no time.  If you accidentally swallow the wax, do not worry because it is completely harmless. If the irritation does continue, please call Bellard Orthodontics.  You may need an adjustment to help out.

Noticeable Food Stuck Between Braces or Teeth

This is more of an embarrassment, or a bit of an uncomfortable situation, than it is an emergency. Fortunately, this is an easy fix with a piece of dental floss. A small knot tied in the middle of the dental floss will help with the removal of the food.  You may also use an interproxal brush or pick to help oust the food that is stuck between the teeth and braces.  Always remember to be careful not to hurt the gums or damage the braces.

If You Lose a Rubber or Wire Ligature to the Bracket

If a rubber ligature, which holds the wire to the bracket, should come off, you may be able to put it back in place using sterile tweezers. If it is a small wire ligature, you can simply remove the wire by using sterile tweezers.  There are times when the wire ligature sticks out and pokes into the lip.  You may simply bend the wire back with a cotton swab or pencil eraser.

Wire Pokes

There are times when the wire feels as if it slides out the back or out of the bracket.  This will cause your mouth to get irritated and be quite uncomfortable.  You can use a cotton swab or a pencil eraser to push the wire so it is flat against the tooth.  Occasionally the end of a wire will work itself out of place and irritate the patient’s mouth. If you cannot get to the wire because it is in a difficult position, use your relief wax to cover the wire.

If you cannot come in to our office anytime soon or the wire is extremely bothersome, give us a call so we may schedule an appointment to clip your wire.

What if I Have a Broken Bracket

Brackets are what holds the wires of the braces in place.  Brackets are strong and tough but if you eat hard, crunchy or sticky types of food, they can loosen and even come off the tooth.  If hit hard enough in the mouth, the same result could happen as well.  This is why it is best to avoid foods that are not friendly to braces and wear a mouth guard during any type of physical activity.

The best thing to do if a bracket breaks or comes loose is contact our office. Dr. Bellard will want to examine your mouth and decide the best approach to fix your bracket. If you are unable to get to our office right away, you can do a quick fix by using sterile tweezers to slide the bracket until it is between the teeth.  Turn the bracket back to the correct position and place it back on the center of the tooth.  Remember this is just a temporary fix.  It is best to see Dr. Bellard as soon as possible.

Emergency Orthodontic Care!

October 29th, 2012

Our team knows that orthodontic emergencies are never convenient nor timely. If you are a patient of record, our team is committed to your dental health and we are more than willing to see you after hours or over the weekend. 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. If you have an orthodontic emergency after regular office hours, please give us a call. If you are calling us after hours, please follow the emergency prompts to learn how you may be able to solve the problem yourself, or, if you cannot, how to get in contact with our team.

Common issues include:
*Broken Brace
*Broken Wires
*Tie has come off of a Brace
*Loose Expander
*Poking Wire Tie
*Sharpness Felt on the Tongue Side of a Brace
*Loss of a Separator
*Initial Soreness
*Wire Poking

You might be surprised to learn that you may be able to temporarily solve many problems yourself until you visit our office, but please never hesitate to call!

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