While poking wire, loose band or broken braces aren’t serious issues to land you in an emergency hospital bed, they can still be painful and require immediate care. But what if you’re out of town or it’s a weekend and your orthodontics office is closed?
Good news is that you can solve most of the problems at home until you visit an orthodontist. We will be discussing some the common emergency care in this article.
First, thing is to assemble your orthodontic emergency kit. It can be assembled from some common found items at home. You will need the following:
1. Ligature Comes Off
A ligature is the technical name for the tiny rubber bands that hold the wire to the brackets. If a rubber ligature pops off, you may be able to put it back in place using a pair of sterile tweezers. First, sterilize the tweezers in rubbing alcohol. Next, carefully use the tweezers to return the ligature to its proper position. If a wire ligature is sticking out (but is not loose), bend it down with a Q-tip or pencil eraser to eliminate irritation. Once you’ve resolved the immediate concern, notify your orthodontist. You may need a quick check up to ensure no other ligatures have come loose.
2. Protruding Wire
Sometimes the end of a wire will come out of place, causing irritation to the inside of your mouth. Using a similar technique described above, use a Q-tip or pencil eraser to gently flatten the wire against the tooth. You can also apply dental wax to minimize discomfort. If the wire has become incredibly painful and is causing severe irritation of the gums and mouth tissue, another option is to clip the wire. This should be the last resort. Do not try to clip the wire yourself: have a parent, guardian or other adult assist you. First, reduce the possibility of accidentally swallowing the wire by folding tissue or gauze around the area. Next, use a pair of sharp clippers to snip off the protruding wire and then apply relief wax to the irritated area.
3. Loose Bracket or Wires
is the most difficult orthodontic emergency to treat at home. In general, as soon as you notice any loosening of a bracket or wire, immediately call your orthodontist to schedule a check-up. Brackets are the metal part of the braces that attach to the center of teeth using a special adhesive. Brackets are typically positioned in the center of each tooth. Most brackets only become loose when they are knocked off from playing contact sports (e.g., you’re struck in the face with a ball or elbowed in the mouth) or from eating hard, crunchy foods (here’s a list to avoid just to be safe!). If the loose bracket has rotated and the wire is sticking out, you can temporarily reposition the bracket using sterile tweezers. Slide the bracket along the wire until it is between two teeth. Rotate the bracket back to its correct position before sliding the bracket back to the center of the tooth.
Orthodontic emergencies are hardly a fun experience, but with the right tools on hand at home, you’ll be able to address much of this discomfort as quickly as possible. Always schedule a follow-up appointment with your orthodontist to discuss the problem. Not sure if metal braces and brackets are worth the discomfort and hassle? Another option is clear aligners from Invisalign, which discreetly straighten teeth without the need for brackets or wires.