Braces are designed to be strong and long-lasting, but accidents can happen. Whether it’s a broken wire, a loose bracket, or a lost elastic, orthodontic emergencies can be uncomfortable and sometimes painful. Most issues aren’t serious enough to require a trip to the emergency room, but knowing how to handle them can make a big difference in your comfort and treatment progress.
In this blog, we’ll go over what constitutes orthodontic emergencies, how to manage common problems at home and when to call your orthodontist.
What Is an Orthodontic Emergency?
Orthodontic emergencies fall into two categories: true emergencies and minor issues. True emergencies are rare but require immediate attention from your orthodontist. These may include:
- Severe pain that can’t be managed with over-the-counter medication
- Injury or trauma to the mouth, teeth, or face
- Infection or swelling in the gums, mouth, or face
Minor issues can often be managed at home until your next scheduled appointment. These include:
- Broken or loose brackets
- Poking wires
- Lost separators or elastics
- General discomfort from new braces or adjustments
Common Orthodontic Emergencies and How to Fix Them
Here are some common problems that occur with braces and what you can do about them.
1. Loose Brackets
Brackets are the small metal or ceramic pieces attached to each tooth. If one becomes loose but is still attached to the wire, leave it in place and use orthodontic wax to prevent irritation. If it falls off completely, store it in a small container and bring it to your orthodontist.
2. Poking Wires
Wires that stick out can irritate the inside of your cheeks or gums. To fix this:
- Try using a clean cotton swab or pencil eraser to gently push the wire into a more comfortable position.
- If that doesn’t work, place orthodontic wax over the end to prevent it from poking your skin.
- Don’t cut the wire yourself unless necessary and only if you’re confident you can do so safely with sanitized tools.
3. Lost Ligatures or Elastics
Ligatures (the small rubber bands or wires that hold the wire to the bracket) can come off. This isn’t an emergency, but you should call your orthodontist to schedule a repair. Do not try to replace them yourself.
4. Broken Wires
If a wire breaks, it can poke the soft tissues of your mouth and be painful. As with poking wires, use wax to cover any sharp edges and call your orthodontist for guidance. Never try to pull a wire out unless instructed to do so.
5. Discomfort After Adjustments
It’s normal to have some soreness after getting braces or after adjustments. This isn’t an emergency and should go away within a few days. In the meantime:
- Rinse your mouth with warm salt water.
- Take over-the-counter pain relievers as directed.
- Eat soft foods like mashed potatoes, yogurt, and smoothies.
When to Call Your Orthodontist –
You should contact your orthodontist if:
- You are in significant pain
- A bracket or band has come off completely
- A wire is causing injury or cannot be repositioned
- You have swelling or signs of infection
- You’re unsure about how to handle an issue at home
Don’t wait until your next appointment if something feels wrong. Prompt communication can prevent further complications and keep your treatment on track.
Preventing Orthodontic Emergencies
While not all problems are avoidable, you can reduce your risk with a few simple habits:
- Avoid hard, sticky, or chewy foods (like popcorn, gum, and ice)
- Wear a mouthguard during sports or physical activity
- Brush and floss carefully to keep braces clean and intact
- Follow all care instructions given by your orthodontist
Why Trust Lach Orthodontic Specialists for Orthodontic Care?
At Lach Orthodontic Specialists, we’re committed to creating confident, healthy smiles through personalized orthodontic care. With advanced technology, a highly experienced team, and a patient-first approach, we offer a full range of treatments from traditional braces to clear aligners for children, teens, and adults. Our goal is to make every visit comfortable, convenient, and results-focused so you can enjoy your best smile as early as possible.
Conclusion
Orthodontic emergencies can be frustrating, but with a little preparation and knowledge, you can handle most situations calmly and effectively. Remember, your orthodontist is your partner in this process; don’t hesitate to reach out if something feels off. The better you care for your braces, the smoother your braces treatment journey will be.