Stay calm and breath. Most orthodontic emergencies can easily be resolved at home. If it is after normal business hours, leave a message on our emergency voicemail at (843) 818.KIDS (5437), and our on call team member will call you back. If the situation isn't severe, please call us the next business day.
Video 1: How Broken Brackets Happen
Video 2: At Home Fixes To Broken Wires
Video 3: Foods To Avoid When You Have Braces
Video 4: Turning Your Palatal Expander
Broken or Loose Bracket
If the bracket is still attached to the wire, leave it in place and put wax on it. With this scenario or if the bracket is completely off, call the next business day to schedule an appointment to have it rebounded.
Try reinserting the wire back into the tube with tweezers. If you aren't able to reinsert the wire, clip the wire behind the last tooth to which it is still attached. Use fingernail clippers, small scissors or small wire cutters that have been washed and sterilized in alcohol. Apply wax if wire is rubbing.
Sometimes a poking wire can be resolved by moving it away with an eraser. If the wire won't budge, cover the end with a dab of wax. If it's still painful, you can cut it with small scissors or a small wire cutter that has been washed and sterilized in alcohol. If you cannot resolve the wire irritation, call our office the next business day and to schedule an appointment to clip the wire.
Soreness is common after the initial placement of brackets and monthly adjustments. Rinse with warm salt water and take Tylenol or Advil as necessary.
Mouth Sore (Ulcers)
Rinse with warm salt water to aid healing. Cover any exposed, rubbing areas with wax. You can also purchase Colgate Peroxyl mouth sore rinse at your local drugstore.
Dry the area completely with a Q-tip or cotton ball. Remember, wax will not stick to anything wet. Roll a small piece of wax into the shape of a ball. Gently shape the ball of wax over the irritating bracket or wire.
Turning Your Palatal Expander
A Palatal Expander is a very common appliance in orthodontics. It improves the way the upper and lower jaw fits together. It widens the jaw so there is more room for permanent teeth to erupt. After delivery of the expander the orthodontist will inform you on how many turns will be needed for accurate correction.