Although major orthodontic emergencies are relatively rare, when they do happen it is important to seek immediate attention. By comparison, a minor orthodontic issue is something you can usually take care of yourself, or wait until your next scheduled appointment for care. Here are some guidelines to help you understand the difference between an orthodontic emergency and a minor issue.

Orthodontic Emergencies

Acute, Direct Injury to the Mouth, Jaw, or Teeth

Whether undergoing orthodontic care or not, if you injure your mouth, jaw, or teeth, you should see a doctor or dentist immediately. You may need an X-ray to determine the extent of your injury. If the injury affects the orthodontic appliances, they will need adjustment or possibly replacement, depending upon the extent of the injury.

Infected Teeth

It is possible for teeth to become infected following orthodontic treatment. This may or may not be related to your orthodontic appliances. If you experience pain or swelling around a tooth that gets progressively worse, seek professional care as soon as possible.

Minor Orthodontic Issues

While true orthodontic emergencies are rare, minor issues are much more common. Here are some examples of minor orthodontic issues that can be remedied on your own and/or fixed at your next office visit:

  • Poking wire
  • Loose bracket
  • Loose elastic band
  • Loose wire
  • Loose appliance
  • Headgear does not fit
  • Lost or broken elastic band
  • General soreness

Any of the above issues can happen as a result of normal usage, shifting, and wear of your braces. Eating unusually hard or sticky foods can cause or exacerbate these problems. Vigorous brushing of the teeth can also be a factor. None of these issues are emergencies unless they are accompanied by acute or prolonged pain or discomfort.

As for on-the-spot remedies, covering a loose bracket or wire with wax can be a quick fix to alleviate discomfort until your next orthodontist visit. Poking or protruding wires can be moved with a cotton swab or tweezers, or clipped down with nail clippers. Be sure to sterilize the tweezers or clippers in alcohol first. Cover any clipped wire ends with a small ball of wax.

Some soreness or small abrasions in the mouth are normal, especially with recent orthodontic work. Rinse your mouth with a saltwater solution comprised of eight ounces or warm water and one teaspoon of salt.

When in doubt, be sure to contact our Port St. Lucie office with any questions, or to schedule an appointment with Dr. Rachelle Dermody and Dr. Chris Dermody at Dermody Pediatric Dentistry & Orthodontics.

“I cannot say enough good things about Dermody Pediatric! The environment is kid-friendly and fun which is SO helpful for setting the mood for a non-stressful experience. The staff are so caring and do an incredible job at making your child feel at ease. My son had a chipped tooth that needed to be fixed and the experience was a breeze thanks to Dr. Rachelle and her wonderful team.” - Genevieve
“I took my son who has autism there today thinking they would not be able to do anything on him, but everyone was wonderful and Dr. Rachelle was exceptional. They knew just what to do to calm him down and everyone was so nice! Thank you ladies for helping my little boy! You’re awesome.” - Kerry
“My now teenager has been going to Dermody Dental since she was three years old. Dr. Rachelle, the hygienists, and the office staff have been phenomenal from our very first visit! Everyone is kind, knowledgeable, and seem to really care about my daughter & her dental hygiene. Thank you Dr. Rachelle & staff!” - Alicia