How to Handle Orthodontic Emergencies: Broken Brackets, Wires, and More

Orthodontic treatment is a journey toward a healthier, more confident smile, but occasional hiccups like broken brackets or poking wires can happen along the way. While these situations can be uncomfortable or inconvenient, they are usually manageable with some practical steps. Here’s your guide to handling common orthodontic emergencies until you can come into the office.

Broken Brackets

A bracket is the small metal or ceramic piece attached to your tooth that holds the archwire in place. A broken or detached bracket can occur if you bite into something hard or sticky or experience trauma to the mouth.

What to Do:

• If the bracket is still attached to the wire but sliding, gently push it back into place using clean fingers or tweezers. Secure it with orthodontic wax to prevent it from moving.
• If the bracket has completely detached, carefully remove it from your mouth to avoid swallowing it. Store it in a clean container and bring it to your next appointment.

Call our office promptly so we can schedule a repair. While not typically an emergency, it’s important to address it soon to keep your treatment on track.

Poking Wires

Orthodontic archwires can sometimes shift, causing the ends to poke the inside of your cheeks, gums, or tongue. This can lead to discomfort or sores.

What to Do:

• Use a Q-tip or clean pencil eraser to push the wire back into place or flat against the tooth.
• Apply orthodontic wax over the end of the wire to reduce irritation. Make sure the area is dry before applying the wax for better adhesion.
• If the wire is too long and causing significant discomfort, you can usually trim it with sterilized nail clippers. Be cautious not to cut too much or damage other components.

If the wire continues to cause discomfort or you’re unable to fix it on your own, give us a call. We’ll ensure you get the relief you need.

Loose or Lost Bands or Spacers

Bands are the metal rings placed around your back teeth, while spacers are small rubber separators used to create space before the bands are placed. These can sometimes become loose or fall out.

What to Do:

• If a band or spacer is loose, try to leave it in place if possible. Avoid chewing in that area until your appointment.
• If a spacer falls out completely, call our office to determine if it needs immediate replacement.

Let us know as soon as possible so we can assess the situation and take appropriate action.

General Discomfort

Mild discomfort or soreness is common, especially after braces are adjusted or new aligners are introduced. This is a normal part of the process as your teeth begin to shift.

What to Do:

• Take over-the-counter pain relievers, such as ibuprofen or acetaminophen, as directed.
• Rinse your mouth with warm saltwater to soothe sore spots.
• Stick to a soft-food diet for a few days to minimize pressure on your teeth.

If the discomfort is severe or doesn’t subside within a few days, reach out to us. Prolonged pain may indicate an underlying issue.

Prevention Tips to Minimize Emergencies

• Avoid hard, crunchy, or sticky foods that can damage brackets and wires.
• Wear a mouthguard during sports or other activities where there’s a risk of impact to the face.
• Follow your orthodontist’s instructions carefully, including wearing rubber bands or aligners as directed.

At Vivid Orthodontics, we’re here to help you through every step of your orthodontic journey. If you experience an issue, don’t hesitate to contact us. Our team is dedicated to ensuring your treatment stays on track and your experience remains as comfortable as possible. Schedule an emergency visit or give us a call for guidance- we’re always here to assist!