Orthodontic Emergency

Sports are a great way for children and teens to exercise, learn the value of teamwork, and have fun.  Many of our patients play sports while in orthodontic treatment. Dr. Barden recommends that patients always wear a properly fitting mouthguard when playing sports, whether it’s for fun, during practice, or during competition.  Learn more about the importance of mouthguards when playing sports.

If a sports-related dental emergency occurs, here are some helpful tips provided by the American Dental Association.

Knocked out tooth. If the tooth is dirty, hold the tooth by the top (crown) and rinse gently.  If possible, you can try to insert the tooth back into the socket. Otherwise put the tooth in a container with milk. Contact your dentist immediately for an emergency visit.

Cracked or broken tooth.  Rinse your mouth with warm water and put a cold pack on the face to minimize swelling.  Save the broken part of the tooth in a wet cloth. Contact your dentist immediately for an emergency appointment.

Jaw possibly broken.  Apply a cold ice pack on the face to minimize swelling and contact your dentist or go to the emergency room immediately.

Bitten tongue or lip.  Clean the area gently and use cold packs on the area to minimize swelling. Contact your dentist or go to the emergency room if there is heavy bleeding that does not stop after a short period of time.

Mouthguards can prevent or minimize many sports-related injuries. Ask Dr. Doug Barden or his staff if you have any questions or need a mouthguard that works with braces. Check out more emergency care tips on our website.

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You will be happy to hear you may be able to handle many minor orthodontic issues at home. The following information is provided by the American Association of Orthodontists. Always call us if you have any questions or concerns!

Tools + Supplies

With these tools and supplies on hand, you will be prepared to handle the most common orthodontic issues

• Orthodontic relief wax
• Dental floss
• Disinfected tweezers
• Q-tips
• Salt
• Interproximal brush
• Toothpicks
• Non-prescription pain reliever (acetaminophen or ibuprofen)
• Topical Anesthetic (such as Orabase or Ora-Gel)

Lost O-ring

An “O” ring is the tiny rubber band or sometimes a very thin wire (ligature), that holds the orthodontic wire in the bracket/brace. If a rubber o-ring should come off, you may be able to put it back in place using disinfected tweezers. If a wire ligature comes loose, simply remove it with the tweezers. If the wire ligature is sticking out into the lip but is not loose, it may be bent back down with a Q-tip or pencil eraser to eliminate the irritation.  Should this happen, be sure to contact your orthodontist to notify them and come up with a plan for repair. Note: self-ligating brackets don’t use o-rings.

Discomfort

It’s normal to have some discomfort during orthodontic treatment as your teeth move however it should not last longer than a couple days. Rinsing your mouth with warm salt water and over-the-counter pain relievers, such as acetaminophen or ibuprofen, may alleviate some discomfort.  If the discomfort lasts longer than a couple days, be sure to call your orthodontist to discuss.

Mouth Sores

Some patients are susceptible to episodes of mouth sores. While braces do not cause them, they may be precipitated or exacerbated by an irritation from braces. One or several areas of ulceration of the cheeks, lips or tongue may appear. This is not an emergency but may be very uncomfortable. Prompt relief may be achieved by applying a small amount of topical anesthetic (such as Orabase or Ora-Gel) directly to the ulcerated surface using a cotton swab – reapply as needed.  If after a couple days the discomfort does not resolve, call your orthodontist to discuss.

Irritation in Mouth

Sometimes braces or wires can be irritating to the mouth, especially when eating. A small amount of orthodontic relief wax makes an excellent buffer between metal and mouth. Simply pinch off a small piece and roll it into a ball the size of a small pea. Flatten the ball and place it completely over the area of the braces causing irritation.  Wax can be purchased at any drug store if you are unable to get some from your orthodontist during this time.

Protruding Wire

Occasionally the end of a wire will work itself out of place and can irritate the mouth. Use a Q-tip or clean tweezer and try to push the wire so that it is flat against the tooth. If the wire cannot be moved into a comfortable position, cover it with relief wax. Should changes with your wires occur during this time be sure to contact your orthodontist to make them aware of the issue.

Loose Braces or Bands

If the braces or bands have come loose in any way, call your orthodontist to determine appropriate next steps.

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updated May 2021