True orthodontic emergencies are rare, but when they occur we are available to you. As a general rule, you should always call our office when you experience severe pain or have a painful appliance problem you can't take care of yourself. We'll be able to schedule an appointment to resolve the problem promptly.
You might be surprised to learn that you may be able to solve many problems yourself temporarily until you can get to our office. If there is a loose piece that you can remove, put it in a plastic bag or envelope and bring it with you to your next appointment. If your braces are poking you, put soft wax on the piece that's sticking out (make sure to roll the wax around in your fingers to soften it first). If the wire has slid to one side, you can pull it back to the other side with needle-nosed pliers, replacing it in the tube on the back tooth.
After alleviating your discomfort, it is very important that you still call our office as soon as possible to schedule a time to repair the problem. Allowing your appliance to remain damaged for an extended period of time may result in disruptions to your treatment plan.
During business hours, please call our main line at (847) 486-0255.
If the issue requires immediate attention, during evening hours and on the weekend, please call our urgent care line at (847) 834-9710.
When you get your braces on, you may feel general soreness in your mouth, and teeth may be tender to biting pressures for three to five days. Stick to a soft diet until your teeth do not hurt to chew. Irritated gums and other sore spots can be relieved by rinsing your mouth with a warm salt-water mouthwash. Dissolve one teaspoonful of salt in eight ounces of warm water, and rinse your mouth vigorously. An alternative (better tasting) mouthwash is the Healthy Gums Rinse by The Natural Dentist. Placing Orabase on the affected area may also help relieve discomfort; Orabase can be found in a pharmacy. If the tenderness is severe, take Acetaminophen (Tylenol) or whatever you normally take for headache or similar pain. Aspirin, Ibuprofen (Motrin, Advil) and Naproxen Sodium (Naprosyn, Anaprox) actually slow the tooth movement, so it is not advisable to use them frequently while wearing braces.
The lips, cheeks, and tongue may become irritated for one to two weeks as they learn a new posture and become accustomed to the surface of the braces. You can put wax on the braces to lessen this. We'll show you how!
Sometimes discomfort is caused by not wearing the headgear as instructed by your orthodontist. Please refer to the instructions provided by your orthodontist. If the facebow (metal piece) is bent, please call our office for assistance. The headgear should hurt less the more it's worn, so be sure you get in the prescribed number of hours.
If your appliance is poking you, place wax on the offending part and call us to schedule an appointment to make it more comfortable.
If you have a cemented expander, Mara, Forsus or Esprit springs and you feel that any piece that was previously cemented is now loose or bouncy, please call us immediately so we can assess the situation and determine how quickly you need to be seen.
If you have a removable appliance (expander or retainer) that has broken, is lost, or is causing discomfort, please continue to wear the appliance, if possible, and call on the next business day to schedule an appointment.
If your bracket or band is still attached to the wire, you should leave it in place and put wax on it if needed for comfort. If the bracket or band can be removed easily, place it in an envelope and save it to bring to your next appointment. Unless the loose bracket is causing you discomfort, it is not an urgent matter. Always inform us of loose appliances immediately so we can ensure you have the appropriate appointment time scheduled to repair it.
Using a pair of tweezers or needle-nosed pliers, try to put your wire back into place. It is okay to use a piece of floss to tie the wire into place: tie the floss around the bracket in place of the missing colored o-ring. If you cannot put the wire into a comfortable position, and covering the end with wax doesn't help, as a last resort use a small fingernail clipper to clip the wire behind the last tooth to which it is securely fastened. If the end of the wire is still sharp, place wax on it. After that, please call us so we can make sure the wire was replaced correctly or to clip a persistent poking wire.
Using a pencil eraser, push the poking wire down or place wax on it so that it is no longer poking.