Orthodontic Emergencies - Braces in Glenview, Skokie, Wilmette IL
The following orthodontic emergencies and their treatments are listed in the order of the least severe to the most severe. Only the most severe emergencies may require immediate attention by Dr. Yarmolyuk. The majority of these are easily treated during a follow-up appointment.
Food caught between teeth
This is not an emergency, but can be a little uncomfortable or embarrassing when you wear braces. You can easily fix it with a piece of dental floss. Try tying a small knot in the middle of the floss to help remove the food, or use an interproximal brush or toothpick to dislodge food caught between teeth and braces.
Ligatures come off
Tiny rubber bands or small, fine wires, known as ligatures, hold the wire to the bracket. If a rubber ligature should come off, you may be able to put it back in place using clean tweezers. If a wire ligature comes loose, simply remove it with clean 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.
Of course, when one ligature pops off or breaks, others may follow. Be sure to examine all ligatures. You need to inform the office about missing or broken ligatures, and Dr. Yarmolyuk can then advise whether you should be seen for evaluation and replacement of ligatures.
It’s normal to have discomfort for a day or two after braces or retainers are adjusted.
But it can make eating uncomfortable. Discomfort during eating is both normal and temporary. Try to eat soft foods and rinse the mouth with warm salt water.
Some orthodontic patients are susceptible to episodes of mouth sores. While braces do not cause them, mouth sores 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 for you. 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. You can reapply topical anesthetic as needed.
Irritation of lips or cheeks
Sometimes new braces can be irritating to the mouth, especially when you eat. In that case, you can apply wax provided by our orthodontic office over the area of the braces causing irritation. Wax will make an excellent buffer between metal and mouth and you can then eat more comfortably. Furthermore, if you accidentally ingest the wax, it is not a problem. The wax is harmless.
Occasionally, the end of a wire will work itself out of place and irritate your mouth. Use
a Q-tip or pencil eraser 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 provided by our orthodontic office (See Irritation of Lips or Cheeks above for instructions on applying relief wax.)
Then, you need to inform Dr. Yarmolyuk about the problem. In a situation where the wire is extremely bothersome and you will not be able to see Dr. Yarmolyuk anytime soon, you may, as a last resort, clip the wire. Reduce the possibility of swallowing the snipped piece of wire by using folded tissue or gauze around the area. Use a pair of sharp clippers and snip off the protruding wire. Relief wax may still be necessary to provide comfort to the irritated area.
Loose brackets, wires or bands
If the braces have come loose in any way, you need to inform Dr. Yarmolyuk to determine appropriate next steps. Brackets are the parts of braces attached to teeth with a special adhesive. They are generally positioned in the center of each tooth. The bracket can be knocked off if you have eaten one of those hard or crunchy foods that you need to avoid, or if the mouth is struck while at play (you need to wear a protective mouth guard while playing sports).
If the bracket is off center, the adhesive may have failed. In that case, you need to call our office and inform Dr. Yarmolyuk, who will determine the course of action.
If the loose bracket has rotated on the wire, if it is sticking out and you cannot see Dr. Yarmolyuk right away, you can do a temporary fix to alleviate discomfort and prevent further damage. But be careful not to swallow the bracket or get injured in any other way.
To put the bracket back in place, use clean tweezers to slide the bracket along the wire until it is between two teeth. Rotate the bracket back to the proper position, and then slide it back to the center of the tooth.
Piece of appliance is swallowed
This is rare, but when it does happen, it can be fairly alarming to you. Try to stay calm. If you are coughing excessively or have difficulty breathing, you could have aspirated the piece. In that case you need to inform Dr. Yarmolyuk right away.
If you are able to see the piece, you may carefully attempt to remove it. But do not make the attempt if you could cause harm. You can then call our office and Dr. Yarmolyuk will examine you for problems that may result from the missing piece, such as looseness or irritation.
If you are unable to see the piece and believe it may be have been aspirated inform Dr. Yarmolyuk immediately.