Emergency Care

Emergency Care

In Case of Emergency

True orthodontic emergencies are rare, but when they occur we are available to you. As a general rule, you should 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.


You might be surprised to learn you can temporarily solve many problems yourself until you can get to our office. When working with your appliances, you need to know the names of their parts so you can identify what is broken or out of place.


After alleviating your discomfort, it is very important that you 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 if time may result in disruptions to your treatment plan.

In Case of Discomfort

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. Irrigated 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. 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 or Gishy Goo (sold in the office) on the braces to lessen this. We’ll show you how!

Loose Appliance

Loose Bracket

If your bracket or band is still attached to the wire, you should leave it in place and put wax or Gishy Goo on it if needed for comfort. The bracket or band can be removed easily by removing the colored tier and sliding the bracket off.

Loose Wire

Using a pair of tweezers, 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 if the missing colored o-ring. If it is still sharp, place wax or Gishy Goo on it.

Poking Wire

Using a pencil eraser – push the poking wire down or place wax or Gishy Goo on it so that it is no longer poking.