Braces and orthodontic appliances are built to last, but from time to time, things can go a little off track. Whether it’s a poking wire, a broken bracket, or discomfort after an adjustment, orthodontic issues can be stressful if you’re not sure what to do.
At Providence Orthodontics, we want you to feel prepared and confident when the unexpected happens. Here’s a helpful guide to recognizing and managing orthodontic emergencies—and when to give us a call.
What Is an Orthodontic Emergency?
First, it’s important to know that most orthodontic “emergencies” are not true medical emergencies. While they might be uncomfortable or annoying, they can usually be managed at home until we can see you in the office.
That said, if your child or teen experiences trauma to the face or teeth, severe pain, or excessive bleeding, you should seek immediate dental or medical attention.
Here’s a breakdown of the most common orthodontic emergencies—and how to handle them.
Common Orthodontic Emergencies (and How to Manage Them)
1. Poking or Broken Wire
What’s happening: A wire has shifted or broken and is poking into the cheek or gums.
What you can do:
- Try using the eraser end of a pencil to gently push the wire back into place.
- Use orthodontic wax (we provide this at the start of treatment) to cover the sharp end.
- If the wire is too long and causing discomfort, call us to schedule a quick repair.
2. Loose or Broken Bracket
What’s happening: A bracket has detached from the tooth but may still be connected to the wire.
What you can do:
- Leave it in place if it’s not causing pain.
- Cover with wax if it’s irritating the inside of the mouth.
- Avoid hard, sticky, or crunchy foods that could make the problem worse.
- Call our office so we can reattach or replace the bracket.
3. Lost Separator or Spacer
What’s happening: A rubber separator (used before certain appliances or bands) has fallen out.
What you can do:
- This is not urgent, but let us know so we can replace it if necessary.
- Sometimes a lost spacer means your teeth have moved as expected—which is a good sign!
4. Soreness After Adjustment
What’s happening: Mild to moderate soreness after new braces are placed or following an adjustment.
What you can do:
- Stick to soft foods like yogurt, soup, mashed potatoes, or smoothies.
- Use over-the-counter pain relief as recommended (with parental guidance).
- Rinse with warm salt water to soothe the gums.
This usually subsides within a few days and is completely normal.
5. Appliance Comes Loose
What’s happening: A device like a palatal expander or space maintainer becomes loose or detached.
What you can do:
- Avoid forcing the appliance or trying to remove it at home.
- Call us as soon as possible so we can secure it or repair it properly.
6. Mouth Sores or Irritation
What’s happening: Braces rubbing against the inside of the cheeks or lips.
What you can do:
- Use wax to create a buffer between the bracket and sore area.
- Rinse with warm salt water to help heal the sore.
- If the irritation persists, let us know—sometimes minor adjustments can help.
When to Call Providence Orthodontics
Always feel free to reach out to us if you’re unsure whether something is an emergency. We’d much rather hear from you and help than have you tough it out in silence.
Call us right away if:
- A wire or bracket is causing pain or injury
- An appliance has come completely off
- You experience trauma to the face or teeth
- You’re unsure how to manage an issue at home
Sometimes, we can offer same-day emergency appointments when needed, and our friendly team will walk you through what to do if we can’t see you right away.
At Providence Orthodontics, your comfort and safety are always our top priorities. Whether it’s a minor fix or something more urgent, we’re here to keep your treatment on track—and keep you smiling confidently through the entire journey.