True orthodontic emergencies are rare, but if you ever experience one, we’re here for you. If you're in severe pain or have an appliance issue you can't manage on your own, please call our office right away. We’ll schedule an appointment to get you feeling better as soon as possible.

You may be surprised to learn that many minor issues can be handled at home temporarily until we can see you. For example:

• If a piece of your appliance comes loose and you can safely remove it, place it in a small plastic bag or envelope and bring it with you to your next visit.

• If something is poking or irritating your mouth, apply orthodontic wax to the sharp area to ease the discomfort.

• If a wire has shifted and is sticking out, you may be able to gently move it back into place using clean tweezers or needle-nose pliers.

Even if you’ve managed to relieve the discomfort, be sure to contact us as soon as possible so we can properly fix the issue. Leaving a damaged appliance unattended could delay your treatment progress.

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GENERAL SORENESS

When your braces are first placed, it’s normal to feel some general soreness in your mouth. Your teeth may also be tender when biting for the first three to five days. During this time, it’s best to stick to soft foods until chewing feels comfortable again.

If your gums or other areas of your mouth feel irritated, rinsing with warm salt water can help. Simply dissolve one teaspoon of salt in eight ounces of warm water and swish it around your mouth for relief.

If the soreness is more intense, feel free to take the pain reliever you normally use for a headache — such as acetaminophen (Tylenol) or ibuprofen (Advil or Motrin).

Your lips, cheeks, and tongue might also feel a bit irritated during the first week or two as they adjust to the braces. This is completely normal. To ease the discomfort, you can apply orthodontic wax to any areas that are rubbing. Don’t worry — we’ll show you exactly how to do that!

HEADGEAR

Discomfort can sometimes happen if the headgear isn’t being worn as directed. Be sure to follow the instructions provided by Dr. Brown closely. If the facebow (the metal part) becomes bent or doesn’t fit properly, please give our office a call — we’re happy to help.

Remember, the more consistently the headgear is worn, the more comfortable it becomes over time. Sticking to the recommended number of hours will make a big difference!

LOOSE APPLIANCE

If your appliance is causing irritation, place a small piece of orthodontic wax over the spot that’s bothering you.

LOOSE BRACKET

If a bracket or band is still attached to the wire, leave it in place and cover it with orthodontic wax if it’s causing discomfort. If it comes off completely and can be removed easily, place it in a small envelope or container and bring it with you to your next appointment.

LOOSE WIRE

If a wire has come out of place, you can try to gently guide it back using a pair of tweezers or needle-nose pliers.

If you’re unable to move the wire into a comfortable position and wax doesn’t help, you can carefully trim it as a last resort. Use a clean pair of fingernail clippers to cut the wire behind the last tooth where it’s still securely attached. If the trimmed end is still sharp, cover it with wax to prevent irritation.

POKING WIRE

If a wire is poking, try using the eraser end of a pencil to gently push it down and out of the way. If that doesn’t work, cover the area with orthodontic wax to keep it from irritating your mouth.