As part of any orthodontic journey, unexpected issues can arise from time to time, causing temporary discomfort and concern.
Whether your child experiences a loose bracket, a bent wire, or irritation after a sports injury, knowing what to do can make all the difference to preventing unnecessary pain and treatment delays.
Dr Gina Kilfeather, group orthodontic advisor at Dental Care Ireland, answers some frequently asked questions about how to handle common orthodontic emergencies that require attention before your next scheduled visit.
Q1. What qualifies as an orthodontic emergency?
An orthodontic emergency is any unexpected problem with your child’s braces, aligners, or other appliances that causes significant discomfort, interferes with treatment, or may harm the teeth or mouth if it is not addressed. Minor irritations such as a poking wire, for example, can often be managed at home temporarily but still warrant a call to your orthodontist.
Q2. What should I do if a bracket comes off my child’s braces?
If a bracket detaches from the tooth, it can cause irritation or make it difficult for the braces to work effectively. It is best to inform your orthodontist as soon as possible. In the meantime, use orthodontic wax to temporarily hold the loose piece in place and prevent rubbing against the cheeks or gums. If it has fallen off, bring the bracket with you to your child’s appointment.
Q3. How do I prevent a loose wire from irritating my child’s cheek?
Occasionally the end of a wire can work itself out of place and potentially cause sores on the tongue and cheeks. Until you can see the orthodontist, try using a clean pair of tweezers to gently reposition the wire, or place orthodontic wax over the sharp end to reduce irritation.
Q4. Can my child continue to wear aligners if they are slightly out of shape?
If your child’s removable retainer or aligner breaks or distorts, they should stop wearing it until it has been repaired. Wearing a damaged appliance that is sharp, painful, or badly distorted, could cause unintended tooth movement or injury. Contact your orthodontist as soon as possible to arrange a replacement.
Q5. How can I ease my child’s discomfort from irritation caused by braces?
Some children may experience small sores and irritation on the cheeks, lips, or tongue, as a result of adjustments or rubbing. Try rinsing with warm salt water first, and then use orthodontic wax to cover areas of concern. Over-the-counter pain relievers can help reduce inflammation and discomfort. If an injury occurred during sports or a fall, check for loose teeth and contact your orthodontist immediately.
Dr Gina Kilfeather is group orthodontic advisor at Dental Care Ireland, an Irish-owned network of 37 established dental practices nationwide.
