Dealing With Orthodontic Emergencies: What to Do When Braces Break

February 11, 2025

Orthodontic emergencies can happen unexpectedly, but knowing how to handle them can prevent further discomfort or damage. Whether it’s a broken bracket, a poking wire, or a lost elastic, these situations can be stressful if you don’t know what to do. In this blog, we’ll guide you through how to deal with common orthodontic emergencies, ensure your braces stay effective, and when it’s time to seek professional help from Somerville Orthodontics.

 

Common Types of Orthodontic Emergencies and How to Handle Them

 

Orthodontic treatment, while effective in achieving a beautiful smile, can occasionally lead to unexpected issues. Here's a breakdown of common orthodontic emergencies and how to handle them:

 

Broken Braces Bracket

 

A broken bracket is one of the most common orthodontic emergencies. Brackets can become loose due to eating sticky or hard foods or from an accidental hit to the mouth.

 

What to Do:



  • Inspect the loose bracket. If it’s still attached to the wire, gently push it back into position with a clean cotton swab.

  • Use orthodontic wax to cover the bracket and prevent it from irritating your cheeks or gums.

  • Avoid touching or pulling at the loose bracket until you can visit your orthodontist.

 

Poking or Protruding Wire

 

A wire sticking out from your braces can irritate or cut the inside of your cheeks or lips. This often happens as your teeth shift during treatment.

 

What to Do:

 

  • Use a clean pair of nail clippers or scissors (sterilized with rubbing alcohol) to trim the wire if it’s long enough to reach.

  • Apply orthodontic wax to cover the sharp end of the wire and minimize discomfort.

  • Rinse your mouth with saltwater to prevent infection in any irritated areas.

 

Loose Bands or Wires

 

Wires or bands can become loose due to normal wear and tear or accidental mishandling of your braces.

 

What to Do:

 

  • If the wire or band is still attached to your braces, avoid removing it yourself.

  • Use tweezers to reposition a displaced wire temporarily.

  • Contact Somerville Orthodontics to get the loose wire or band repaired promptly.

 

Soreness or Irritation from Braces

 

It’s common to feel soreness after braces adjustments or when they rub against your cheeks. While this isn’t an emergency, the discomfort can be bothersome.

 

What to Do:

 

  • Apply orthodontic wax to areas irritating.

  • Take over-the-counter pain relievers, like ibuprofen, to ease the discomfort.

  • Rinse your mouth with warm saltwater to soothe sores or cuts.

 

Lost or Damaged Elastic Bands

 

Elastic bands are essential for aligning your bite. If you lose or break them, it’s important to replace them quickly.

 

What to Do:

 

  • Always have extra elastics provided by your orthodontist on hand.

  • Replace the band following your orthodontist's instructions.

  • If you’re out of elastics, call Somerville Orthodontics for replacements.

 

When to Call Your Orthodontist

 

While minor orthodontic emergencies can be managed at home temporarily, there are certain situations where immediate professional care is needed:

 

  • A bracket or wire is completely detached and cannot be secured.

  • Severe pain or swelling in the mouth or jaw that doesn’t subside.

  • A wire is embedded in your gums, cheeks, or tongue.

 

At Somerville Orthodontics, we provide expert emergency orthodontic care to ensure your treatment stays on track and you remain comfortable.

 

How to Prevent Orthodontic Emergencies

 

Preventing orthodontic emergencies is crucial for a smooth and successful treatment experience. Here are some key preventive measures:

 

1. Dietary Awareness:

 

  • Avoid Hard, Crunchy, and Sticky Foods: These foods can easily damage brackets and wires. Some common culprits include: Popcorn, Nuts, Ice, Hard candies, Gum, Chewy candies (e.g., taffy, caramels)

  • Opt for Softer Alternatives: Choose foods that are easier on your braces, such as Soft fruits (e.g., bananas, berries), Yogurt, Mashed potatoes, Soups, Scrambled eggs, Pasta

 

2. Protect Yourself During Physical Activities:

 

  • Wear a Mouthguard: Whether you're playing sports or engaging in recreational activities, always wear a mouthguard to protect your teeth and braces from impact. Custom-fitted mouthguards are the most effective option.

 

3. Adhere to Orthodontic Instructions:

 

  • Wear Elastics and Appliances as Directed: Follow your orthodontist's instructions regarding the frequency and duration of wearing elastics and other appliances. Consistent use is essential for achieving optimal treatment results.

  • Keep Appointments: Regular check-ups with your orthodontist are vital for monitoring progress, adjusting appliances, and addressing any potential issues.

 

4. Maintain Excellent Oral Hygiene:

 

  • Brush and Floss Regularly: Brush your teeth thoroughly at least twice a day and floss daily to prevent: Food particles from getting stuck in your braces, Gum irritation, and infection Cavities

  • Use Orthodontic-Friendly Tools: Consider using interdental brushes or water flossers to clean around and under your braces.

  • Rinse with Mouthwash: Use an antiseptic mouthwash as directed by your orthodontist to help reduce bacteria and keep your mouth healthy.

 

5. Be Mindful of Everyday Activities:

 

  • Avoid Biting on Hard Objects: Refrain from biting on pens, pencils, fingernails, or other hard objects.

  • Store Retainers Safely: When not in use, always store your retainers in their designated case to prevent breakage or loss.

 

By following these preventive measures and maintaining close communication with your orthodontist, you can significantly reduce the risk of orthodontic emergencies and enjoy a smoother, more comfortable treatment journey.

 

Somerville Orthodontics Emergency Care Services

 

Orthodontic emergencies can be stressful, but by being prepared and knowing how to handle minor issues, you can minimize disruption to your daily routine and avoid unnecessary discomfort.

 

Why Preparedness Matters:

 

  • Reduced Anxiety: Knowing what to do in an emergency can help alleviate anxiety and stress. You'll feel more empowered to handle the situation calmly and effectively.

  • Minimized Discomfort: Quick action can often help prevent minor issues from escalating and causing significant discomfort. For example, using orthodontic wax on a poking wire can provide immediate relief.

  • Faster Resolution: By taking appropriate initial steps, you can often expedite the resolution of the issue when you see your orthodontist. For instance, keeping a broken bracket can help your orthodontist assess the damage more efficiently.

  • Prevention of Further Damage: In some cases, prompt action can prevent further damage to your braces or teeth. For example, reinserting a loose bracket can prevent it from falling off completely.

 

When to Contact Somerville Orthodontics:

 

Many minor orthodontic emergencies can be managed at home, it's crucial to contact Somerville Orthodontics immediately in the following situations:

 

  • Severe pain or discomfort that doesn't subside with home remedies

  • Significant damage to your braces, such as multiple broken brackets or wires

  • Loss of a significant portion of your appliance, such as a band or a large section of wire

  • Trauma to the teeth, mouth, or face due to an accident

  • Any concerns or questions regarding your orthodontic treatment

 

Remember:

 

  • Don't hesitate to reach out to Somerville Orthodontics for professional guidance and assistance whenever you're unsure how to proceed.

  • Your orthodontist is your best resource for any orthodontic-related concerns.

  • By being prepared, proactive, and seeking professional help when needed, you can navigate orthodontic emergencies with confidence and minimize disruptions to your treatment journey.

 

If you’re experiencing an orthodontic emergency, contact us right away to schedule an appointment. Don’t let an issue with your braces delay your progress toward the smile you deserve.

 

FAQs

 

What should I do if a wire cuts the inside of my mouth?

 

Rinse your mouth with warm saltwater to clean the cut and prevent infection. Cover the wire with orthodontic wax and call your orthodontist to have the wire adjusted.

 

Can I fix a broken bracket myself?

 

No, it’s best to leave a broken bracket to your orthodontist. Temporarily secure it with orthodontic wax and schedule a repair appointment as soon as possible.

 

What should I do if my braces cause severe pain?

 

Some discomfort is normal, but if the pain is intense and doesn’t subside, contact your orthodontist immediately to address the issue.

 

How can I prevent braces emergencies?

 

Avoid foods that can damage your braces, wear a mouthguard during sports, and follow your orthodontist’s instructions closely.

 

What if I lose an elastic band?

 

If you lose just one or two bands: It's usually not a major concern. Continue wearing the remaining bands and contact your orthodontist at your next scheduled appointment.

If you lose many bands: Contact your orthodontist immediately. They'll advise you on whether to continue wearing the remaining bands or stop until your appointment.

 

What if my retainer breaks or feels uncomfortable?

 

For removable retainers:

  • If it's slightly loose, you may be able to gently adjust it back into place.

  • If it's broken, keep the broken pieces for your orthodontist to examine.

  • If it's causing discomfort (e.g., rubbing against your gums), contact your orthodontist for adjustments.

  • For fixed retainers: Contact your orthodontist immediately if you notice any issues, such as breakage, discomfort, or loose wires.

 

What if I experience sudden tooth sensitivity after an orthodontic adjustment?

 

  • Mild sensitivity is common after adjustments as your teeth begin to move.

  • If the sensitivity is severe or persistent, contact your orthodontist. They may recommend pain relievers or adjust your treatment plan.

 

What if I experience swelling or redness around my braces?

 

Mild swelling and redness are sometimes normal. If the swelling is significant or accompanied by pain or fever, contact your orthodontist immediately. This could indicate an infection.

 

What should I do if I'm experiencing difficulty speaking with my braces?

 

Mild speech difficulties are common initially. If you continue to have significant difficulty speaking, contact your orthodontist. They may be able to make minor adjustments to your braces to improve your speech.

 

Get in Touch!

617-227-2421

51 Cross Street, Somerville, MA 02145

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