Emergencies

Gently clean the area around the tooth, rinsing the mouth with warm water and gently flossing to remove any particles that may be lodged in the tissue around the tooth. If you child is still experiencing pain, please call our office to schedule an appointment. Do not place aspirin on the aching tooth. If the area around the affected tooth is warm, apply a cold compress and call our office immediately.

Apply ice to help reduce swelling and apply pressure with a clean cloth or sterile gauze to stop any bleeding. If the bleeding will not stop, call your physician or visit your local emergency room.

Please call the office to schedule an appointment.

If your child loses a permanent tooth, please call the office immediately. It is crucial to replace the tooth as quickly as possible. Handling the tooth by the crown, gently rinse the tooth, avoiding touching the root if at all possible. If you can place the tooth back in it’s socket, have your child bite down on gauze to keep it in place until you get to the office. If you can not place the tooth, put the tooth in a small container of milk or saliva until we can try to re-attach the tooth.

Gently rinse the area with lukewarm water and have your child place a cold compress on their face to reduce swelling. If you can locate the piece of broken tooth, place the piece in milk, and bring it with you to the office. If more than half of the tooth is broken off, please call us immediately.

Non-prescription pain relievers, such as acetaminophen or ibuprofen, can help with the temporary discomfort that sometimes occurs for the first day or two after an orthodontic adjustment.  A diet of soft foods for a day or two can also be helpful.

There are two types of ligatures that may be used to attach the arch wire to the brackets. They may be tiny rubber bands or small, thin wires.

If a rubber band ligature comes off, it may be possible to put it back in place using clean tweezers.

If a wire ligature comes off, it can be removed with clean tweezers. If it is poking the mouth but is not loose, it may be possible to bend it back down away from the tissues with a Q-tip or clean pencil eraser. Let our office know about the problem so that we can decide if we need to see you before your next scheduled appointment.

Non-medicated orthodontic relief wax can be placed over brackets or wires that may be irritating the mouth.

Dental floss, an interproximal brush, or a toothpick can be used for removing food that gets caught between teeth or wires. Sometimes tying a knot in the dental floss before threading it through the brackets can help to catch and remove the food.

If a wire is out of place and poking the cheek, use a Q-tip or pencil eraser to push the wire against the tooth. If this is not possible, or if the wire is still uncomfortable, place wax over the end of the wire and call our office to set up a time to have the wire adjusted and put back into place.

Rinsing with warm salt-water several times a day can help to heal sores in the mouth. To lessen discomfort, topical anesthetic treatments, such as Orabase or Ora-Gel, can be applied with with a Q-tip to any abrasions or sores in the mouth.

For minor sores in the mouth, Peroxyl, an antiseptic rinse containing hydrogen peroxide, can be used to reduce inflammation and prevent infection. Use Peroxyl up to 4 times per day after brushing. Refer to the product label for specific instructions.