Emergencies

Accidents happen - what you can do in the case of...

Braces

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How to position wax to cover a bracket that can be irritating the cheek or lip

Protruding Wire

Occasionally, the end of the arch wire can irritate your mouth. Please call us or pop in during surgery hours to allow us to correct this for you. If you are unable to visit, tweezers can often be used to push the wire into place.

Lost or Loose Bracket

Sometimes the bracket can become debonded and the bracket may stay attached to the wire, or come away from the tooth. Please call us as soon as possible and we will check your patient notes and arrange you to come in. Generally, for front teeth we would prefer to rebond as soon as possible, but if not living close, rebonding can wait until your next visit.

Mouth Ulcers

During  treatment, areas of ulceration of the inner cheeks, lips or tongue may appear. This is not an emergency, but may be uncomfortable. Prompt relief may be achieved by applying a small amount of wax onto the bracket, and then applying topical anaesthetic directly to the ulcer. Both wax and 'brace relief' gel are provided to you by us when your braces are placed.

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Discomfort

With some braces, a rubber ligature (small coloured band around the bracket) may come off. This is not an emergency, and it will be replaced at your next scheduled visit.

Lost Band or Chain

It is not uncommon to experience discomfort for a day or two after braces are placed or adjusted, and eating certain foods can be uncomfortable. This discomfort is normal, and temporary! We encourage soft foods, warm salt water rinses, and where applicable, mild pain relief medicine such as Panadol or Nurofen.

Food stuck between teeth

This is not an emergency, but can be a little uncomfortable or embarrassing. It is easily fixed with a piece of dental floss, an interproximal brush (as shown), or a toothpick to dislodge food caught between teeth and braces. We provide floss and interproximal brushes and show you how to best use these the day your braces are placed.

Appliances

Removable appliances can be lost, which is why we always recommend you keep these safe in the box provided when not in your mouth. We recommend these only be removed to eat, brush your teeth, and for some contact sports. In the case of a lost appliance, we will generally need to make you a new one which will incur a fee.

Fixed appliances are unlikely to malfunction, however it can happen from time to time. In the case of a loose or lost plate, we will recement the appliance where possible, or sometimes make a new one if it has suffered any damage.

Expansion appliances both removable and fixed also come with keys to expand the plates, which can be lost easily if not looked after. Always keep these in a safe place - if lost, let us know immediately so we can give you a new one and not delay the expansion process.

Removable orthodontic appliance (plate), in this instance the for expansion and bite opening. Both expansion and bite opening gain space and reduce the need for tooth extractions.

Invisalign

Clear removable retainer in a retainer case. Retainers hold the alignment and prevent spaces opening. Removable retainers can also be used for bleaching to whiten teeth.

Invisalign is the appliance least likely to have any emergencies and accidents. This is because there is no metal or ceramic in your mouth - only removable plastic aligners. We do, however, bond small 'buttons' or 'attachments' of composite (filling materal) to some teeth, to help the plates adjust your teeth - sometimes, these can irritate you. In this case we can smooth them for you.

If you lose an aligner, it can take a few weeks for a replacement to arrive, as they are manufactured in the USA. We advise using great caution when taking these plates out to keep them in the box if not worn, to avoid them being lost or thrown out - being clear and flexible, they can be easily lost! We also advise to always keep your previous aligner, so if you lose your current one you can at least hold your teeth in position until your new aligner arrives.