Orthodontic Emergency Care
While true orthodontic emergencies are rare, they can happen. We want you to feel prepared and supported if something comes up during treatment. Most orthodontic concerns fall into two categories: issues with your appliances or direct injuries to the mouth and teeth.
Emergencies Related to Orthodontic Appliances
Braces and orthodontic appliances are durable, but they can occasionally break or become loose. If this happens, please call our office during patient hours so we can schedule an appointment. Walk-ins are not available for emergency repairs.
Here are some quick fixes you can try at home until you see us:
Irritating tie wire – Cover the wire with orthodontic wax or gently tuck it under the archwire with a clean pencil eraser or Q-tip.
Loose bracket or band – Leave it in place and call our office so we can determine if it needs reattachment.
Broken or poking archwire – Try bending it back with a pencil eraser or carefully trimming it with clean nail clippers. If discomfort continues, contact us.
Direct Injuries to the Mouth and Teeth
If you experience an injury to your mouth or teeth, whether you’re in orthodontic treatment or not, take the following steps:
Apply ice immediately to reduce swelling.
Contact your general dentist first to evaluate the injury, take x-rays if needed, and treat the tooth or teeth.
See us after your dentist – If your braces or appliances are damaged, we will repair or adjust them once your dentist has addressed the injury.
Tip: Injuries like knocked-out, fractured, or displaced teeth require prompt attention from your general dentist, as they have the tools and anesthesia needed to handle those cases.
After-Hours Emergencies
If you are experiencing significant pain outside of office hours, please contact our office. Our voicemail or instructions will guide you on how to reach the on-call provider for further assistance.
Frequently Asked Questions
Orthodontic emergencies can feel stressful, but most situations are manageable with the right guidance. These FAQs help you understand what to do, what to avoid, and when to seek professional help, so you can stay calm, protect your smile, and keep treatment on track.
How do I know if my orthodontic issue is a true emergency?
Severe pain, swelling, bleeding, or trauma to the teeth generally signals a true emergency. Appliance problems are usually urgent—but not dangerous—and can wait for a scheduled visit.
Should I go to the ER for an orthodontic emergency?
Hospital ERs generally cannot repair orthodontic appliances. They should only be used for severe dental trauma, uncontrolled bleeding, or facial injuries.
Can I continue wearing rubber bands if something on my braces breaks?
If a bracket, band, or wire is damaged, it’s usually best to stop rubber band wear until your orthodontist evaluates the appliance.
What should I keep in a home orthodontic emergency kit?
A small kit with orthodontic wax, nail clippers, a pencil eraser, clean tweezers, and non-prescription pain relievers can help manage minor issues.
Can I travel while in orthodontic treatment without worrying about emergencies?
Yes, but bring wax, pain relief, and aligner cases. If an issue arises, temporary fixes usually get you through until you return home.
