Orthodontic Emergency Care
While true orthodontic emergencies are uncommon, they can occasionally happen during treatment. Our goal is to help you feel prepared, informed and supported every step of the way. Â Most orthodontic concerns fall into two main categories: issues with your appliances (such as braces or expanders) or direct injuries involving the teeth, gums, or mouth.
Understanding the difference can help you respond appropriately and know when to contact our office for guidance or care.
Orthodontic Appliance Emergencies
Braces and other orthodontic appliances are designed to be durable, but occasional issues can still occur. A bracket may come loose, a wire may shift or an appliance may become damaged during normal use. Â If you experience a problem with your braces or aligners, please contact our office during patient hours so we can schedule a time to see you. To provide the best care for ev very patient, all repairs are handled by appointment, and walk-in visits are not available.Â
Here are some simple steps you can try at home until we see you:
Poking ligature wire – If a small wire is causing irritation, you can cover it with orthodontic wax for relief. If needed, gently tuck it under the main archwire using a clean pencil eraser, the back of a spoon, or Q-tip.
Loose bracket – If a bracket becomes loose, leave it in place and avoid playing with it. Please contact our office so we can schedule a repair and keep your treatment on track.
Broken or poking archwire – If a wire is out of place or causing discomfort, try to covering it with orthodontic wax. You can also gently bend it back using a clean pencil eraser. If needed, carefully trim the wire with clean nail clippers. Contact our office so we can help and schedule a repair.
Direct Injuries to the Mouth and Teeth
If you experience a dental injury or orthodontic emergency involving your mouth or teeth, whether you are currently in braces or not, take the following steps:
Apply ice immediately to help reduce swelling and discomfort.
Contact your general dentist first for emergency dental care. They can evaluate the injury, take necessary x-rays, and treat the affected tooth or teeth.
Follow up with our office – If your braces or orthodontic appliances are damaged, we will repair or adjust them after your dentist has addressed the injury.
Tip: Injuries such as knocked-out, fractured, or displaced teeth require prompt attention from your general dentist. They are best equipped to manage these dental emergencies with the proper tools and anesthesia.
After-Hours Orthodontic Emergencies
If you are experiencing significant discomfort or an urgent orthodontic issue outside of office hours, please contact our office. Our voicemail will provide instructions on how to reach the on-call team member for orthodontic emergency care and guidance.
Orthodontic Emergency FAQs
Orthodontic emergencies can feel overwhelming, but most situations are manageable at home with the right guidance. These frequently asked questions will help you know what to do, what to avoid, and when to reach out to us-we’re always happy to help. With a few simple steps, you can stay calm, protect your smile, and keep your treatment moving forward.
How do I know if my orthodontic issue is a true emergency?
Severe pain that does not improve, facial swelling, bleeding, or trauma to the teeth may indicate a true emergency and should be addressed promptly.  Issues with braces or other orthodontic appliances are usually important—but not dangerous—and can typically wait for a scheduled visit.
Should I go to the ER for an orthodontic emergency?
Hospital emergency rooms are not equipped to repair braces or orthodontic appliances. The ER should only be used for serious situations such as severe dental trauma, uncontrolled bleeding, or significant facial injury. For most orthodontic concerns, please contact us-we’re happy to guide you and help arrange the appropriate care.
Should I keep wearing elastics (rubber bands) if something on my braces breaks?
If a bracket, post, or wire is damaged, it’s usually best to pause elastic (rubber band) wear until we can evaluate the situation. Please contact our office so we can guide you on the next steps and help keep your treatment on track.
What should I keep in a home orthodontic emergency kit?
A small at-home kit can make it easier to manage minor orthodontic issues. We recommend keeping orthodontic wax, nail clippers, a pencil eraser, clean tweezers, and an over-the-counter pain reliever on hand. Â Having these simple items available can help you stay comfortable until we’re able to see you. Â Be sure to save our number in your phone so you can easily reach us if needed.
Can I travel while in orthodontic treatment without worrying about emergencies?
Yes, traveling during orthodontic treatment is usually not a problem. We recommend bringing a few essentials such as orthodontic wax, an over-the-counter pain reliever, and your aligner cases or extra supplies. If  you’re unsure, feel free to contact us-we’re always happy to help guide you.
