Orthodontic treatment is designed to improve your smile and oral health, but occasional discomfort or unexpected issues can happen. Mild soreness is common after adjustments and typically lasts a day or two. This can usually be managed with over-the-counter pain relievers such as ibuprofen, acetaminophen, or naproxen.
If discomfort feels unusual, worsens, or does not improve, Dr. Laurie McNamara and the team at McNamara Orthodontics are here to help guide you through the next steps and determine whether an appointment is needed.
What Types of Orthodontic Emergencies Can Occur?
Orthodontic emergencies generally fall into two categories. The first involves issues with orthodontic appliances, and the second includes direct injuries to the mouth or teeth. Understanding the difference helps ensure you receive the right care as quickly as possible.
What Should You Do for Orthodontic Appliance Issues?
During treatment, brackets, bands, or wires may occasionally loosen or shift. While these situations are usually not urgent, they should be addressed to keep treatment on track.
If you experience a loose bracket, band, or wire, please contact our office during regular hours to schedule an appointment. Walk-in visits are not available, as we need to respect scheduled patients.
Temporary steps you can take at home include:
• If a tie wire is irritating your cheek or gums, cover it with orthodontic wax or gently tuck it under the archwire using a clean pencil eraser or cotton swab
• If a band or bracket becomes loose, leave it in place and avoid manipulating it until your appointment
• If a wire is poking or uncomfortable, you may gently bend it inward with a pencil eraser or carefully trim it with nail clippers if necessary
If the problem cannot be managed comfortably, please call our office for guidance.
What Should You Do After a Direct Injury to the Mouth or Teeth?
If you experience a direct injury to your mouth or teeth, immediate care is important whether or not you are currently in orthodontic treatment.
Recommended steps include:
• Apply ice to the injured area to reduce swelling
• Contact your family dentist as soon as possible for evaluation
• X-rays may be needed to assess damage to the teeth or supporting structures
If a tooth has been knocked out, fractured, or displaced, your general dentist should be contacted first, as our office may not have the materials or anesthesia required to treat these injuries. Once dental care is completed, we can evaluate and adjust any orthodontic appliances as needed.
What If an Emergency Happens After Office Hours?
If you experience orthodontic discomfort or an emergency after office hours that causes pain, please contact our office. You will receive instructions on who to reach for further assistance.
If you are unsure whether a situation requires urgent care, our team is always happy to help you determine the best course of action. Your comfort, safety, and treatment progress are our priority at McNamara Orthodontics.