You might be surprised to learn that you may be able to solve many problems yourself temporarily until you can get to our office. True orthodontic emergencies are rare, but when they occur we are available to you. As a general rule, you should call our office when you experience severe pain or have a painful appliance problem you can’t take care of yourself. We’ll be able to schedule an appointment to resolve the problem.
Please do not hesitate to contact our office if you feel unable to handle a problem on your own, have questions, or need advice regarding discomfort with your orthodontic appliances. For those times when you need our help outside of normal business hours, and it can’t wait until our next business day, you can get in touch with us by calling or texting our Balhoff Ortho On-Call number at (337) 889-6019. At this number you can directly reach one of our helpful team members. If absolutely necessary, they will even make arrangements to meet you at our office! As always, we’re here to help make your treatment with Balhoff Orthodontics as smooth as possible!
If there is a loose piece you can remove, put it in a plastic bag or envelope and bring it with you to your next appointment.
If your braces are poking you, put soft wax on the piece that’s sticking out. If the wire has slid to one side, you can pull it back to the other side with needle-nosed pliers, and replace it in the tube on the back tooth.
After alleviating your discomfort, it is very important that you still call our office as soon as possible to schedule a time to repair the problem. Allowing your appliance to remain damaged for an extended period of time may result in disruptions to your treatment plan.
When you get your braces on, you may feel general soreness in your mouth, and teeth may be tender to biting pressures for three to five days. Stick to a soft diet until your teeth do not hurt to chew.
Irritated gums and other sore spots can be relieved by rinsing your mouth with a warm salt-water mouthwash. Dissolve one teaspoonful of salt in eight ounces of warm water, and rinse your mouth vigorously.
An alternative (better tasting) mouthwash is the Healthy Gums Rinse by The Natural Dentist. Placing Orabase on the affected area may also help relieve discomfort; Orabase can be found in a pharmacy.
If the tenderness is severe, take Acetaminophen (Tylenol) or whatever you normally take for headache or similar pain. Aspirin, Ibuprofen (Motrin, Advil), and Naproxen Sodium (Naprosyn, Anaprox) actually slow the tooth movement, so it is not advisable to use them frequently while wearing braces.
The lips, cheeks, and tongue may become irritated for one to two weeks as they learn a new posture and become accustomed to the surface of the braces. You can put wax on the braces to lessen this. We’ll show you how!
Sometimes discomfort is caused by not wearing the headgear as instructed by your orthodontist. Please refer to the instructions provided by Dr. Balhoff. If the facebow (metal piece) is bent, please call our office for assistance. The headgear should hurt less the more it’s worn, so be sure you get in the prescribed number of hours.
If your appliance is poking you, place wax on the offending part.
If your bracket or band is still attached to the wire, you should leave it in place and put wax on it if needed for comfort. If the bracket or band can be removed easily, place it in an envelope and save it to bring to your next appointment.
Using a pair of tweezers or needle-nosed pliers, try to put your wire back into place. It is okay to use a piece of floss to tie the wire into place: tie the floss around the bracket in place of the missing colored o-ring.
If you cannot put the wire into a comfortable position, and covering the end with wax doesn’t help, as a last resort use a small fingernail clipper to clip the wire behind the last tooth to which it is securely fastened. If the end of the wire is still sharp, place wax on it.
Using a pencil eraser, push the poking wire down or place wax on it so it is no longer poking.
* PLEASE NOTE: Any tooth discomfort or soft tissue irritations that persist for MORE THAN TWO (2) WEEKS may indicate a more serious condition that warrants specific treatment by our office, your general dentist, and/or another dental specialist. Please notify our office and/or your general dentist immediately if any such condition should persist.