Holbert Family Orthodontics

Michael Holbert DDS, MDSc

Emergency Care

True orthodontic emergencies are rare, but when they occur we are available to you. As a general rule, you should call the office when you experience a painful appliance problem.  We may be able to help you over the phone, but if not we will schedule you an appointment to resolve the problem.

You might be surprised to learn you may be able to solve many problems yourself temporarily until you can get to our office. When working with your appliances, you need to know the names of their parts so you can identify which is broken or out of place.

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 will lengthen your estimated treatment time.

  • General soreness


    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.  We recommend taking Ibuprofen or Tylenol to help reduce the inflammation that is causing the achey feeling.  We also suggest rinsing or drinking cold water and maintaining a soft diet.

    The lips, cheeks, and tongue may also become irritated for one to two weeks as they toughen and become accustomed to the surface of the braces. You can put wax on the braces to lessen this irritation. Any 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. Placing Orabase on the affected area may also help; this can be found in your local pharmacy.
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  • Loose appliance


    If your appliance is poking you, place wax on the offending part and call our office to schedule a Comfort Care visit.
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  • Loose bracket


    If your bracket or band is still attached to the wire, you should leave it in place and put wax on it. If the wire comes out entirely, wrap the bracket with a tissue.  Please call our office in advance so we can schedule adequate time to repair your appliance.
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  • Loose wire


    Using a pair of tweezers, try to put your wire back into place. If doing this and using 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 your discomfort continues, place wax on it.  It is always best to call our office for instructions and to determine whether you will need to schedule a Comfort Care visit with us.
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  • Poking wire


    Using a pencil eraser, push the poking wire down or place wax on it to alleviate the discomfort.
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