If the main wire has come out of the tube on the back molar
tooth, you may attempt to reinsert the wire with a pair of needle
nosed pliers or tweezers. If you are having a difficult time and
the wire is not sticking you, place a piece of wax or sugarless
gum over the area.
If the wire is sticking you and wax does not help, the wire can
be cut with a small wire cutter or fingernail clipper close to
the back of the last brace.
If a bracket comes off it will remain connected to the
main wire by either the sliding door or clip (in the case of self-ligating
brackets) or a little rubber ring. You may use a pair of tweezers
to reposition the brace if it flips around the wire and becomes
a source of irritation. Call your orthodontist's office to inform
them of your situation.
If a bracket breaks off, save the bracket and call your orthodontist
to schedule a repair visit.
If you swallow any part of your braces, most of the time it
will pass. Eat a high fiber diet such as rolls, muffins and cereal
for a few days. However, if difficulty breathing is experienced,
you should seek immediate medical attention. X-rays will be taken
to determine the position of the swallowed piece and your physicians
will counsel you on your options concerning retrieval of the stray
| If your teeth are sore after a monthly visit to
your orthodontist, take aspirin, Tylenol or ibuprofen unless you
are allergic to them. Rinsing your mouth with a teaspoon of salt
dissolved in a glass of warm water can also be soothing. Placing
a numbing agent on your gum such as Orabase - B can also help.
If food becomes stuck between your teeth, use dental floss or
a proxy brush (the tufted brushes we give you when you get your
braces on) to dislodge the food.
If you cut the inside of your cheek, gums or tongue, apply finger
pressure to the bleeding site for several minutes. If the bleeding
won't clot, call your orthodontist or primary care-family dentist.
If a permanent tooth is knocked out of your mouth completely,
pick the tooth up by its top or crown, not by its root(s). Inspect
the tooth. If the tooth is clean, place the tooth back into its
socket immediately. If the tooth is dirty, rinse the tooth off
by jiggling it in a cup off water or milk before placing it back
in its socket. Do not scrub the tooth. Compare the appearance
of the tooth to neighboring teeth to make sure the tooth is not
turned around backward. Hold the tooth in its socket and immediately
go to your primary care-family dentist. If it is not possible
for you to reinsert the tooth in its socket, place the tooth in
a container of milk or cool water and carry it to your dentist
immediately. If the tooth remains outside of the mouth for over
30 minutes, it will seldom survive.