KNOW WHO IS BEST AT THE HANDLING OF ORTHODONTIC EMERGENCIES, POKEY WIRE, WAX PLACEMENT, WIRE CUTTING
If you have ever underwent a true orthodontic treatment, you know how valuable orthodontic care is in the process. Braces, a headgear, retainers, and aligners are just some of the popular orthodontic appliances today. Given the nature of your orthodontic issue, you might use a different device as treatment. Because of that, your treatment plan may cause a greater need for orthodontic care.
Today, let’s answer the most common orthodontic care questions as well as when it is wise to seek help.
What Does Orthodontic Care Include?
Orthodontic care is related to any type of problem you might have with or because of an orthodontic appliance you are using. From cracking a band or bracket, to gum and teeth damage, here is when you need to seek orthodontic care.
If you directly/physically harm the mouth or teeth
If you experience a direct injury to the mouth or teeth, regardless if your orthodontic treatment, you need to ask for medical help. Here, you can make an appointment with your regular dentist or orthodontist if you are currently in treatment. In case there is harm to the oral cavity or teeth, the dentist/orthodontist may use anesthesia to fix the issue.
The same goes for orthodontic appliances, which can also break as a result of a physical impact.
Orthodontic Appliances Problems
Today, there is an array of orthodontic tools which can provide excellent treatment. But, as with everything else, orthodontic appliances can, too, break or become distorted. Depending on the type of orthodontic appliance you are using, seek orthodontic care if:
- You lose a braces elastic band – bands serve to keep the braces working at all times, and are easily replaced. This is often one of the most common issues for seeking orthodontic care.
- A loose bracket – brackets are usually attached to the teeth, and as the glue wears off, the bracket loosens. Should that happen, don’t hesitate to get it replaced and make sure all other brackets are firmly positioned on the teeth.
- Poking wires – most braces have supporting wires which apply pressure on the teeth and keep them Sometimes, or as the teeth move, the wires move as well. In many cases, the wire can poke out the braces, causing irritation or pain the gums, inner cheeks, and tongue. Also, habits like chewing on hard objects like pens and pencils can impact the wire firmness, too.
Most orthodontic offices will provide you orthodontic care by scheduling an appointment. In case you are having an emergency, make sure you visit your orthodontist urgently. Also, during treatment, many offices provide you with an orthodontic Emergency Kit, so don’t hesitate to use it.
Other Factors Which Require Immediate Orthodontic Care
Soreness in the mouth
All orthodontic treatments will eventually cause some degree of discomfort. Mostly, you will notice a slight pain or tenderness when biting, chewing. Typically, these symptoms are initial and will likely go away. Sure, if you are feeling uncomfortable and uneasy, don’t hesitate to ask your orthodontist for a milder sedative.
Other areas in which you may experience soreness include the cheeks and the lips. Know that the cavity will need some time to get used to the braces, so let it.
Most patients who wear a headgear complain of discomfort. The reason this is so is because headgear is not placed adequately. Your orthodontist will provide you with proper instructions on placing the appliance, so make sure you follow them. In case you notice a bend in the facebow, ask for orthodontic care at once. Another thing to know on headgear is that the pressure lessens as you wear it more, so put in the hours and save yourself the pain.
What can you do in the meantime?
Before heading to your appointment, you can still help yourself with common orthodontic issues. Here are a few useful tips to serve you:
- Try eating softer foods in the first week of orthodontic treatment. Eggs, rice, yogurt, and mashed potatoes make good dishes for the first days of wearing an appliance. Avoid chewy and sticky products, by eating foods that don’t make your teeth work harder than necessary. Also, keep cold foods away for a while. Ice creams, icicles, and iced drinks may cause excessive sensitivity in the teeth and gums.
- Occupy your mind with something else. Instead of thinking about the discomfort you’re having, try avoiding it. Spend your first days of treatment relaxing or doing an acidity you like – swim, paint, cook…the choices are limitless.
- Meds – milder pain reliever can help you manage the uneasiness you feel. Take an ibuprofen as something to help you kick off the pain, but keep its use moderate.
If none of these work, even temporarily, please contact our office for an emergency appointment.
What if my appliance becomes loose?
If you are at home, place a bit of beeswax on the loose end of the device and place it back in the mouth. The wax makes the wires smoother, so it will keep you from bleeds until you get proper orthodontic care.
What if I have loose brackets?
Make sure to notice whether the bracket is still attached to the wire. If this is the case, let it be and wax it for the time being. If it is detached, warp and save the bracket for your orthodontic care appointment.
What if my wire becomes loose?
This is where tweezers become your best friend. Use tweezers to reattach the wire in its respective place. If you cannot reach the wire with tweezers, try using wax to alleviate the pain. If that doesn’t work as well, take a small fingernail clipper and secure the wire at the last tooth. Wax it well using a pencil eraser and wait for your appointment.
What if my teeth feel loose or moving?
Actually, this is exactly what the treatment does. It moves the teeth around so they fall into their corresponding place. As the teeth move, you might feel they are looser, but they will be once again settled after finding their suitable place.
To prevent discomforts during teeth movement, try to use warm water and rinse the mouth. Combine 1 teaspoonful salt and 8 oz. water. Mix well and rinse the mouth for 30 seconds. Also, apply a warm cloth on the painful area before going to sleep.
For any other questions or to schedule an appointment, please call our office – we got your back!
FIVE-STAR PATIENT TESTIMONIALS
Awesome experience with Dr. Ivanov! He shows great passion in his work, and cares about his patients and their concerns. I had my braces for 1yr 11 months and now I’m wearing my retainers. It amazes me as I look at my before and after pics of how great he is. Very happy and well pleased with my results that I referred a colleague of mine. Special thanks to Dr. Ivanov and his team for the fabulous job done!
I took my son to Dr. Ivanov because he had a severe overbite. The doctor explained everything to me with patience and understanding. I noticed the improvements in no time. I thought my son would be in braces for 3-4 years. My son, under Dr Ivanov’s care, now has the straightest most beautiful teeth (in only 2 years)!. The shape of his face adjusted to the changes as well and he looks ‘Hollywood’ Ready’. I am very satisfied with the doctor’s work. His office staff is great as well. Dr. Ivanov is very professional and I highly recommend!
Amazing experience! I’ve had my braces for 6 month now and I’m impressed of how much my teeth have changed. No pain at all. Dr. Ivanov is such a sweet person and very professional, he knows what he’s doing and always cares for patients personal concerns. Highly recommended!
Dr . Ivanov is in one word AMAZING . I been under his care for a year and I got to say What a change!!! I cannot wait to see the final results . . He always answers all my questions, in every visit he will take the time to understand how my teeth are improving and always makes the right decision. The staff is awesome, I always feel right at home . I made the best choice when I decided to get my braces with Dr . Ivanov. There’s is no doubt he is the best ortho . Thank you Dr. Ivanov for the hard work and for being so amazing and helping me feel awesome with every month visit . Anyone who is looking for a good ortho and the best care , there’s no other , Dr. Ivanov is the man!!!
Dr. Ivanov, Amy, and Helen are great! Dr. Ivanov took his time to get to know me, understand my needs, and come up with a treatment plan within my expectations. He offered various treatment options, and Amy and Helen offered payment options. They answered multiple questions without hesitation and with patience. They are all very friendly and personable. Happy I got my braces with them today. P.S. They all worked very quickly to get my braces on as painless as possible. And it went better than expected.
Dr. Ivanov was amazing. When I first got my braces I was scared it was going to last 4yrs for my teeth to look better but it only lasted 2yrs and the results are beyond amazing. I’m really happy with everything and would absolutely recommend him to anyone. Thank you so much.
Dr. Ivanov was my orthodontist. I had a very difficult case, I had an opening in my front area when I closed my mouth. Most orthodontist that I went to said that this case would be impossible to do without surgical intervention. Dr. Pavel thought outside of the box and was able to straighten my teeth WITHOUT surgical intervention. I felt that I was in safe hands because after careful research I found that he graduated at the very top of his class. He was able to do a complex braces technique called the MEAW technique to straighten my teeth. He has restored my self confidence and smile. I highly recommended Dr. Ivanov, he will go out of his way to make sure that your treatment plan is well thought out and he will spend his time to evaluate your situation. He is the Best Orthodontist in the North Miami\Aventura area.
I’ve been visiting Ivanov since December 2015. I had crossbites, crowded teeth, and just all the works. Together with his professional and amazing staff I was able to slowly over the years fix my smile into something life-changing. I am internally grateful to him as well as his staff, especially his assistant and front desk. If you don’t come here then you’re just passing up a great opportunity to change your life for the better and meeting amazing people who will help every step of the way to getting you a better smile! Thanks again, Mr Ivanov.
Very good experience. The attention was great. The doctor is very punctual and they don’t make you wait, which for my busy schedule is super important. Also, the time the doctor told me I had to wear the braces was the exact time I needed and I was very happy with the results. Definitely recommend him.
Dr. Ivanov and his staff really feels like my second family here and they’re always looking out for the best of me. When I first came into the office, my teeth were quite messed up, but now only after a year, it feels surreal that the braces could fix them so well. I see myself smiling alot more and feeling much more confident to show my teeth than to just smirk like I used to. They give you good advice on how to take care of yourself and take the extra step to make sure you do. When I come here for my checkup, I never feel awkward or uncomfortable because they’ll welcome and talk to you as a friend as well as your dentist, something I feel good about when I think about it walking out and saying “See you next month!”
Dr. Ivanov was amazing. He was very understanding and took the time to explain, every step of the process for my daughters braces. I am proud to say with great care her braces were finally removed and the end result is the beautiful smile she now has. Thank you
Usually, when a professional says that the reason they do what they do is to see the end results and how happy it makes their patients, you have to take it with a grain of salt. However, with Dr. Ivanov, he doesn’t even have to tell you why he does what he does for you to know that it’s out of pure kindness and enjoyment in seeing a (perfect) smile in his patients. From the very first moment I met him for a consultation for orthodontic work, I knew I was in good hands. Dr. Ivanov is one of the most humblest, kindest, and caring individuals I’ve ever met in the professional field and I know that I’ll have that perfect smile in no time.
Ivan and his staff made my experience a smooth and convenient process. I am absolutely delighted and satisfied with the progress and how far my teeth has come. Ivan and his staff works effortlessly to ensure that my teeth are perfected beyond my expectations. If I had any other choice I would still choose Ivanov Orthodontic experts.
Very good service they took great care of me Helen is very very sweet and caring she walk me through everything ivanov was so welcoming and caring he is very passionate to his patients felt very comfortable the STAFF IS AMAZING THE PLACE IS CLEAN IM SO EXCITED TO START THIS JOURNEY WITH THEM ISABEL WAS VERY CARING WITH SHE EXPLAIN EVERYTHING VERY WELL I recommend Anyone to come here if you want fast and friendly service thank for the experience
My family and I are so happy with the results of Dr. Ivanov!!! So knowledgeable, kind and always available to answer questions. I am so happy we found him and his staff. I am looking forward to addressing my dental needs now that the family is on track!!! How many can say that about their dental experts. Way to go Dr. Ivanov!!!
James C. Murphy
Since day one, i’ve had positive and friendly energy with every staff member including your future orthodontist Dr. Ivanov. Dr. Ivanov have given every patient he’s recieved the optimum care and dedication to receive their dental goal. He will provide you the steps and information you need to make your journey a successful one. You’ll become so confident with your new smile at the end!! With the amount of time and work he has done with you, you’ll never doubt selecting Dr. Ivanov as your orthodontist.
He is awesome. You will start seeing changes quick in your smile. He shows passion in his work, he cares about you and your smiles. The office is very nice and great customer service. You will be in good hands if you choose to go with him.
Deciding to have orthodontic treatment in orthodontic emergencies can be a big decision. It will be a while before your mouth feels normal again and as you would expect, the more treatment you undergo the more painful it is likely to be. Having a large appliance fitted to your teeth is going to be stressful and you are going to have to learn to adapt. Eating will be different and quite difficult, and you could find that some people struggle to understand your speech for a while. Just as you feel that things have improved, and you are no longer in pain, the teeth will start to move and bring a different type of pain. The good news is, that for many people, this is as bad as it gets.
There are always going to be problems, but the good news is that few people end up with real issues and with the right handling of orthodontic emergencies you will be fine. It is not unheard of for there to be dental emergencies, but they are few and far between, and when they do occur, plenty of healthcare specialists will be able to improve the situation. Once you become aware that there is something wrong, you need to think about and decide whether it is:
- Nothing to worry about- you are just getting used to wearing braces.
- A slight inconvenience – if it does not improve it will be worth returning to the orthodontist and finding out what has happened.
- A real emergency – when this is decision made, then you should make an appointment right away and have the issue dealt with.
You need to be realistic as unlike with our general health; there are very few issues that can be classed as a genuine dental emergency. There are three, and they are:
- Facial injury – this can be because of a fall or a sporting accident. Neither can be anticipated, so if either happens, you will have to go back to the orthodontist.
- Swelling – once any initial swelling goes down, there should not be any more. If there is it is likely that an infection has set in and this is going to need treatment.
- Pain – this does not just mean a slight twinge, but pain that is hard to deal with.
If any of the above occurs, then you should make an emergency appointment with your orthodontist as handling of orthodontic emergencies is their field. If there is not the option of seeing them right away, then you should go to the emergency room instead. If you feel it is not a matter of life and death, then your regular dentist may be able to help as a first point of call. They could have the solution, or at least let you know if you do need a higher presence to look after you.
GETTING TREATED BY YOUR DENTIST
Your own dentist will be well trained and will also have access to antibiotics if they are what is needed. If the problem is that the tooth is cracked or broken, then this is something that they will have dealt with on a regular basis. They will be able to start off the treatment and set out appointments with your orthodontist to do the rest of the work later. Most orthodontists will be happy to reorganize the program they had set up for you if there is a good reason to do so.
Infection is going to be the same as a dentist will be able to treat it as again, they are going to have seen thousands of cases of infection in the past. If they are a little unsure of what to do, the periodontist can be called in and they will sort it out.
UNDERSTANDING A REAL EMERGENCY AND THE HANDLING OF ORTHODONTIC EMERGENCIES
It is likely that the use of the word emergency can be a bit misleading at times. When it comes to life and death then clearly certain paths need to be followed to make sure that the patient survives. There are however dental emergencies and here it will not be the patient that is at risk as such, more that the treatment planned may fail without proper intervention. There are conditions that will be considered minor in the grand scheme of things, so it is best to understand when not to get too concerned and assume it is an emergency when it is not.
Many minor problems however can still be painful and require treatment before the next planned appointment. If you do have any of the conditions below, schedule an appointment to get it treated. It will be issues such as:
- Damaged braces – this is likely to need minor work and often caused due to what is eaten rather than a major problem. Ask for advice as to what to do until you can see the orthodontist, but unless there has been an injury caused, it can wait, and sharp ends can be dealt with via a bit of wax. If there are cuts caused, keep an eye on them to make sure that they do not get infected.
- Problematic arch wire – again the main concern here is damage to the soft tissue. You may be able to set things back in position yourself, and tweezers tend to be best when trying this. Again, ask for advice before starting any treatment yourself.
- Loose teeth – part of the process means that the teeth are going to get a little loose and move, but if they are very loose and there is pain or tenderness in the area, you may need to ask. Over the counter medication will be fine for the pain, and you will benefit from a salt water rinse a couple of times a day. Heat will help, so a heating pad can be placed on the face near to the site of the pain.
As you should now be able to see, there are not many real emergencies, but you do need to act when there is one. The handling of orthodontic emergencies should always be swift and effective.